TRACY C WITTREICH LNM (Credential# 694522) is licensed (Licensed Nurse Midwife) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2020. The license expiration date date is August 31, 2021. The license status is ACTIVE.
TRACY C WITTREICH LNM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #16.000012. The credential type is licensed nurse midwife. The effective date is September 1, 2020. The expiration date is August 31, 2021. The business address is 675 South Main St, Cheshire, CT 06410. The current status is active.
Licensee Name | TRACY C WITTREICH LNM |
Credential ID | 694522 |
Credential Number | 16.000012 |
Credential Type | Licensed Nurse Midwife |
Business Address |
675 South Main St Cheshire CT 06410 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1990-11-06 |
Effective Date | 2020-09-01 |
Expiration Date | 2021-08-31 |
Refresh Date | 2020-06-05 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
606985 | 10.E35256 | Registered Nurse | 1989-01-03 | 2020-09-01 - 2021-08-31 | ACTIVE |
157374 | CSP.0018676 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 675 SOUTH MAIN ST |
City | CHESHIRE |
State | CT |
Zip Code | 06410 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Rebecca B Pringle | 675 South Main St, Cheshire, CT 06410 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
Elisabeth Hyde Lnm | 675 South Main St, Cheshire, CT 06410 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Joel Silidker Md | 675 South Main St, Cheshire, CT 06410 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Susan D Johnson Lnm | 675 South Main St, Cheshire, CT 06410 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Mr B's · Bimonte's Pizza Castle | 155 Highland Ave, Cheshire, CT 06410 | Bakery | 2020-07-01 ~ 2021-06-30 |
Traci L Bonassar | 452 Castle Glenn, Cheshire, CT 06410 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
Faith H Morico · Hennessey | 177 Wallingford Rd, Cheshire, CT 06410 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
Renee D Kane | 40 Willow St, Cheshire, CT 06410 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Kara Capuano | 20 Renee Court, Cheshire, CT 06410 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Eugenia A Marquez | 22 Currier Way, Cheshire, CT 06410 | Radiographer | 2020-07-01 ~ 2021-06-30 |
Mahnaz M Emamian | 471 West Main St, Cheshire, CT 06410 | Esthetician | ~ |
Margarita A. Norris | 302 Highland Avenue, Cheshire, CT 06410 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Wendell D Wallace Juedes | 545 Country Club Rd, Cheshire, CT 06410 | Podiatrist | 2020-04-01 ~ 2021-03-31 |
Hyunjung An | 55 Moneta Ln., Cheshire, CT 06410 | Acupuncturist | ~ |
Find all Licenses in zip 06410 |
City | CHESHIRE |
Zip Code | 06410 |
License Type | Licensed Nurse Midwife |
License Type + County | Licensed Nurse Midwife + CHESHIRE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Michelle G Palmer | Po Box 209, Charlestown, RI 02813 | Licensed Nurse Midwife | 2009-03-20 ~ 2010-01-31 |
Maren E Robertson Lnm | 53 Fox Run Ln, Mystic, CT 06355 | Licensed Nurse Midwife | 2012-04-01 ~ 2013-03-31 |
Donna Schmutzler | Rt 5 Box 422, Rogers, AR 72756 | Licensed Nurse Midwife | ~ 1995-05-31 |
Eva V Garcia Lnm | 101 Avon St, New Haven, CT 06511 | Licensed Nurse Midwife | 2014-06-01 ~ 2015-05-31 |
Jenna Hutchens | 745 E 6th St Apt 5b, New York, NY 10009-6994 | Licensed Nurse Midwife | 2020-03-01 ~ 2021-02-28 |
Eileen Smith Lnm | 35 Strickland Rd, Cos Cob, CT 06807 | Licensed Nurse Midwife | 2012-06-01 ~ 2013-05-31 |
Debra J O'connell Lnm | 77 Oak St#1, Florence, MA 01062 | Licensed Nurse Midwife | 2004-04-20 ~ 2005-04-30 |
Susan L Uhryk Lnm | 17 Prospect St, Terryville, CT 06786 | Licensed Nurse Midwife | 1998-08-03 ~ 1999-09-30 |
Elizabeth M Kikerpill | 8 Westbank Road, Rye, NY 10580 | Licensed Nurse Midwife | ~ 1998-04-30 |
Jaime A Liebig | 388 W Center St, Manchester, CT 06040-4735 | Licensed Nurse Midwife | 2020-06-01 ~ 2021-05-31 |
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Data Provider | Connecticut Department of Consumer Protection |
Jurisdiction | Connecticut |
Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).