MELISSA M CZAKO (Credential# 896322) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
MELISSA M CZAKO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0046748. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 19 Christians Xing, Durham, CT 06422-3618. The current status is active.
Licensee Name | MELISSA M CZAKO |
Credential ID | 896322 |
Credential Number | CSP.0046748 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
19 Christians Xing Durham CT 06422-3618 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2009-10-02 |
Effective Date | 2019-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2019-02-11 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
891248 | 23.002309 | Physician Assistant | 2009-08-31 | 2019-08-01 - 2020-07-31 | ACTIVE |
844605 | 70.004872 | Emergency Medical Technician | 2004-05-25 | 2006-10-18 - 2009-03-31 | INACTIVE |
Street Address | 19 CHRISTIANS XING |
City | DURHAM |
State | CT |
Zip Code | 06422-3618 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Gregory R Heins | 19 Christians Xing, Durham, CT 06422-3618 | Emergency Medical Technician | 2018-10-01 ~ 2021-09-30 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Connor Derek Bates | 25 Christian's Crossing, Durham, CT 06422-3618 | Certified Public Accountant License | 2019-10-17 ~ 2020-12-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jonathan A Luysterborghs | 208 Blue Hills Road, Durham, CT 06422 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
Trinh Tu Tran | 10 Cesca Lane, Durham, CT 06422 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
Beseck Mountain Rescue Inc | 68r Middlefield Road, Durham, CT 06422 | Public Charity-exempt From Financial Requirements | 2007-10-15 ~ |
Mary E Gossart | 35 Maiden Lane, Durham, CT 06422 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
Jayshreebahen Bidja · Little Rooster Liquors | 363 Main St, Durham, CT 06422 | Package Store Liquor | 2020-08-09 ~ 2021-08-08 |
Erica Espinoza | 163 Stage Coach Rd, Durham, CT 06422 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Adrienne Lynn Deschnow | 419 R Johnson Lane, Durham, CT 06422 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Lynda S Collins · Robison | 649 Wallingford Road, Durham, CT 06422 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Pierino Peter Cascini | 425 Main Street, Durham, CT 06422 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
Leila K Markunas | 250 Skeetclub Road, Durham, CT 06422 | Massage Therapist | 2020-09-01 ~ 2022-08-31 |
Find all Licenses in zip 06422 |
City | DURHAM |
Zip Code | 06422 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + DURHAM |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Melissa J Dunleavy | Po Box 89, Oneco, CT 06373-0089 | Controlled Substance Registration for Practitioner | 2019-02-27 ~ 2021-02-28 |
Melissa E Ing Dmd | 119 Old Stage, Glastonbury, CT 06033 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Melissa Joy | 13 Coult Ln, Old Lyme, CT 06371-1105 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Melissa L Williams | 66 Long Aly, Palenville, NY 12463-2326 | Controlled Substance Registration for Practitioner | 2014-07-31 ~ 2015-02-28 |
Melissa L Gulosh | 114 Woodland St, Hartford, CT 06105-1208 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Melissa Gambaccini | 10 Garden St, Branford, CT 06405-4611 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Melissa Werner | 87 North St, Oakville, CT 06779-1430 | Controlled Substance Registration for Practitioner | 2019-05-21 ~ 2021-02-28 |
Melissa Jenkins Lee | 228 E Bass Ln, Suffield, CT 06078-1956 | Controlled Substance Registration for Practitioner | 2020-02-28 ~ 2021-02-28 |
Rachael A Cruz | 11 Melissa Way, Tolland, CT 06084 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Melissa Darlington | Anesthesiology, Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
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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).