AGATA I JASKIEWICZ-POZNANSKA
Controlled Substance Registration for Practitioner


Address: 11 Tashua Ln, Trumbull, CT 06611-6365

AGATA I JASKIEWICZ-POZNANSKA (Credential# 946462) 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.

Business Overview

AGATA I JASKIEWICZ-POZNANSKA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0048411. 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 11 Tashua Ln, Trumbull, CT 06611-6365. The current status is active.

Basic Information

Licensee Name AGATA I JASKIEWICZ-POZNANSKA
Credential ID 946462
Credential Number CSP.0048411
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 11 Tashua Ln
Trumbull
CT 06611-6365
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2010-08-09
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-02-25

Other licenses

ID Credential Code Credential Type Issue Term Status
1344905 CSP.0062418 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2016-07-07 2019-03-01 - 2021-02-28 ACTIVE
933803 1.049047 Physician/Surgeon 2010-07-26 2019-10-01 - 2020-09-30 ACTIVE

Office Location

Street Address 11 Tashua Ln
City TRUMBULL
State CT
Zip Code 06611-6365

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Competitor

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City TRUMBULL
Zip Code 06611
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + TRUMBULL

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Dataset Information

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).

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