MARY R DOMBECK DVM (Credential# 1001865) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is June 14, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.
MARY R DOMBECK DVM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0050457. The credential type is controlled substance registration for practitioner. The effective date is June 14, 2011. The expiration date is February 28, 2013. The business address is 750 Granite Ridge Rd, Stevens Point, WI 54481-9676. The current status is inactive.
| Licensee Name | MARY R DOMBECK DVM |
| Credential ID | 1001865 |
| Credential Number | CSP.0050457 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
750 Granite Ridge Rd Stevens Point WI 54481-9676 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2011-06-14 |
| Effective Date | 2011-06-14 |
| Expiration Date | 2013-02-28 |
| Refresh Date | 2014-07-24 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 995787 | 47.003596 | Veterinarian | 2011-05-02 | 2011-05-02 - 2012-05-31 | INACTIVE |
| 993233 | 47 | Veterinarian | - | PENDING |
| Street Address | 750 GRANITE RIDGE RD |
| City | STEVENS POINT |
| State | WI |
| Zip Code | 54481-9676 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ki Mobility | 5201 Woodward Dr, Stevens Point, WI 54481 | Manufacturer of Bedding & Upholstered Furniture | 2020-05-01 ~ 2021-04-30 |
| Jennifer A Fandre | 1809 Welsby Ave, Stevens Point, WI 54481 | Registered Nurse | 2009-08-01 ~ 2010-07-31 |
| Sunrise Medical Division | 5001 Joerns Dr, Stevens Point, WI 54481 | Manufacturer of Bedding & Upholstered Furniture | 1997-08-07 ~ 1998-04-30 |
| Lynsey Konkol | 1265 Main St, Stevens Point, WI 54481-2884 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Victoria M Soroko | 740 W River Dr, Stevens Point, WI 54481-3348 | Registered Nurse - Temporary | 2009-11-18 ~ 2010-03-18 |
| Spb LLC · Stevens Point Brewery | 2617 Water St, Stevens Point, WI 54481-5232 | Out of State Winery | 2020-05-01 ~ 2021-04-30 |
| Sally Rachel Johnson | 108 Mill Road Ct, Stevens Point, WI 54481-6328 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Thomas M Grim | 1491 N 2nd Dr, Stevens Point, WI 54482-9661 | Registered Nurse - Temporary | 2012-12-11 ~ 2013-04-10 |
| City | STEVENS POINT |
| Zip Code | 54481 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + STEVENS POINT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mary G Boy | 237 Clift St, Mystic, CT 06355-1726 | Controlled Substance Registration for Practitioner | 2018-12-20 ~ 2021-02-28 |
| Mary J O | 109 E Gate Ln, Hamden, CT 06514-2233 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mary B O'malley | Po Box 447, Housatonic, MA 01236-0447 | Controlled Substance Registration for Practitioner | 2020-02-28 ~ 2021-02-28 |
| Mary E Gillette | 60 Washington Ave, Hamden, CT 06518 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Omotoke O Missih | 3 Mary Ann Ln, Wallingford, CT 06492-4914 | Controlled Substance Registration for Practitioner | 2013-07-01 ~ 2015-02-28 |
| Mary T Coppolo | 21 Morgan Ave, Norwalk, CT 06851-5007 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mary R Benoit | 1 Ambler Rd, Bristol, CT 06010-3523 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mary Mcneel Pa | 28 Ledgeway Rd, Redding, CT 06896 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Amy Alias Md | St Mary's Hospital, Waterbury, CT 06706 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Mary Geiser Pa-c | 100 Grand St, New Britain, CT 06052-2016 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on MARY R DOMBECK DVM.
| 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).