MARZENA GRYCZEWSKI
Controlled Substance Registration for Practitioner


Address: 85 Forge Dr, Avon, CT 06001

MARZENA GRYCZEWSKI (Credential# 1065529) 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

MARZENA GRYCZEWSKI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0052254. 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 85 Forge Dr, Avon, CT 06001. The current status is active.

Basic Information

Licensee Name MARZENA GRYCZEWSKI
Credential ID 1065529
Credential Number CSP.0052254
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 85 Forge Dr
Avon
CT 06001
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2012-04-12
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2018-12-28

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1047192 12.004919 Advanced Practice Registered Nurse 2012-01-17 2020-02-01 - 2021-01-31 ACTIVE

Office Location

Street Address 85 FORGE DR
City AVON
State CT
Zip Code 06001

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Mollie Velma Lahaie 14 Red Mountain Lane, Avon, CT 06001 Registered Nurse 2020-06-26 ~ 2020-08-31
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Richard J Kaiser 72 Westland Road, Avon, CT 06001 Architect 2020-08-01 ~ 2021-07-31
Michele L Sweitzer 12 Bluestone Lane, Avon, CT 06001 Real Estate Salesperson 2020-06-25 ~ 2021-05-31
Caroline O Amin 5 Colby Way, Avon, CT 06001 Physician/surgeon 2020-08-01 ~ 2021-07-31
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Competitor

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City AVON
Zip Code 06001
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + AVON

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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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