PAULINA MIKLOSZ
Controlled Substance Registration for Practitioner


Address: 12 Fairview Pl, Berlin, CT 06037-2249

PAULINA MIKLOSZ (Credential# 1182446) 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

PAULINA MIKLOSZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0056036. 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 12 Fairview Pl, Berlin, CT 06037-2249. The current status is active.

Basic Information

Licensee Name PAULINA MIKLOSZ
Credential ID 1182446
Credential Number CSP.0056036
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 12 Fairview Pl
Berlin
CT 06037-2249
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2013-08-30
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-01-02

Other licenses

ID Credential Code Credential Type Issue Term Status
1167130 10.113129 Registered Nurse 2013-08-20 2019-07-01 - 2020-06-30 ACTIVE
1179336 12.005487 Advanced Practice Registered Nurse 2013-08-26 2019-07-01 - 2020-06-30 ACTIVE
1169198 10.111482-TEMP Registered Nurse - Temporary 2013-06-13 2013-06-13 - 2013-10-10 INACTIVE

Office Location

Street Address 12 Fairview Pl
City Berlin
State CT
Zip Code 06037-2249

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Linda A Giove 48 Winding Meadow D, Kensington, CT 06037 Hairdresser/cosmetician 2020-08-01 ~ 2022-07-31
Kevin P Gallagher 206 Fairview Dr, Berlin, CT 06037 Embalmer 2020-07-01 ~ 2021-06-30
Stephanie M Sadlowski 28 Cynthia Drive, Kensington, CT 06037 Registered Nurse 2020-08-01 ~ 2021-07-31
Violet Pastorkova-jaouen 959 Four Rod Road, Berlin, CT 06037 Dietitian/nutritionist 2020-07-01 ~ 2021-06-30
Constantine S Buonanno Dmd 1105 Farmington Ave, Kensington, CT 06037 Dentist 2020-04-01 ~ 2021-03-31
Lisa Divalentino 23 Garden Drive, Kensington, CT 06037 Notary Public Appointment 2020-08-01 ~ 2025-07-31
William Dornfried 240 Kensington Road, Berlin, CT 06037 Water Treatment Plant Operator - Class I 2020-04-01 ~ 2023-03-31
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Competitor

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City Berlin
Zip Code 06037
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Berlin

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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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