TERESA M DOMACK (Credential# 1232825) 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.
TERESA M DOMACK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0057897. 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 79 Bayberry Hill Road, Avon, CT 06001. The current status is active.
| Licensee Name | TERESA M DOMACK |
| Credential ID | 1232825 |
| Credential Number | CSP.0057897 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
79 Bayberry Hill Road Avon CT 06001 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2014-07-18 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-03 |
| Street Address | 79 Bayberry Hill Road |
| City | Avon |
| State | CT |
| Zip Code | 06001 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Julie R Deitch | 5 Bridle Path, Avon, CT 06001 | Dental Hygienist | 2020-07-01 ~ 2021-06-30 |
| Brigitte Nicole Heleniak | 16 Sunset Trail, Avon, CT 06001 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Coffee Trade Inc (the) | 21 West Main St, Avon, CT 06001 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Elizabeth Stockwell | 44 Applewood Lane, Avon, CT 06001 | Real Estate Salesperson | ~ |
| Mollie Velma Lahaie | 14 Red Mountain Lane, Avon, CT 06001 | Registered Nurse | 2020-06-26 ~ 2020-08-31 |
| Meiling Chen | Avon Nail 315 W Main Street, Avon, CT 06001 | Nail Technician | ~ |
| 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 |
| Christine Burns | 102 New Road, Avon, CT 06001 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06001 | |||
| City | Avon |
| Zip Code | 06001 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Avon |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Teresa Maria Domack | 79 Bayberry Hill Rd, Avon, CT 06001-2800 | Controlled Substance Registration for Practitioner | 2019-01-02 ~ 2021-02-28 |
| Teresa Sheetz | 17 Southridge Rd, Prospect, CT 06712 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Teresa M Love Dvm | 451 River Rd, Willington, CT 06279-1332 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Teresa Bremner Md | 19 Locust Ln, Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2001-03-01 ~ 2002-02-28 |
| Teresa T Lee Md | 1 Goodwin Place, Avon, CT 06001 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Teresa L Smith | 13 Egypt Ln, Clinton, CT 06413-2514 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Teresa A Martinez | 198 Brookdale Rd, Stamford, CT 06903-4130 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Teresa K Spencer | 26 Homestead Ave, Derby, CT 06418-2516 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Teresa A Vollmart-nevin | 24 Amos St, Hamden, CT 06518-1802 | Controlled Substance Registration for Practitioner | 2019-06-18 ~ 2021-02-28 |
| Teresa E Narayan Od | Shoreline Eye Associates, New Haven, CT 06513 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Please comment or provide details below to improve the information on TERESA M DOMACK.
| 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).