THOMAS R SZWEJKOWSKI
Controlled Substance Registration for Practitioner


Address: 75 Five Fields Rd, Madison, CT 06443-2559

THOMAS R SZWEJKOWSKI (Credential# 1307114) 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

THOMAS R SZWEJKOWSKI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0061371. 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 75 Five Fields Rd, Madison, CT 06443-2559. The current status is active.

Basic Information

Licensee Name THOMAS R SZWEJKOWSKI
Credential ID 1307114
Credential Number CSP.0061371
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 75 Five Fields Rd
Madison
CT 06443-2559
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2015-08-26
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-01-17

Other licenses

ID Credential Code Credential Type Issue Term Status
1286635 23.003409 Physician Assistant 2015-08-12 2019-08-01 - 2020-07-31 ACTIVE
873610 70.990634 Emergency Medical Technician 1999-05-01 - 2001-06-30 INACTIVE

Office Location

Street Address 75 FIVE FIELDS RD
City MADISON
State CT
Zip Code 06443-2559

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Competitor

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City MADISON
Zip Code 06443
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MADISON

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Thomas L Young 56 Hurd Ave, Stratford, CT 06614 Controlled Substance Registration for Practitioner 2004-10-26 ~ 2005-02-28
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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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