AMY L SZYMKOWICZ (Credential# 1449138) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is September 7, 2017. The license expiration date date is February 28, 2019. The license status is INACTIVE.
AMY L SZYMKOWICZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0066735. The credential type is controlled substance registration for practitioner. The effective date is September 7, 2017. The expiration date is February 28, 2019. The business address is 2 Blackhaw Dr, Cromwell, CT 06416-1203. The current status is inactive.
Licensee Name | AMY L SZYMKOWICZ |
Credential ID | 1449138 |
Credential Number | CSP.0066735 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
2 Blackhaw Dr Cromwell CT 06416-1203 |
Business Type | INDIVIDUAL |
Status | INACTIVE - SURRENDERED |
Issue Date | 2017-09-07 |
Effective Date | 2017-09-07 |
Expiration Date | 2019-02-28 |
Refresh Date | 2018-08-27 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1435629 | 12.007206 | Advanced Practice Registered Nurse | 2017-08-31 | 2017-08-31 - 2018-06-30 | INACTIVE |
926537 | 10.094237 | Registered Nurse | 2010-06-17 | 2017-07-01 - 2018-06-30 | INACTIVE |
Street Address | 2 BLACKHAW DR |
City | CROMWELL |
State | CT |
Zip Code | 06416-1203 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Robert Jordan | 6 Blackhaw Dr, Cromwell, CT 06416-1203 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Marcia B Henehan | 17 Crest Drive, Cromwell, CT 06416 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
Sarah C Smith | 6 Court Street, Cromwell, CT 06416 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
Joyce Tayeh | 5 Sunridge Lane, Cromwell, CT 06416 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Todd J Farris | 53 Lincoln Road, Cromwell, CT 06416 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
Tiffany N Winkler | 50 Fawn Run, Cromwell, CT 06416 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Hasim J Shah | 131 Coles Rd, Cromwell, CT 06416 | Pharmacy Technician | 2020-06-23 ~ 2021-03-31 |
Michelle R Berube | 17 Arrowwood Dr, Cromwell, CT 06416 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Joy Mekrut-suzio | 352 Main Street, Cromwell, CT 06416 | Speech and Language Pathologist | 2020-09-01 ~ 2021-08-31 |
Gina M Branciforte | 24 Bellaire Manor, Cromwell, CT 06416 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Kimberly A Benson | 10 Springdale Road, Cromwell, CT 06416 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06416 |
City | CROMWELL |
Zip Code | 06416 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + CROMWELL |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
Huu Duc D Luu | 630 Mix Ave Apt 6p, Hamden, CT 06514-2320 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Qi Che Md | Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
Arundati Rao | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Erin K Fee | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Hae J Kim Pa | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-31 ~ 2009-02-28 |
Min Jin Kim | 639 4th Ave Apt 5c, Brooklyn, NY 11232-1048 | Controlled Substance Registration for Practitioner | 2012-05-10 ~ 2013-02-28 |
Kim Whitesell Md | 22 Elm St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 1995-01-26 ~ 1996-02-28 |
Joy M Latvis | 1 Rye Lane, Rye, CT 03870 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).