NATALIE JULIA GRODZKI (Credential# 1597003) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
NATALIE JULIA GRODZKI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004286. The credential type is physician assistant. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 30 Outlook Ave, West Hartford, CT 06119. The current status is active.
| Licensee Name | NATALIE JULIA GRODZKI |
| Credential ID | 1597003 |
| Credential Number | 23.004286 |
| Credential Type | Physician Assistant |
| Business Address |
30 Outlook Ave West Hartford CT 06119 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-10-16 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-03-13 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1608034 | CSP.0069735 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-10-17 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 30 Outlook Ave |
| City | West Hartford |
| State | CT |
| Zip Code | 06119 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Juanita I Trumble | 30 Outlook Ave, West Hartford, CT 06100 | Notary Public Appointment | 1974-09-01 ~ 1979-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Danna Rae France | 1148 Boulevard, West Hartford, CT 06119 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-10-31 |
| Rayda R Bouma | 122 Richard St, West Hartford, CT 06119 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Norbert M Spencer | 17 Oakwood Ave., West Hartford, CT 06119 | Professional Counselor | 2020-07-01 ~ 2021-06-30 |
| Diedra A Dietter | 9 Birch Road, West Hartford, CT 06119 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Dahlia I Belnavis-bigenho · Belnavis | 186 Whiting Lane, West Hartford, CT 06119 | Respiratory Care Practitioner | 2020-08-01 ~ 2021-07-31 |
| Stephen R Dewey | 68 Richard St, W Hartford, CT 06119 | Architect | 2020-08-01 ~ 2021-07-31 |
| James E Vance Jr | 9 Plymouth Rd, W Hartford, CT 06119 | Architect | 2020-08-01 ~ 2021-07-31 |
| Mark D Hirsch | 105 Griswold Dr, W Hartford, CT 06119 | Architect | 2020-08-01 ~ 2021-07-31 |
| Judith Briggs | 29 Troy St, West Hartford, CT 06119 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Thulan P Vu | 74 Park Road, West Hartford, CT 06119 | Nail Technician | 2020-06-24 ~ 2022-06-30 |
| Find all Licenses in zip 06119 | |||
| City | West Hartford |
| Zip Code | 06119 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + West Hartford |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Natalie J Grodzki | 148 Innsbrook Dr, Streamwood, IL 60107-2807 | Emergency Medical Technician | 2014-06-17 ~ 2017-04-01 |
| Natalie Savona | 45 Knickerbocker Ave, Stamford, CT 06907-2517 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Natalie Musco | 2 Blueberry Ln, Seymour, CT 06483-2359 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Natalie Marie Concannon | 910 E 26th St, Minneapolis, MN 55407 | Physician Assistant | ~ |
| Natalie E Coulis Pa-c | 31 Paper Mill Dr, Madison, CT 06443-1908 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Natalie Ramadon Unger Pa-c | 51 Hawley Ave, Milford, CT 06460-8113 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Natalie Karpinski | 515 Middle Tpke W, Manchester, CT 06040-3816 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Natalie L Walkup | 2331 Barrington Drive, Toledo, OH 43606 | Physician Assistant | 2009-10-01 ~ 2010-09-30 |
| Julia M Friedman Pa | 207 George St, Middletown, CT 06457 | Physician Assistant | 2010-07-01 ~ 2011-06-30 |
| Lauren Natalie Fox | 5717 Pacific Center Blvd, San Diego, CA 92121 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on NATALIE JULIA GRODZKI.
| 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).