THOMAS JOSEPH DOMINGUEZ (Credential# 1604584) 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.
THOMAS JOSEPH DOMINGUEZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0069637. 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 749 Farmington Ave Apt 3w, West Hartford, CT 06119. The current status is active.
Licensee Name | THOMAS JOSEPH DOMINGUEZ |
Credential ID | 1604584 |
Credential Number | CSP.0069637 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
749 Farmington Ave Apt 3w West Hartford CT 06119 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2018-09-28 |
Effective Date | 2019-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2019-01-28 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1597068 | 23.004269 | Physician Assistant | 2018-09-28 | 2019-07-01 - 2020-06-30 | ACTIVE |
Street Address | 749 FARMINGTON AVE APT 3W |
City | WEST HARTFORD |
State | CT |
Zip Code | 06119 |
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 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WEST HARTFORD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Louis S Dominguez | 54 Bessom St Apt 1, Lynn, MA 01902-1205 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Deborah Ann Dominguez | 146 Wildwood Rd, Tolland, CT 06084-2164 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Dora P Dominguez | 2800 Main St, Bridgeport, CT 06606-4201 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Jennifer Dominguez | 81 Cottage Street, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Joseph E Thomas Md | 88 Brittany Farms Rd, New Britain, CT 06053 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
Troy Edward Dominguez | 360 State Street, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Yulanka Castro Dominguez | 20 York Street, Tompkins 226, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
St Joseph's Manor | 6448 Main Street, Trumbull, CT 06611 | Controlled Substance Registration for Practitioner | 2000-02-29 ~ 2000-12-22 |
St Joseph's Hospital | 128 Strawberry Hill Ave, Stamford, CT 06904 | Controlled Substance Registration for Practitioner | 1998-03-01 ~ 1999-02-28 |
Joseph E Grasso Dds · University of Connecticut | Joseph Grasso Dds, Farmington, CT 06030-1615 | Controlled Substance Registration for Practitioner | 2017-03-27 ~ 2019-02-28 |
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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).