DEBORAH AZIZ-CHMIELORZ PA (Credential# 162313) 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.
DEBORAH AZIZ-CHMIELORZ PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0023614. 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 59 Straddle Hl, Wethersfield, CT 06109-2722. The current status is active.
| Licensee Name | DEBORAH AZIZ-CHMIELORZ PA |
| Credential ID | 162313 |
| Credential Number | CSP.0023614 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
59 Straddle Hl Wethersfield CT 06109-2722 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-04-05 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-25 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 742054 | 23.000305 | Physician Assistant | 1993-11-05 | 2020-01-01 - 2020-12-31 | ACTIVE |
| Street Address | 59 STRADDLE HL |
| City | WETHERSFIELD |
| State | CT |
| Zip Code | 06109-2722 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Paulina Domika | 41 Straddle Hl, Wethersfield, CT 06109-2722 | Real Estate Salesperson | 2015-06-01 ~ 2016-05-31 |
| Rocco D Paolino Jr | 99 Straddle Hl, Wethersfield, CT 06109-2722 | Real Estate Broker | 2007-04-19 ~ 2008-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Susan E Dimauro | 330 Ridge Rd, Wethersfield, CT 06109 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Mary Boccacio | 174 Longvue Drive, Wethersfield, CT 06109 | Esthetician | ~ |
| Steven C Hine | 294 Hang Dog Ln, Wethersfield, CT 06109 | Architect | 2020-08-01 ~ 2021-07-31 |
| Karolina Monika Fitrzyk | 41 Mountain Laurel, Wethersfield, CT 06109 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Matthew R Dobos | 33 Oxford St, Wethersfield, CT 06109 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Samantha Grabbe | 17 Rockland St, Wethersfield, CT 06109 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Judith M Martz | 307 Nott Street, Wethersfield, CT 06109 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Ups Store (the) | 1077 Silas Deane Hwy, Wethersfield, CT 06109 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Amber H Washington | 103 Parkview Drive, Wethersfield, CT 06109 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Kathleen A Mullady · Brancati | 75 Dale Rd, Wethersfield, CT 06109 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06109 | |||
| City | WETHERSFIELD |
| Zip Code | 06109 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WETHERSFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ali S Aziz | 1 Hospital Plz, Stamford, CT 06902-3602 | Controlled Substance Registration for Practitioner | 2019-10-09 ~ 2021-02-28 |
| Aziz Benbrahim Md | 455 Lewis Ave, Meriden, CT 06451 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Faisal Aziz | 84 Home St Apt 406, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2004-08-27 ~ 2005-02-28 |
| Aziz R Maksoud | 80 Seymour Street, Hartford, CT 06105 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Hammad A Aziz Md | 325 Clerke Dr, Glen Allen, VA 23059-5822 | Controlled Substance Registration for Practitioner | 2015-05-22 ~ 2017-02-28 |
| Ali S Aziz Md | Uconn - Dept of Psychiatry, Farmington, CT 06030 | Controlled Substance Registration for Practitioner | 1994-07-06 ~ 1996-06-01 |
| Aziz K Valika | 222 Whiting Ln Fl 2, West Hartford, CT 06119-2031 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Aziz Khan | 1601 Parkside Ave, Ewing, NJ 08638-4617 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Aziz Ashirov | 395 Porter Lake Dr Apt 201, Longmeadow, MA 01106-1245 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Aziz Tahirov | 14 Kearney Fork, Pomfret, CT 06259 | 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).