KATRINA BEZAK (Credential# 1675449) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is July 12, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
KATRINA BEZAK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0071901. The credential type is controlled substance registration for practitioner. The effective date is July 12, 2019. The expiration date is February 28, 2021. The business address is 380 Mather St Apt 4010, Hamden, CT 06514-3159. The current status is active.
| Licensee Name | KATRINA BEZAK |
| Credential ID | 1675449 |
| Credential Number | CSP.0071901 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
380 Mather St Apt 4010 Hamden CT 06514-3159 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-07-12 |
| Effective Date | 2019-07-12 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-07-16 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1622205 | 10.158878 | Registered Nurse | 2019-02-28 | 2019-12-01 - 2020-11-30 | ACTIVE |
| 1622206 | 12.008122 | Advanced Practice Registered Nurse | 2019-03-05 | 2019-12-01 - 2020-11-30 | ACTIVE |
| Street Address | 380 MATHER ST APT 4010 |
| City | HAMDEN |
| State | CT |
| Zip Code | 06514-3159 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Erika Henley | 175 Hightop Circle West, Hamden, CT 06514 | Master's Level Social Worker | 2020-06-01 ~ 2021-05-31 |
| Yunmi Lee | 144 Hill St, Hamden, CT 06514 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-05-31 |
| Rosa M Gordillo | 155 Gorham Ave, Hamden, CT 06514 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Linda C Disbrow | 61 Sherman Lane, Hamden, CT 06514 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Kimberly Marie Fernandes | 660 Mix Ave #1h, Hamden, CT 06514 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Marie Junie Cyril | 175 Oberlin Road, Hamden, CT 06514 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Erica Weiss | 4 Partridge Crossing, Hamden, CT 06514 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kimberly S Traverso | 50 Building Brook Road, Hamden, CT 06514 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
| Kevin A Guess | 3rd Street, Hamden, CT 06514 | Public Weigher | 2020-06-12 ~ 2021-06-30 |
| Marilyn Pavelus | 389 Gilbert Ave, Hamden, CT 06514 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06514 | |||
| City | HAMDEN |
| Zip Code | 06514 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + HAMDEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Katrina L Furey | 147 Durham Rd, Madison, CT 06443 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Katrina E Monahan | 159 Irving St, Manchester, CT 06042-3039 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Katrina D Kozlin | 11721 Midhurst Dr, Knoxville, TN 37934-4771 | Controlled Substance Registration for Practitioner | 2013-06-06 ~ 2015-02-28 |
| Katrina Loh | 1006 Falls View Rd, Manchester, CT 06042-7124 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Katrina Morene Best | 605 W Madison St Apt 3-2112, Chicago, IL 60661-2410 | Controlled Substance Registration for Practitioner | 2017-06-14 ~ 2019-02-28 |
| Katrina L Kontaxis | 79 Towne House Rd, Hamden, CT 06514-2103 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Katrina Sivo-souza | 104 Gold Mine Rd, Chepachet, RI 02814-1755 | Controlled Substance Registration for Practitioner | 2020-05-12 ~ 2021-02-28 |
| Katrina Vander Biezen Do | 12125 Fountainbrook Blvd, Orlando, FL 32825-7018 | Controlled Substance Registration for Practitioner | 2010-06-10 ~ 2011-02-28 |
| 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 |
Please comment or provide details below to improve the information on KATRINA BEZAK.
| 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).