WANDA M KIREJCZYK MD (Credential# 180630) 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.
WANDA M KIREJCZYK MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0025308. 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 101 North Plains Ind. Road, Wallingford, CT 06492. The current status is active.
| Licensee Name | WANDA M KIREJCZYK MD |
| Credential ID | 180630 |
| Credential Number | CSP.0025308 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
101 North Plains Ind. Road Wallingford CT 06492 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-03-02 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 551463 | 1.033864 | Physician/Surgeon | 1994-07-01 | 2019-12-01 - 2020-11-30 | ACTIVE |
| Street Address | 101 North Plains Ind. Road |
| City | Wallingford |
| State | CT |
| Zip Code | 06492 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrea Zola | 53 Alison Ave., Wallingford, CT 06492 | Esthetician | ~ |
| Kyungok Choi | 90 Ward St, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Giang Nguyen | 45 Country Club Lane, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-11-30 |
| Lc Artistry | 207 North Colony Road, Wallingford, CT 06492 | Esthetician | ~ |
| Katie Lee | 20 Angela Dr, Wallingford, CT 06492 | Paramedic | 2020-09-01 ~ 2021-08-31 |
| Vinny's Deli | 567 Center St, Wallingford, CT 06492 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Michele Ruggiero | 26 Leigus Road, Wallingford, CT 06492 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Dianna K Ball | 104 Simpson Ave, Wallingford, CT 06492 | Speech and Language Pathologist | 2020-08-01 ~ 2021-07-31 |
| Ann Marie Richardson | 20 Mohawk Drive, Wallingford, CT 06492 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Joann Hummel | 60 Deer Run Road, Wallingford, CT 06492 | Medication Administration Certification | 2018-08-21 ~ 2020-08-20 |
| Find all Licenses in zip 06492 | |||
| City | Wallingford |
| Zip Code | 06492 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Wallingford |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Wanda F Puckett Dds | 65 Old Rte 79 #1, Madison, CT 06443 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Wanda W Zhao Pa-c | 40 Prospect Ave Apt 1-1e, Norwalk, CT 06850-3741 | Controlled Substance Registration for Practitioner | 2008-06-16 ~ 2009-02-28 |
| Wanda N Noguera-irizarry Md | 1 Theall Rd, Rye, NY 10580 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Wanda Bronstein | 109 Bayberry Rd, Glastonbury, CT 06033-1750 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Wanda J Lanzone Hannigan | 51 Barnswallow Dr, Trumbull, CT 06611-2554 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Wanda R Moody Md | 15 Quail Ridge, Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
| Wanda Merced | 515 Middle Tuenpike West, Manchester, CT 06040-6546 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Wanda Tidhar Md | 7481 Falls Rd West, Boynton Beach, FL 33437 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| 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 |
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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).