MARY ANN CHOMIAK
Controlled Substance Registration for Practitioner


Address: 10 Birdseye Rd Ste 260, Farmington, CT 06032-2489

MARY ANN CHOMIAK (Credential# 195699) 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.

Business Overview

MARY ANN CHOMIAK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0026656. 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 10 Birdseye Rd Ste 260, Farmington, CT 06032-2489. The current status is active.

Basic Information

Licensee Name MARY ANN CHOMIAK
Credential ID 195699
Credential Number CSP.0026656
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 10 Birdseye Rd Ste 260
Farmington
CT 06032-2489
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 1999-03-01
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-01-14

Other licenses

ID Credential Code Credential Type Issue Term Status
741909 23.000160 Physician Assistant 1993-10-08 2019-05-01 - 2020-04-30 ACTIVE IN RENEWAL

Office Location

Street Address 10 BIRDSEYE RD STE 260
City FARMINGTON
State CT
Zip Code 06032-2489

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Robert J Boolbol 10 Birdseye Rd Ste 260, Farmington, CT 06032-2489 Physician/surgeon 2020-04-01 ~ 2021-03-31

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Yuriy May 10 Birdseye Rd Ste 240, Farmington, CT 06032-2489 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28

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Kimberly A. Caprio Hartford Healthcare Medical Group, Farmington, CT 06032 Physician/surgeon 2020-07-01 ~ 2021-06-30
Stephanie A. Fink 22 Kent Lane, Farmington, CT 06032 Registered Nurse 2020-07-01 ~ 2021-06-30
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Competitor

Search similar business entities

City FARMINGTON
Zip Code 06032
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + FARMINGTON

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Mary G Boy 237 Clift St, Mystic, CT 06355-1726 Controlled Substance Registration for Practitioner 2018-12-20 ~ 2021-02-28
Mary Ann D Bentz 425 Montauk Ave, New London, CT 06320-4642 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Mary A Arwady 321 Grandview Ave Fl 3, Waterbury, CT 06708-2228 Controlled Substance Registration for Practitioner 2013-03-01 ~ 2015-02-28
Mary B Porter Md 299 Washington Ave, Hamden, CT 06518 Controlled Substance Registration for Practitioner 2008-03-01 ~ 2009-02-28
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Dataset Information

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).

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