TRACY MACK (Credential# 1989504) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2020. The license expiration date date is July 31, 2021. The license status is ACTIVE.
TRACY MACK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.064851. The credential type is physician/surgeon. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is 540 Litchfield St, Torrington, CT 06790-6679. The current status is active.
| Licensee Name | TRACY MACK |
| Credential ID | 1989504 |
| Credential Number | 1.064851 |
| Credential Type | Physician/Surgeon |
| Business Address |
540 Litchfield St Torrington CT 06790-6679 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-02-13 |
| Effective Date | 2020-08-01 |
| Expiration Date | 2021-07-31 |
| Refresh Date | 2020-06-08 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 2008111 | CSP.0073173 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2020-02-14 | 2020-02-14 - 2021-02-28 | ACTIVE |
| Street Address | 540 LITCHFIELD ST |
| City | TORRINGTON |
| State | CT |
| Zip Code | 06790-6679 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Charlotte Hungerford Hospital, The | 540 Litchfield St, Torrington, CT 06790-6679 | General Hospital | 2019-10-01 ~ 2021-09-30 |
| Joshua D Dumoch Pa | 540 Litchfield St, Torrington, CT 06790 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
| Hemal Patel | 540 Litchfield St, Torrington, CT 06790-6679 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Richard N Krinsky | 540 Litchfield St, Torrington, CT 06790-6679 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Matthew Ebling | 540 Litchfield St, Torrington, CT 06790-6679 | Controlled Substance Registration for Practitioner | 2020-03-31 ~ 2021-02-28 |
| Charlotte Hungerford Hospital | 540 Litchfield St, Torrington, CT 06790-6679 | Controlled Substance Registration for Hospitals | 2019-03-01 ~ 2021-02-28 |
| Nancy Echefu | 540 Litchfield St, Torrington, CT 06790-6679 | Controlled Substance Registration for Practitioner | 2020-01-24 ~ 2021-02-28 |
| Richard Krinsky Do · Litchfield County Medical Group | 540 Litchfield St, Torrington, CT 06790-7811 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Daniel D Coelho Md | 540 Litchfield St, Torrington, CT 06790 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kenrick E Hom | 540 Litchfield St, Torrington, CT 06790 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jeffrey Nachbar Md | 249 Winsted Road, Torrington, CT 06790-6679 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Howard Cogswell | 54 Birden St, Torrington, CT 06790 | Emergency Medical Technician | 2018-02-28 ~ 2020-06-30 |
| Maria Maclovia Vijay | 45 Cameron Street, Torrington, CT 06790 | Nail Technician | ~ |
| Tania Rosa Yupa | 141 Oak Av, Torrington, CT 06790 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Maria Teresa Aguaiza | 518 Circle Dr., Torrington, CT 06790 | Nail Technician | ~ |
| Gail A Langlois | 170 Hoerle Blvd, Torrington, CT 06790 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Petricon's Torrington Pharmacy | 110 East Main St, Torrington, CT 06790 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Danielle L Jolicoeur | 25 Millard Street, Torrington, CT 06790 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Elizabeth Etta Begley | 1268 East Main St., Torrington, CT 06790 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Margaret A Gumbs | 415 Hillandale Blvd., Torrington, CT 06790 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Apex Community Care, Inc. | 601 South Main St. Unit #3, Torrington, CT 06790 | Psychiatric Outpatient Clinic | 2020-06-19 ~ 2023-03-31 |
| Find all Licenses in zip 06790 | |||
| City | TORRINGTON |
| Zip Code | 06790 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + TORRINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mack & Mack LLC | 1408 Hope Street, Stamford, CT 06907-1405 | Certified Public Accountant Firm Permit | 2020-01-01 ~ 2020-12-31 |
| Ian D Kleinhen | 74 Mack St Ste 1, Windsor, CT 06095-2759 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Daniel E Mack Md | 931 North St, Suffield, CT 06078 | Physician/surgeon | 1997-04-29 ~ 1998-04-30 |
| Joseph M Misiak | 74 Mack St, Windsor, CT 06095 | Physician/surgeon | 2012-05-01 ~ 2013-04-30 |
| Avram H Mack Md | 200 East End Ave Apt 9b, New York, NY 10128 | Physician/surgeon | 2005-02-03 ~ 2006-02-28 |
| Gerhard T Mack | 669 Wallingford Rd, Cheshire, CT 06410 | Physician/surgeon | 1994-03-08 ~ 1995-05-31 |
| Mack L Sullivan Md | 150 Lake Avenue, Tuckahoe, NY 10707 | Physician/surgeon | 2007-05-07 ~ 2008-04-30 |
| Mahammed P Saiyed Md | 74 Mack Street, Windsor, CT 06095 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Joan M Mack | 20 Conshohocken, Bala Cynwyd, PA 19004 | Physician/surgeon | 1992-11-24 ~ 1994-01-31 |
| Tracy L Gervais | 63 Mack Road, Middlefield, CT 06455 | Hairdresser/cosmetician | 2018-08-01 ~ 2020-07-31 |
Please comment or provide details below to improve the information on TRACY MACK.
| 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).