KATHERINE MICIAK (Credential# 2050628) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
KATHERINE MICIAK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0074241. The credential type is controlled substance registration for practitioner. The effective date is June 1, 2020. The expiration date is February 28, 2021. The business address is 113 Gannet Dr, Southington, CT 06489-1717. The current status is active.
| Licensee Name | KATHERINE MICIAK |
| Credential ID | 2050628 |
| Credential Number | CSP.0074241 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
113 Gannet Dr Southington CT 06489-1717 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-06-01 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-06-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 2044573 | 12.008870 | Advanced Practice Registered Nurse | 2020-05-27 | 2020-05-27 - 2020-12-31 | ACTIVE |
| 1203222 | 10.117695 | Registered Nurse | 2014-03-19 | 2020-01-01 - 2020-12-31 | ACTIVE |
| 850738 | 70.011005 | Emergency Medical Technician | 2009-07-08 | 2014-06-25 - 2017-03-31 | INACTIVE |
| Street Address | 113 GANNET DR |
| City | SOUTHINGTON |
| State | CT |
| Zip Code | 06489-1717 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Margarita Zerelli | 101 Gannet Dr, Southington, CT 06489-1717 | Pharmacy Technician | 2018-03-09 ~ 2019-03-31 |
| Timothy J Langland | 143 Gannet Dr, Southington, CT 06489-1717 | Engineer-in-training | 2018-09-24 ~ 2028-09-24 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sarah M Moon | 321 Pilgrim Lane, Southington, CT 06489 | Esthetician | ~ |
| Joanna Milewski | 23 Stacy Cate Drive, Southington, CT 06489 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Richard M Testa | 81 Winter Park Road, Southington, CT 06489 | Massage Therapist | 2020-08-01 ~ 2022-07-31 |
| Valley Roofing LLC | 88 Ladyslipper Lane, Southington, CT 06489 | Home Improvement Contractor | ~ |
| Dunkin Donuts · New England Donuts LLC | 856 Queen St, Southington, CT 06489 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Elizabeth E Pizzuto | 45 Water Street, Southington, CT 06489 | Real Estate Salesperson | 2020-06-18 ~ 2021-05-31 |
| Nicholas C Ingel | 515 West Street, Southington, CT 06489 | Heating, Piping & Cooling Limited Journeyperson | 2020-06-23 ~ 2021-08-31 |
| Tyrone J Correa | 84 Minthal Drive, Southington, CT 06489 | Real Estate Salesperson | 2020-06-19 ~ 2021-05-31 |
| Marilyn F Coppola | 114 Spring Hill Rd, Southington, CT 06489 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Christine M Liebler | 30 Sultana Terrace, Southington, CT 06489 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06489 | |||
| City | SOUTHINGTON |
| Zip Code | 06489 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SOUTHINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Katherine Prioli | P.o.box 346, Uncasville, CT 06382-0346 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Katherine Y Lee | 840 Flintlock Rd, Southport, CT 06890-3044 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Katherine E Gaudet | Po Box 550, Somersville, CT 06072-0550 | Controlled Substance Registration for Practitioner | 2017-01-19 ~ 2019-02-28 |
| Katherine C Michaelsen | 300 George St Ste 901, New Haven, CT 06511-6662 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Katherine R Kavanagh | 282 Washington, Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Katherine M Yun | 58 Harbour Close, New Haven, CT 06519-2836 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Katherine M Dunn | 8 Cedarwood Ln, Lebanon, NH 03766-4450 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Katherine N Schiff | 816 Broad St Ste 24, Meriden, CT 06450-4350 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Katherine Vuong | 101 Village Dr Apt 508, Wethersfield, CT 06109-4635 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Katherine Daoud | 80 Seymour St, Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 2020-05-18 ~ 2021-02-28 |
Please comment or provide details below to improve the information on KATHERINE MICIAK.
| 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).