KIMBERLY M CHEMACKI (Credential# 247393) 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.
KIMBERLY M CHEMACKI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0030347. 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 196 Parkway S Ste 103, Waterford, CT 06385-1234. The current status is active.
| Licensee Name | KIMBERLY M CHEMACKI |
| Credential ID | 247393 |
| Credential Number | CSP.0030347 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
196 Parkway S Ste 103 Waterford CT 06385-1234 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2000-12-08 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 742768 | 23.001019 | Physician Assistant | 2000-11-17 | 2019-12-01 - 2020-11-30 | ACTIVE |
| Street Address | 196 PARKWAY S STE 103 |
| City | WATERFORD |
| State | CT |
| Zip Code | 06385-1234 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mark J Somers Md | 196 Parkway S Ste 103, Waterford, CT 06385-1234 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Richard P Fazio | 196 Parkway S Ste 103, Waterford, CT 06385-1234 | Physician/surgeon | 2015-01-01 ~ 2015-12-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Edward W Coss Jr | 196 Parkway S Ste 201, Waterford, CT 06385-1234 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Thomas Sena | 196 Parkway S Ste 101, Waterford, CT 06385-1234 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Hartford Healthcare Cancer Institute At Backus Hospital | 196 Parkway South Ste 303, Waterford, CT 06385-1234 | Controlled Substance Registration for Practitioner | 2019-03-05 ~ 2021-02-28 |
| Gabrielle E Pierce | 196 Parkway S Ste 201b, Waterford, CT 06385-1234 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Rosalind Van Stolk Md | 196 Waterford Pkwy S Ste 306, Waterford, CT 06385-1234 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Peter J Gates | 196 Waterford Pkwy S Ste 201b, Waterford, CT 06385-1234 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Youval Katz Md | 196 Parkway S Ste 303, Waterford, CT 06385-1234 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Backus Family Health Center At Crossroads | 196 Parkway S Ste 201b, Waterford, CT 06385-1234 | Outpatient Clinic | 2014-08-06 ~ 2018-06-30 |
| Sarah R Donahue | 196 Parkway South, Waterford, CT 06385-1234 | Registered Nurse | 2016-10-01 ~ 2017-09-30 |
| Harlan C Taliaferro Md | 196 Parkway S Ste 201, Waterford, CT 06385-1234 | Physician/surgeon | 2013-12-01 ~ 2014-11-30 |
| Find all Licenses in zip 06385-1234 | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Howard Christopher Rosas | 40 Ridgewood Ave, Waterford, CT 06385 | Chiropractor | 2020-07-01 ~ 2021-06-30 |
| Vincent F Donato | 26 Wild Rose Avenue, Waterford, CT 06385 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Mark A Herter | 51 Quarry Rd, Waterford, CT 06385 | Architect | 2020-08-01 ~ 2021-07-31 |
| Pamela A Manke | 54 Rope Ferry Rd., Waterford, CT 06385 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
| Carol Winslow | 18 Myrock Ave, Waterford, CT 06385 | Marital and Family Therapist | 2020-09-01 ~ 2021-08-31 |
| Donna M Rivero · Knupp | 3 Ridgewood Ave, Waterford, CT 06385 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Margaret A Goldschneider · Chapman | 3 High Ridge Drive, Waterford, CT 06385 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Frank R Dellacono Md | 201 Boston Post Road, Waterford, CT 06385 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mathew H Tellier | 25 Locust Ct., Waterford, CT 06385 | Backflow Prevention Device Tester | 2020-06-18 ~ 2023-03-31 |
| Renata Kamburi | 16 Marilyn Road, Waterford, CT 06385 | Esthetician | 2020-06-20 ~ 2021-12-31 |
| Find all Licenses in zip 06385 | |||
| City | WATERFORD |
| Zip Code | 06385 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WATERFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kimberly A Keegan | 4 Den Rd, New Hartford, CT 06057-3502 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kimberly A Bumbera | 187 Marion Ave, Plantsville, CT 06479-1442 | Controlled Substance Registration for Practitioner | 2019-04-25 ~ 2021-02-28 |
| Kimberly A Merrill | 41 1st Tavern Rd, Jaffrey, NH 03452-5103 | Controlled Substance Registration for Practitioner | ~ |
| Kimberly Zeller Md | 8 Cottage St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2003-01-24 ~ 2004-02-28 |
| Kimberly L Kowalczyk | 25 Frederick St Apt 301, Hartford, CT 06105-3236 | Controlled Substance Registration for Practitioner | 2015-02-21 ~ 2017-02-28 |
| Kimberly L Marohn Md | 333 Cedar St, New Haven, CT 06510-3206 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Kimberly A Kurey | 75 Cutler St, Stonington, CT 06378-1004 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kevin Martin Pa | 31 Kimberly Ln, Wethersfield, CT 06109-3994 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kimberly D Gupta | 59 Liberty St, Stamford, CT 06902 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Kimberly J Kempner | 282 Washington St, Hartford, CT 06106-3322 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).