CYNTHIA D BACZEWSKI (Credential# 389826) 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.
CYNTHIA D BACZEWSKI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0036770. 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 267 N Star Dr, Southington, CT 06489-3850. The current status is active.
| Licensee Name | CYNTHIA D BACZEWSKI |
| Credential ID | 389826 |
| Credential Number | CSP.0036770 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
267 N Star Dr Southington CT 06489-3850 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2004-11-08 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 743289 | 23.001540 | Physician Assistant | 2004-10-14 | 2019-09-01 - 2020-08-31 | ACTIVE |
| Street Address | 267 N STAR DR |
| City | SOUTHINGTON |
| State | CT |
| Zip Code | 06489-3850 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lytfi M Lumani | 231 N Star Dr, Southington, CT 06489-3850 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| 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 |
|---|---|---|---|
| Cynthia Nolletti Md | 3 Field Rd, Cos Cob, CT 06807 | Controlled Substance Registration for Practitioner | 1993-09-09 ~ 1995-10-01 |
| Cynthia Leslie Md | 123 York St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2002-03-05 ~ 2003-02-28 |
| Cynthia P Horak Md | 766 Nw 118th Ave Apt 103, Portland, OR 97229-5961 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Cynthia I Gentes | 999 Silver Ln, Trumbull, CT 06611-5343 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Cynthia M Farrell Dvm | 49 Forest Dr, Albany, NY 12205-2522 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Cynthia Salloum Md | 5 Cummings Ave 1st Fl, Stamford, CT 06902 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
| Cynthia K O'sullivan | 30 Highview Rd, Madison, CT 06443-2554 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Cynthia E Alston | 6 Bronson Ter, Springfield, MA 01108-2625 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Cynthia C Roque | 160 Robbins St, Waterbury, CT 06708-2652 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Cynthia L Hamlin | 72 Evergreen Rd, Cromwell, CT 06416 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on CYNTHIA D BACZEWSKI.
| 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).