ANDRZEJ P POREBSKI MD (Credential# 393206) 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.
ANDRZEJ P POREBSKI MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0036914. 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 234 Mulberry Rd, Mansfield Center, CT 06250-1121. The current status is active.
Licensee Name | ANDRZEJ P POREBSKI MD |
Credential ID | 393206 |
Credential Number | CSP.0036914 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
234 Mulberry Rd Mansfield Center CT 06250-1121 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2005-01-05 |
Effective Date | 2019-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2018-12-28 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
560558 | 1.042976 | Physician/Surgeon | 2004-12-07 | 2019-12-01 - 2020-11-30 | ACTIVE |
Street Address | 234 MULBERRY RD |
City | MANSFIELD CENTER |
State | CT |
Zip Code | 06250-1121 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Shannon L Cartier · Gallagher | 230 Mulberry Rd, Mansfield Center, CT 06250-1121 | Licensed Clinical Social Worker | 2020-01-01 ~ 2020-12-31 |
Consonare Choral Community Incorporated | 240 Mulberry Rd, Mansfield Center, CT 06250-1121 | Public Charity-exempt From Financial Requirements | 2019-06-19 ~ |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Carissa A Zlotnick | 31 Jude Lane, Mansfield, CT 06250 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
Sara Hollow Heumann | 103 Mansfield Hollow Road, Mansfield Center, CT 06250 | Esthetician | ~ |
Mary Catherine D'amico | 156 Coventry Rd, Mansfield Center, CT 06250 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Petco 3728 | 86 Storrs Rd, Mansfield, CT 06250 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Christine D Njuki | 15 Crest Road, Mansfield Center, CT 06250 | Audiologist | 2020-07-01 ~ 2021-06-30 |
David L. Simon Md | 2 Ledgebrook Drive, Mansfield Center, CT 06250 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Lisa G Orcutt | 5 Pequot Square, Mansfield Center, CT 06250 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Laurie J Smaglis | 28 Thornbush Rd, Mansfield, CT 06250 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
Loni C Cohen | 23c Eastbrook Heights, Mansfield Center, CT 06250 | Notary Public Appointment | 2020-04-01 ~ 2025-03-31 |
Joanne Frederick | 69 Circle Drive, Mansfield Center, CT 06250 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 06250 |
City | MANSFIELD CENTER |
Zip Code | 06250 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MANSFIELD CENTER |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Andrzej R Jedynak Md | 176 Scoles Ave., Apt. 1, Clifton, NJ 07012 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Andrzej J Przyszlak | 24 Hospital Ave, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Andrzej Szynalziewicz | 57 N Bridge St, Molyolze, MA 01040 | Home Improvement Contractor | ~ 1995-02-01 |
Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
Andrzej Choinski · Andrzej Choinski Carpentry | 21 Spring Hill Ave Apt A, Norwalk, CT 06850 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
Andrzej Cieslik · Andrzej's Restaurant Inc | 534 Newfield Street, Middletown, CT 06457 | Restaurant Wine & Beer | 2002-08-30 ~ 2003-08-29 |
Huu Duc D Luu | 630 Mix Ave Apt 6p, Hamden, CT 06514-2320 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Min Jin Kim | 639 4th Ave Apt 5c, Brooklyn, NY 11232-1048 | Controlled Substance Registration for Practitioner | 2012-05-10 ~ 2013-02-28 |
Hae J Kim Pa | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-31 ~ 2009-02-28 |
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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).