ANDREW P MACKENZIE MD (Credential# 520793) 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.
ANDREW P MACKENZIE MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0044915. 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 1441 Route 169, Woodstock, CT 06281-1423. The current status is active.
| Licensee Name | ANDREW P MACKENZIE MD |
| Credential ID | 520793 |
| Credential Number | CSP.0044915 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
1441 Route 169 Woodstock CT 06281-1423 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2008-12-08 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-22 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 564768 | 1.047186 | Physician/Surgeon | 2008-11-25 | 2019-09-01 - 2020-08-31 | ACTIVE |
| Street Address | 1441 ROUTE 169 |
| City | WOODSTOCK |
| State | CT |
| Zip Code | 06281-1423 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elena Poloukhine Md | 1441 Route 169, Woodstock, CT 06281 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alison D Navarro | 1463 Route 169, Woodstock, CT 06281-1423 | Pharmacy Intern | 2013-09-17 ~ 2017-09-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Annie B Barlow | 40 W Quasset Road, Woodstock, CT 06281 | Real Estate Salesperson | 2020-06-18 ~ 2021-05-31 |
| Casey L Vinton | 200 Old Hall Rd., Woodstock, CT 06281 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Joel F Theriaque · Mansion At Bald Hill (the) | 144 Bald Hill Rd, Woodstock, CT 06281 | Hotel Liquor (10000 Or Less Population) | 2019-10-09 ~ 2021-02-08 |
| Carl St. Jean | 125 Child Hill Rd, Woodstock, CT 06281 | Sub-surface Sewage Installer | 2020-07-01 ~ 2021-06-30 |
| Beth E Thayer | 109 Child Hill Road, Woodstock, CT 06281 | Radiographer | 2020-09-01 ~ 2021-08-31 |
| Ramona L Geotis | 49 Old Hall Road, Woodstock, CT 06281 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Cheryl J Dziura-duke | 40 Lebanon Hill Road, Woodstock, CT 06281 | Dietitian/nutritionist | 2020-09-01 ~ 2021-08-31 |
| Holly L Harder | 891 Brickyard Rd, Woodstock, CT 06281 | Speech and Language Pathologist | 2020-09-01 ~ 2021-08-31 |
| Mark Labonte · Labonte Construction | 70 Joy Rd, Woodstock, CT 06281 | Sub-surface Sewage Installer | 2020-08-01 ~ 2021-07-31 |
| Louise Downer | 262 East Quassett Road, Woodstock, CT 06281 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Find all Licenses in zip 06281 | |||
| City | WOODSTOCK |
| Zip Code | 06281 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WOODSTOCK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kathleen K Mackenzie | 177 Gary School Rd, Putnam, CT 06260-1861 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Bonnie S Mackenzie | 443 Horse Pond Road, Madison, CT 06443 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Richard S Mackenzie Md · John Dempsey Hospital | Bradley Airport Paramedic Serv, Windsor Locks, CT 06096 | Controlled Substance Registration for Practitioner | 1995-06-29 ~ 1996-02-28 |
| Mackenzie M Walker | 169 Walker Rd, Landenberg, PA 19350-1266 | Controlled Substance Registration for Practitioner | 2019-07-25 ~ 2021-02-28 |
| Andrew Kornstein Md PC | 539 Danbury Rd, Wilton, CT 06897-2216 | Controlled Substance Registration for Practitioner | 2015-11-12 ~ 2017-02-28 |
| Andrew Lim | 81 Fieldstone Run, Farmington, CT 06032-2741 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Andrew B Kirk Pa | 31 River Rd, Cos Cob, CT 06807-2152 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Andrew Oh | 205 Church St Apt 2j, New Haven, CT 06510-1895 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Richard L Yap Md | 151 Andrew Ave Apt 85, Naugatuck, CT 06770 | Controlled Substance Registration for Practitioner | 2003-03-01 ~ 2004-02-28 |
| Andrew J Yoon | 318 Elm St Apt A4, New Haven, CT 06511-4772 | Controlled Substance Registration for Practitioner | 2008-09-30 ~ 2009-02-28 |
Please comment or provide details below to improve the information on ANDREW P MACKENZIE MD.
| 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).