JAMES J BRAKONIECKI (Credential# 545941) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
JAMES J BRAKONIECKI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.026301. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 111 Scantic Road, Hampden, MA 01036. The current status is active.
| Licensee Name | JAMES J BRAKONIECKI |
| Credential ID | 545941 |
| Credential Number | 1.026301 |
| Credential Type | Physician/Surgeon |
| Business Address |
111 Scantic Road Hampden MA 01036 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1985-05-02 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-01-13 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 156467 | CSP.0013792 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 111 Scantic Road |
| City | Hampden |
| State | MA |
| Zip Code | 01036 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Natalie Sara Keyes | 253 Bennett Rd, Hampden, MA 01036 | Esthetician | ~ |
| Jenny L Grenier | 10 Fox Run Lane, Hampden, MA 01036 | Dental Hygienist | 2020-05-01 ~ 2021-04-30 |
| Edward J Lehman | 154 Glendale Rd, Hampden, MA 01036 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Denise L Spencer · Patterson | 21 North Rd, Hampden, MA 01036 | Licensed Practical Nurse | 2020-06-01 ~ 2021-05-31 |
| Amy J Hunter | 7 Colony Drive, Hampden, MA 01036 | Professional Counselor | 2020-06-01 ~ 2021-05-31 |
| Kjell E Berg | 16 Andrew Circle, Hampden, MA 01036 | Sub-surface Sewage Installer | 2020-01-01 ~ 2020-12-31 |
| Jolene Cusson | 500 Glendale Rd, Hampden, MA 01036 | Notary Public Appointment | 2020-03-31 ~ 2025-03-31 |
| Martha H Barnes | 358 Allen Street, Hampden, MA 01036 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Wanda K Verville · Piekos | 19 Wehr Road, Hampden, MA 01036 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Cheryl J Stewart | 535 Glendale Rd, Hampden, MA 01036 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Find all Licenses in zip 01036 | |||
| City | Hampden |
| Zip Code | 01036 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Hampden |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Randall James | 1002 Gotham Drive, St James, NY 11780 | Physician/surgeon | 2001-01-03 ~ 2001-12-31 |
| James Jen | James Jen, Md, Purchase, NY 10577 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Elizabeth Z Brakoniecki | 126 Jonathan Dr., Stamford, CT 06903-2933 | Pharmacy Technician | 2020-04-01 ~ 2021-03-31 |
| Natalia Brakoniecki | 126 Jonathan Drive, Stamford, CT 06903 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
| James A Riley | Po Box 563, Edgartown, MA 02539-0563 | Physician/surgeon | 2014-11-01 ~ 2015-10-31 |
| Paul James Laveau | CT | Physician/surgeon | 1988-04-15 ~ 1990-06-30 |
| James N Slater | 123 Sullivan St Apt 3, New York, NY 10012-3642 | Physician/surgeon | ~ |
| James S Zupnik | Po Box 191, Colchester, CT 06415 | Physician/surgeon | 1992-02-24 ~ 1992-09-15 |
| James E Finn | P.o. Box 885, Middlebury, CT 06762 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| James M Pribula | Po Box 786, Sharon, CT 06069-0786 | Physician/surgeon | 2016-11-01 ~ 2017-10-31 |
Please comment or provide details below to improve the information on JAMES J BRAKONIECKI.
| 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).