THOMAS J BALCEZAK MD (Credential# 551527) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
THOMAS J BALCEZAK MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.033928. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 117 Brush Hill Rd, Litchfield, CT 06759-3226. The current status is active.
| Licensee Name | THOMAS J BALCEZAK MD |
| Credential ID | 551527 |
| Credential Number | 1.033928 |
| Credential Type | Physician/Surgeon |
| Business Address |
117 Brush Hill Rd Litchfield CT 06759-3226 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1994-07-29 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-04-30 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 301658 | CSP.0027076 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 117 BRUSH HILL RD |
| City | LITCHFIELD |
| State | CT |
| Zip Code | 06759-3226 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Soni Kevin Patterson Clubb | 117 Brush Hill Rd, Litchfield, CT 06759-3226 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Timothy G Wright | 139 Brush Hill Rd, Litchfield, CT 06759-3226 | Emergency Medical Responder | 2020-07-01 ~ 2022-06-30 |
| Timothy M Cermola | 29 Carriage Lane, Litchfield, CT 06759-3226 | Real Estate Salesperson | 2019-06-01 ~ 2020-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marisa Concilio | 138 South Lake St, Litchfield, CT 06759 | Occupational Therapist Temporary Permit | ~ |
| True Value of Litchfield | 348 Bantam Rd, Litchfield, CT 06759 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Jeanne M Sandrib | 22 Minerva Lane, Litchfield, CT 06759 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Albreada Refuse & Sweeping LLC | 14 Iffland Pond Rd, Litchfield, CT 06759 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Theresa M. Spalletta | 470 Pumping Station Rd., Litchfield, CT 06759 | Distribution System Operator In Training | 2020-04-01 ~ 2023-03-31 |
| Lisa Ann Partrick | 190 West Street, Litchfield, CT 06759 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Debra A Majeske · Cooper | 230 Blue Swamp Road, Litchfield, CT 06759 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Tilden Seafood LLC | 174 West St, Litchfield, CT 06759 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Cassandra Leigh Ganio | 93 Headquarters Road, Litchfield, CT 06759 | Master's Level Social Worker | 2020-06-01 ~ 2021-05-31 |
| Denise Konnik | 344 Milton Rd, Litchfield, CT 06759 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Find all Licenses in zip 06759 | |||
| City | LITCHFIELD |
| Zip Code | 06759 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + LITCHFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Thomas J Rutherford Md · Yale New Haven Hospital | Thomas Rutherford, M. D., Danbury, CT 06810 | Physician/surgeon | 2016-06-01 ~ 2017-05-31 |
| T K Thomas | Po Box 666, Southbridge, MA 01550 | Physician/surgeon | 1996-04-08 ~ 1997-04-30 |
| Thomas Ho Lee | 319 Lafayette St., New York, NY 10012 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Thomas A. Fay | 104 River Rd, Essex, CT 06426 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Thomas P Simeone | Po Box 2460, Jupiter, FL 33468-2460 | Physician/surgeon | ~ |
| Thomas R Naparst Md | 753 E 5th St Apt 1b, New York, NY 10009-7053 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Thomas Xu | 396 Danbury Rd, Wilton, CT 06897 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Thomas P. Sculco | 535 E 70th St, New York, NY 10021-4823 | Physician/surgeon | ~ |
| Thomas A Nowicki | Tolland, CT 06084 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Thomas Yu | 79 Rt 37w, Toms River, NJ 08755 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
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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).