ANN MITZNER MD (Credential# 553492) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 15, 1999. The license expiration date date is May 31, 2000. The license status is INACTIVE.
ANN MITZNER MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.035899. The credential type is physician/surgeon. The effective date is March 15, 1999. The expiration date is May 31, 2000. The business address is 125 Sachem Street, Norwich, CT 06360. The current status is inactive.
| Licensee Name | ANN MITZNER MD |
| Credential ID | 553492 |
| Credential Number | 1.035899 |
| Credential Type | Physician/Surgeon |
| Business Address |
125 Sachem Street Norwich CT 06360 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1997-03-27 |
| Effective Date | 1999-03-15 |
| Expiration Date | 2000-05-31 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 179236 | CSP.0025418 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-04-09 - 2000-02-28 | INACTIVE |
| Street Address | 125 SACHEM STREET |
| City | NORWICH |
| State | CT |
| Zip Code | 06360 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| The Arc Eastern Connecticut Inc | 125 Sachem Street, Norwich, CT 06360 | Public Charity | 2020-06-01 ~ 2021-05-31 |
| Sander Lopez | 125 Sachem Street, Norwich, CT 06360 | Medication Administration Certification | 2018-10-20 ~ 2020-10-19 |
| Sandra Justiniano | 125 Sachem Street, Norwich, CT 06360 | Medication Administration Certification | 2018-09-17 ~ 2020-09-17 |
| Ashleigh Reguin-welchman | 125 Sachem Street, Norwich, CT 06360 | Medication Administration Certification | 2018-08-18 ~ 2020-08-17 |
| Tammy Bunker | 125 Sachem Street, Norwich, CT 06360 | Medication Administration Certification | 2018-08-17 ~ 2020-08-16 |
| Kellse Ericson | 125 Sachem Street, Norwich, CT 06360 | Medication Administration Certification | 2018-08-17 ~ 2020-08-16 |
| Dejean Jarmon | 125 Sachem Street, Norwich, CT 06360 | Medication Administration Certification | 2018-08-03 ~ 2020-08-02 |
| Jacques Philistin | 125 Sachem Street, Norwich, CT 06360 | Medication Administration Certification | 2018-08-02 ~ 2020-08-01 |
| Kimberly Sandberg | 125 Sachem Street, Norwich, CT 06360 | Medication Administration Certification | 2018-07-28 ~ 2020-07-27 |
| Maria Aponte | 125 Sachem Street, Norwich, CT 06360 | Medication Administration Certification | 2018-06-23 ~ 2020-06-22 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Helar E Campos | 9 Abel Crossing, Norwich, CT 06360 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Yanbo Dong | 624 West Main St Ste1, Norwich, CT 06360 | Esthetician | ~ |
| Jing An Jin | 624 West Main St Suite 160, Norwich, CT 06360 | Nail Technician | ~ |
| Deborah Moya | 9 3rd St, Norwich, CT 06360 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Argyro Donuts LLC | 60 Town Street, Norwich, CT 06360 | Bakery | 2019-08-12 ~ 2020-06-30 |
| Paige Elizabeth Signorella | 532 Boswell Avenue, Norwich, CT 06360 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2021-09-30 |
| Bethany Catherine Chinigo | 19m 495 Laurel Hill Rd, Norwich, CT 06360 | Hairdresser/cosmetician | ~ |
| American Friends of Kenya Inc. | 150 Yantic Street, #142, Norwich, CT 06360 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Caylee Elizabeth Liebig | 10 Bozrah Drive, Norwich, CT 06360 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Brendan Williams | 18 Stonington Rd, Norwich, CT 06360 | Electrical Unlimited Journeyperson | 2020-06-22 ~ 2020-09-30 |
| Find all Licenses in zip 06360 | |||
| City | NORWICH |
| Zip Code | 06360 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NORWICH |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stephen L Mitzner | 594 Montauk Hwy, Bayport, NY 11705 | Dentist | 1992-05-27 ~ 1993-04-30 |
| Elizabeth R Mitzner | 7917 Woburn Street, New Port Richey, FL 34653 | Registered Nurse | 1996-03-21 ~ 1997-05-31 |
| Lyle Mitzner | 207 Whittier Road, New Haven, CT 06515 | Controlled Substance Registration for Practitioner | 1999-03-01 ~ 2000-02-28 |
| Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
| Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
| John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
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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).