ALAN M DIETZEK (Credential# 556433) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
ALAN M DIETZEK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.038845. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 41 Germantown Rd Ste 101, Danbury, CT 06810-4087. The current status is active.
| Licensee Name | ALAN M DIETZEK |
| Credential ID | 556433 |
| Credential Number | 1.038845 |
| Credential Type | Physician/Surgeon |
| Business Address |
41 Germantown Rd Ste 101 Danbury CT 06810-4087 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2000-07-06 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-01-21 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 239286 | CSP.0029890 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2000-07-28 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 41 GERMANTOWN RD STE 101 |
| City | DANBURY |
| State | CT |
| Zip Code | 06810-4087 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stacy Anne Henderson Pa | 41 Germantown Rd Ste 101, Danbury, CT 06810-4087 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Dahlia Plummer | 41 Germantown Rd Ste 101, Danbury, CT 06810-4087 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Benjamin Chandler | 41 Germantown Rd Ste 101, Danbury, CT 06810-4087 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eastern College Athletic Conference Inc | Matrix Corp Ctr 39 Old Ridgebury Rd, Danbury, CT 06810 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Subway #36533 | 67 Newtown Rd, Danbury, CT 06810 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Natali Salome Teran | 27 Balmforth Ave 2, Danbury, CT 06810 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-06-30 |
| Kristin Danielle Mehta | 33 Country View Road, Danbury, CT 06810 | Advanced Practice Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Zhane Gabrielle Cardenas | 40 Westville Avenue Apt 1, Danbury, CT 06810 | Nail Technician | 2020-06-27 ~ 2021-09-30 |
| Zhane E Willikinson | 30 Germantown Road Suite 117, Danbury, CT 06810 | Nail Technician | 2020-06-27 ~ 2022-03-31 |
| Michelle Dahlgren | 8 Stable Drive, Danbury, CT 06810 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Asheree P Griffin | 14 New Town Road, Danbury, CT 06810 | Real Estate Salesperson | ~ |
| Tania Isabel Salazar | 20 Highland Avenue, Danbury, CT 06810 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-05-31 |
| Gregory C Banks | Gregory Banks Counseling, LLC, Danbury, CT 06810 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06810 | |||
| City | DANBURY |
| Zip Code | 06810 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + DANBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alan M Engler | 800 B Fifth Ave, New York, NY 10021 | Physician/surgeon | 1992-04-24 ~ 1993-04-30 |
| Alan A Dun | 117 Main St, Farmington, CT 06032 | Physician/surgeon | 1993-10-25 ~ 1994-10-31 |
| Alan Studner | 303 Jean Pl, Vienna, VA 22180 | Physician/surgeon | 1993-09-23 ~ 1994-11-30 |
| Alan J Ehrlich | 9165 45 Av Sw, Seattle, WA 98136 | Physician/surgeon | 1994-02-02 ~ 1994-11-30 |
| Alan D Weinstock Md | 305 Bellevue Rd, New Haven, CT 06511 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Alan Bolnick Md | 534 Graten St, Birmingham, MI 48009 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Alan M Reznik Md | 9 Washington Ave # 1a, New Haven, CT 06519-1614 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Alan Alex | 28 Oakland Ave, Farmington, CT 06032-1721 | Physician/surgeon | 2020-05-01 ~ 2021-05-31 |
| Alan S Kliger | 136 Sherman Ave Ste 405, New Haven, CT 06511-5210 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Alan P Siegal | 60 Washington Ave, Hamden, CT 06518 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Please comment or provide details below to improve the information on ALAN M DIETZEK.
| 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).