NATHAN NOWAK MD (Credential# 557782) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 4, 2004. The license expiration date date is November 30, 2005. The license status is INACTIVE.
NATHAN NOWAK MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.040199. The credential type is physician/surgeon. The effective date is November 4, 2004. The expiration date is November 30, 2005. The business address is Hartford Anesthesiology Assoc, East Hartford, CT 06108. The current status is inactive.
Licensee Name | NATHAN NOWAK MD |
Credential ID | 557782 |
Credential Number | 1.040199 |
Credential Type | Physician/Surgeon |
Business Address |
Hartford Anesthesiology Assoc East Hartford CT 06108 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2002-02-28 |
Effective Date | 2004-11-04 |
Expiration Date | 2005-11-30 |
Refresh Date | 2009-07-11 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
308257 | CSP.0032027 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-02-29 - 2005-02-28 | INACTIVE |
Street Address | HARTFORD ANESTHESIOLOGY ASSOC |
City | EAST HARTFORD |
State | CT |
Zip Code | 06108 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jeffrey S Morrow Md | Hartford Anesthesiology Assoc, East Hartford, CT 06108 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Rita Parker Aprn | Hartford Anesthesiology Assoc, East Hartford, CT 06118-1104 | Advanced Practice Registered Nurse | 2002-04-15 ~ 2003-05-31 |
Nicholas Giosa Md | Hartford Anesthesiology Assoc, East Hartford, CT 06118 | Physician/surgeon | 1999-01-15 ~ 2000-02-29 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Delaila Kim Nguyen | 51 Rene St, East Hartford, CT 06108 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-02-28 |
Roger G Troie | 36 Brook St, East Hartford, CT 06108 | Optician | 2020-06-01 ~ 2021-05-31 |
Terry A Osei | 18 Bunker Lane, East Hartford, CT 06108 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Lorena M Briceno | 16 Clark Street, East Hartford, CT 06108 | Real Estate Salesperson | ~ |
Augustine Appiah Mintah | 51 Brook Street, East Hartford, CT 06108 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Nicole Bennett | 96 Goodwin Street, East Hartford, CT 06108 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
Patricia Siaca-rodriguez | 265 Tolland Street, East Hartford, CT 06108 | Community Companion Home | 2019-04-11 ~ 2020-04-30 |
Antonio J Matta | 19 Fellows Lane, East Hartford, CT 06108 | Architect | 2020-08-01 ~ 2021-07-31 |
Shante R Black | 15 Hopewell Street, East Hartford, CT 06108 | Behavior Analyst | ~ |
Connecticut Granite & Marble LLC | 161 Woodford Ave Lot B Unit. 48, Plainville, CT 06108 | Home Improvement Contractor | 2020-06-22 ~ 2020-11-30 |
Find all Licenses in zip 06108 |
City | EAST HARTFORD |
Zip Code | 06108 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + EAST HARTFORD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Maria De Pena-nowak | 404 Midland Ave, Rye, NY 10580-3943 | Physician/surgeon | ~ |
Brian D. Nowak | 8 Indian Well Ct, Huntington, NY 11743-5726 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Paul C Nowak Md | 12 Susan Dr, Somers, NY 10589 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Michal Nowak | 174 Linden St Apt E3, New Haven, CT 06511-2463 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
David M Nowak | 847 Second Avenue, New York, NY 10017 | Physician/surgeon | 2001-09-12 ~ 2002-09-30 |
George M Nowak | 15 Haven Rd, Portsmouth, NH 03801 | Physician/surgeon | 2006-09-25 ~ 2007-09-30 |
Nathan Moses Szajnberg | CT | Physician/surgeon | ~ |
Nathan A Kruger Md | 10 Fox Den Way, Woodbridge, CT 06525 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Nathan Haecker | Po Box 34457, Omaha, NE 68134-0457 | Physician/surgeon | 2020-05-01 ~ 2021-05-31 |
Nathan T Patel | 9 Spinnaker Dr, Barrington, RI 02806-2831 | Physician/surgeon | 2015-08-01 ~ 2016-07-31 |
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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).