MARY BETH JANICKI MD (Credential# 558924) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2020. The license expiration date date is August 31, 2021. The license status is ACTIVE.
MARY BETH JANICKI MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.041341. The credential type is physician/surgeon. The effective date is September 1, 2020. The expiration date is August 31, 2021. The business address is 52 Orchard Rd, West Hartford, CT 06117. The current status is active.
| Licensee Name | MARY BETH JANICKI MD |
| Credential ID | 558924 |
| Credential Number | 1.041341 |
| Credential Type | Physician/Surgeon |
| Business Address |
52 Orchard Rd West Hartford CT 06117 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2003-04-10 |
| Effective Date | 2020-09-01 |
| Expiration Date | 2021-08-31 |
| Refresh Date | 2020-06-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 342270 | CSP.0033684 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2003-06-19 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 52 ORCHARD RD |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06117 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cathy Tran | 20 Lindy Lane, West Hartford, CT 06117 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Renaissance Craftsmen LLC | 263 Simsbury Road, West Hartford, CT 06117 | Home Improvement Contractor | 2020-06-27 ~ 2020-11-30 |
| Lev Tsarkov | 116 Lyman Road, West Hartford, CT 06117 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Scott Lee Ratchford | 67 Balfour Dr., West Hartford, CT 06117 | Professional Counselor | ~ |
| Gary Neidle | 8 Stratford Rd, West Hartford, CT 06117 | Real Estate Salesperson | 2020-06-26 ~ 2021-05-31 |
| Beverly Vincent | 37 Harwich Lane, West Hartford, CT 06117 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Marc D Palter | 94 Beacon Hill Dr, West Hartford, CT 06117 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| David L Friar | 35 Porter Dr, W Hartford, CT 06117 | Architect | 2020-08-01 ~ 2021-07-31 |
| Adlin C Daye | 147 Mohawk Drive, West Hartford, CT 06117 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Derek M Mcdermott | 61 Ferncliff Drive, West Hartford, CT 06117 | Emergency Medical Technician | ~ |
| Find all Licenses in zip 06117 | |||
| City | WEST HARTFORD |
| Zip Code | 06117 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WEST HARTFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mary Beth Van Siclen | 180 Barbara Rd, Middletown, CT 06457-2404 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Mary Beth Friel | 799 Bloomfield Ave, Suite 201, Verona, NJ 07044 | Physician/surgeon | ~ |
| Mary Beth Harman | 5520 Park Ave., Trumbull, CT 06611 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Mary Beth C Ellison | 11 Wildwood Medical Center, Essex, CT 06426 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Mary Beth Spillane · Mary Beth Abram | 145 Carriage Way, Windsor, CT 06095 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Mary Beth Chinsky · Mary Beth's Home Day Care | 15 Sunrise Ln, South Windsor, CT 06074-2060 | Family Child Care Home | 2018-02-01 ~ 2022-01-31 |
| Beth Prinz | 79 South End Rd. | Physician/surgeon | 2002-04-08 ~ 2003-04-30 |
| Beth A Leeman Markowski | Apt 523, Washington, DC 20016 | Physician/surgeon | ~ |
| Beth Duncan | 509 Falkirk Rd, Wilmington, DE 19803 | Physician/surgeon | ~ |
| Beth A Cardwell | 57 Greenleaf Ave, Darien, CT 06820 | Physician/surgeon | 1995-03-29 ~ 1996-04-30 |
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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).