MARK R DZIEDZIC (Credential# 563671) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
MARK R DZIEDZIC is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.046089. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 136 Steele Rd, West Hartford, CT 06119-1048. The current status is active.
| Licensee Name | MARK R DZIEDZIC |
| Credential ID | 563671 |
| Credential Number | 1.046089 |
| Credential Type | Physician/Surgeon |
| Business Address |
136 Steele Rd West Hartford CT 06119-1048 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2007-12-17 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-03-16 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 446594 | CSP.0040039 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-09-27 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 136 STEELE RD |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06119-1048 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Katie L Dziedzic | 136 Steele Rd, West Hartford, CT 06119-1048 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lizbeth R Teare | 31 Farnham Rd, West Hartford, CT 06119-1048 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Danna Rae France | 1148 Boulevard, West Hartford, CT 06119 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-10-31 |
| Rayda R Bouma | 122 Richard St, West Hartford, CT 06119 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Norbert M Spencer | 17 Oakwood Ave., West Hartford, CT 06119 | Professional Counselor | 2020-07-01 ~ 2021-06-30 |
| Diedra A Dietter | 9 Birch Road, West Hartford, CT 06119 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Dahlia I Belnavis-bigenho · Belnavis | 186 Whiting Lane, West Hartford, CT 06119 | Respiratory Care Practitioner | 2020-08-01 ~ 2021-07-31 |
| Stephen R Dewey | 68 Richard St, W Hartford, CT 06119 | Architect | 2020-08-01 ~ 2021-07-31 |
| James E Vance Jr | 9 Plymouth Rd, W Hartford, CT 06119 | Architect | 2020-08-01 ~ 2021-07-31 |
| Mark D Hirsch | 105 Griswold Dr, W Hartford, CT 06119 | Architect | 2020-08-01 ~ 2021-07-31 |
| Judith Briggs | 29 Troy St, West Hartford, CT 06119 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Thulan P Vu | 74 Park Road, West Hartford, CT 06119 | Nail Technician | 2020-06-24 ~ 2022-06-30 |
| Find all Licenses in zip 06119 | |||
| City | WEST HARTFORD |
| Zip Code | 06119 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WEST HARTFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ingeborg S Dziedzic | 24 Sunset Dr, Ossining, NY 10562-2102 | Physician/surgeon | 2019-07-01 ~ 2020-06-30 |
| Stanley W Dziedzic | 665 Francis St, Pelham Manor, NY 10803 | Physician/surgeon | 1992-10-23 ~ 1993-09-30 |
| Donald D Dziedzic · D D Dziedzic Gen Contractor | 10 Gildersleeve Ave, Collinsville, CT 06022 | Home Improvement Contractor | 1998-12-01 ~ 1999-11-30 |
| Richard Dziedzic Jr · Rick Dziedzic Bldr Cntrctr | 20 Old Farm Rd, Bristol, CT 06010 | Home Improvement Contractor | ~ 1995-06-01 |
| Mendillo & Dziedzic PC | 1 Evergreen Avenue, Hamden, CT 06518 | Certified Public Accountant Firm Permit | 2020-01-01 ~ 2020-12-31 |
| Dziedzic Properties LLC | 17 Millbrook Lane, Harwinton, CT 06791 | New Home Construction Contractor | 2004-09-16 ~ 2005-09-30 |
| Mark M Silverstein | Mark Silverstein,md, Manchester, NJ 08759 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Mark Davis | Po Box 222, Abingdon, MD 21009-0222 | Physician/surgeon | ~ |
| Mark L Fox | 145 Huguenot St Ste 610, New Rochelle, NY 10801-5200 | Physician/surgeon | 2017-12-01 ~ 2018-11-30 |
| Mark Levin | 6 Gel Ct, Monsey, NY 10952-1956 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
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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).