PATRICIA A TIETJEN MD (Credential# 563814) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
PATRICIA A TIETJEN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.046232. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 24 Hospital Ave 5 South, Danbury, CT 06810-6099. The current status is active.
Licensee Name | PATRICIA A TIETJEN MD |
Credential ID | 563814 |
Credential Number | 1.046232 |
Credential Type | Physician/Surgeon |
Business Address |
24 Hospital Ave 5 South Danbury CT 06810-6099 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2008-02-26 |
Effective Date | 2020-07-01 |
Expiration Date | 2021-06-30 |
Refresh Date | 2020-05-21 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
497044 | CSP.0043198 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2008-03-28 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 24 HOSPITAL AVE 5 South |
City | DANBURY |
State | CT |
Zip Code | 06810-6099 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Muhammad Umair Bakhsh | 664 Flatbush Ave, West Hartford, CT 06810-6099 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
Lauren Drake | 24 Hospital Ave, Danbury, CT 06810-6099 | Resident Physician | 2020-06-22 ~ 2026-06-30 |
Oluwatosin Odunsi-akanji | 24 Hospital Ave Dept Of, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Eric A Schwarz Md | Wcmg Anesthesiology, Danbury, CT 06810-6099 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Mishal Khan | 27 Hospital Avenue, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Traci R Ferris | Wcmg - Anesthesiology, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Lynn Weingarten | Wcmg - 24 Hospital Ave, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Mohamad H Taha | 505 Sienna Dr, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Jason G. Lai | Anesthesiology, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Victor Usatii Md | Hospitalists Department, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2015-03-18 ~ 2017-02-28 |
Find all Licenses in zip 06810-6099 |
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 |
---|---|---|---|
Ronald Tietjen | Po Box 194, Hawleyville, CT 06440-0194 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Michael Tietjen · The Michael Tietjen Painting Company | 75 Hodge Ave, Ansonia, CT 06401-3248 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
Michael Tietjen Painting Co LLC (the) | 75 Hodge Ave, Ansonia, CT 06401 | Home Improvement Contractor | 2014-12-01 ~ 2015-11-30 |
Chris D Tietjen · Chris Tietjen Home Improvement | 18 Meriden St, Guilford, CT 06437 | Home Improvement Contractor | 2016-03-10 ~ 2016-11-30 |
Patricia C Reardon Md | Po Box 156, Mystic, CT 06355-0156 | Physician/surgeon | 2017-02-01 ~ 2018-01-31 |
Patricia B Close | 1 Theall Rd, Rye, NY 10580 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Patricia M Tan | 124 Greenwood Ave, Bethel, CT 06801 | Physician/surgeon | 2008-09-03 ~ 2009-04-30 |
Patricia D Beliveau | 194 W Bay Rd, Islesboro, ME 04848-4707 | Physician/surgeon | 2014-09-01 ~ 2015-08-31 |
Patricia A Sheiner Md | 85 Seymour St, Hartford, CT 06106-5501 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Victor A Heresniak | 108 Patricia Dr, Swedesboro, NJ 08085-5000 | Physician/surgeon | 2016-07-01 ~ 2017-06-30 |
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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).