TOM WARZECKA PA (Credential# 742736) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is July 16, 2001. The license expiration date date is July 31, 2002. The license status is INACTIVE.
TOM WARZECKA PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000987. The credential type is physician assistant. The effective date is July 16, 2001. The expiration date is July 31, 2002. The business address is Day Kimball Hospital, Putnam, CT 06250. The current status is inactive.
| Licensee Name | TOM WARZECKA PA |
| Credential ID | 742736 |
| Credential Number | 23.000987 |
| Credential Type | Physician Assistant |
| Business Address |
Day Kimball Hospital Putnam CT 06250 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2000-08-18 |
| Effective Date | 2001-07-16 |
| Expiration Date | 2002-07-31 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 237555 | CSP.0029927 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2001-03-14 - 2002-02-28 | INACTIVE |
| Street Address | DAY KIMBALL HOSPITAL |
| City | PUTNAM |
| State | CT |
| Zip Code | 06250 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cathy J Sommer | Day Kimball Hospital, Putnam, CT 06260 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Debbi M Mcinteer Md | Day Kimball Hospital, Putnam, CT 06260 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Isabelita Bella | Day Kimball Hospital, Putnam, CT 06260 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Juan M Perez Velazquez | Day Kimball Hospital, Putnam, CT 06260-1836 | Physician/surgeon | 2018-07-01 ~ 2019-06-30 |
| Nishant H Patel | Day Kimball Hospital, Putnam, CT 06260 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Bronson E Terry Md | Day Kimball Hospital, Putnam, CT 06260 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Paul Y Wong Md | Day Kimball Hospital, Putnam, CT 06260 | Physician/surgeon | 2005-04-28 ~ 2006-05-31 |
| Boris Konnikow Md | Day Kimball Hospital, Putnam, CT 06260-1868 | Physician/surgeon | 1999-01-19 ~ 2000-02-29 |
| Ivo Buhac Md | Day Kimball Hospital, Putnam, CT 06260-0901 | Controlled Substance Registration for Practitioner | 1999-03-01 ~ 2000-02-28 |
| Ann Farrell Md | Day Kimball Hospital, Putnam, CT 06260 | Physician/surgeon | 1998-05-29 ~ 1999-06-30 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carissa A Zlotnick | 31 Jude Lane, Mansfield, CT 06250 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Sara Hollow Heumann | 103 Mansfield Hollow Road, Mansfield Center, CT 06250 | Esthetician | ~ |
| Mary Catherine D'amico | 156 Coventry Rd, Mansfield Center, CT 06250 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Petco 3728 | 86 Storrs Rd, Mansfield, CT 06250 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Christine D Njuki | 15 Crest Road, Mansfield Center, CT 06250 | Audiologist | 2020-07-01 ~ 2021-06-30 |
| David L. Simon Md | 2 Ledgebrook Drive, Mansfield Center, CT 06250 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Lisa G Orcutt | 5 Pequot Square, Mansfield Center, CT 06250 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Laurie J Smaglis | 28 Thornbush Rd, Mansfield, CT 06250 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Loni C Cohen | 23c Eastbrook Heights, Mansfield Center, CT 06250 | Notary Public Appointment | 2020-04-01 ~ 2025-03-31 |
| Joanne Frederick | 69 Circle Drive, Mansfield Center, CT 06250 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06250 | |||
| City | PUTNAM |
| Zip Code | 06250 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + PUTNAM |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Julie Warzecka | 59 Reed St, Agawam, MA 01001-1711 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Physician Assistant Foundation of The American Academy of Physician Assistants | 2318 Mill Rd Ste 1300, Alexandria, VA 22314-6868 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| Theresa V Horvath | Physiican Assistant Institute, Bridgeport, CT 06604 | Physician Assistant | 2018-10-01 ~ 2019-09-30 |
| Quinnipiac University Physician Assistant Student Society | 370 Bassett Rd, North Haven, CT 06473-4201 | Raffle Permit Class 1 | 2017-01-12 ~ 2017-04-08 |
| Connecticut Dermatology Physician Assistant Society Inc. | Po Box 847, Manchester, CT 06045 | Public Charity-exempt From Financial Requirements | ~ |
| Gretchen Treves | Physician One Urgent Care, Brookfield, CT 06804 | Physician Assistant | ~ |
| Justin S Boyarsky | 560 1st Ave, New York, NY 10016-6402 | Physician Assistant | ~ |
| L. Katherine Grasso | Po Box 191, Sudbury, MA 01776-0191 | Physician Assistant | ~ |
| James H Brown | 11-c Cos Cob Ave, Cos Cob, CT 06807 | Physician Assistant | 2005-11-15 ~ 2006-11-30 |
| Stacie Meisner | Po Box 384, Albion, RI 02802-0384 | Physician Assistant | ~ |
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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).