KELLY M BACZEK (Credential# 756155) is licensed (Radiographer) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2015. The license expiration date date is September 30, 2016. The license status is INACTIVE.
KELLY M BACZEK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #28.005369. The credential type is radiographer. The effective date is October 1, 2015. The expiration date is September 30, 2016. The business address is 666 East Street, Lenox, MA 01240. The current status is inactive.
Licensee Name | KELLY M BACZEK |
Credential ID | 756155 |
Credential Number | 28.005369 |
Credential Type | Radiographer |
Business Address |
666 East Street Lenox MA 01240 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2008-07-22 |
Effective Date | 2015-10-01 |
Expiration Date | 2016-09-30 |
Refresh Date | 2017-01-03 |
Street Address | 666 East Street |
City | Lenox |
State | MA |
Zip Code | 01240 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Joseph A Jackson | 66 Old Stockbridge, Lenox, MA 01240 | Licensed Clinical Social Worker | 2019-09-01 ~ 2020-08-31 |
George E Chasse | 18 Morgan St, Lenox, MA 01240 | Landscape Architect | 2019-08-01 ~ 2020-07-31 |
David A Oelberg Md | 7c Coldbrooke South, Lenox, MA 01240 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
Christian Deckert | 27 Schermerhorn Park, Lenox, MA 01240 | Real Estate Salesperson | 2016-06-01 ~ 2017-05-31 |
Karen Prestwood | 22 St Anns Ave, Lenox, MA 01240 | Physician/surgeon | 2018-03-01 ~ 2019-02-28 |
Nancy J Trowill | 159 West Mountain Road, Lenox, MA 01240 | Radiographer | 2018-03-01 ~ 2019-02-28 |
Gerard C Buffo Md | 50 Cliffwood Street, Lenox, MA 01240 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Bev's Homemade Ice Cream | 36 Housatonic St, Lenox, MA 01240 | Frozen Dessert Wholesaler | 2000-05-23 ~ 2000-12-31 |
Chris Abderhalden · Berkshire Building Contractors | 123 New Lenox Rd, Lenox, MA 01240 | Home Improvement Contractor | 2008-12-01 ~ 2009-11-30 |
Jean P Stempel | 4 Morgan Manor, Lenox, MA 01240 | Registered Nurse | 2016-10-01 ~ 2017-09-30 |
Find all Licenses in zip 01240 |
City | Lenox |
Zip Code | 01240 |
License Type | Radiographer |
License Type + County | Radiographer + Lenox |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Elizabeth A Kelly · Kelly | 42 Hilltop Ave, Stamford, CT 06907 | Radiographer | 1999-08-02 ~ 2000-09-30 |
Victoria L Baczek | 105 Deerfield Dr, Bridgewater, MA 02324 | Pharmacy Intern | 2007-08-31 ~ 2011-09-30 |
Tabitha L Baczek | 5 Edwards Dr, Oxford, CT 06478-1524 | Licensed Practical Nurse | 2019-12-01 ~ 2020-11-30 |
Sarah E Baczek | 13 Town Line Dr, East Hampton, CT 06424-6102 | Registered Nurse | 2017-08-01 ~ 2018-07-31 |
Joseph Baczek | 166 Grand St, W Haven, CT 06516 | Repairer of Weighing & Measuring Devices | 2000-01-01 ~ 2000-12-31 |
Chelsea Baczek | 109 Legion Avenue, New Haven, CT 06519 | Medication Administration Certification | 2014-05-13 ~ 2016-05-12 |
Anisa R Baczek · Langley | 9 Priscilla Road, Windsor, CT 06095 | Licensed Clinical Social Worker | 2014-01-01 ~ 2014-12-31 |
Sandra Kay Baczek | 21 Bond Street, East Norwalk, CT 06855 | Notary Public Appointment | 2006-05-01 ~ 2011-04-30 |
Kelly M Hoholik | 163 Woodlet Ln, Bolingbrook, IL 60490 | Radiographer | ~ |
Kelly J Carty | 122 Hoyt St Apt 5c, Stamford, CT 06905-5774 | Radiographer | 2020-02-01 ~ 2021-01-31 |
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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).