GREGORY G POLKOWSKI MD (Credential# 928791) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.
GREGORY G POLKOWSKI MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0047632. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is Medical Arts & Research Building, Farmington, CT 06030. The current status is inactive.
| Licensee Name | GREGORY G POLKOWSKI MD |
| Credential ID | 928791 |
| Credential Number | CSP.0047632 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
Medical Arts & Research Building Farmington CT 06030 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2010-06-02 |
| Effective Date | 2013-03-01 |
| Expiration Date | 2015-02-28 |
| Refresh Date | 2016-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 932090 | 1.048813 | Physician/Surgeon | 2010-05-27 | 2013-04-01 - 2014-03-31 | INACTIVE |
| Street Address | MEDICAL ARTS & RESEARCH BUILDING |
| City | FARMINGTON |
| State | CT |
| Zip Code | 06030 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Syed A Hasan Md | Medical Arts & Research Building, Farmington, CT 06030-5352 | Physician/surgeon | 2008-09-17 ~ 2009-10-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eric Anthony Brueckner | 263 Farmington Ave., Farmington, CT 06030 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Derrick B Bremang | Residency Program, Farmington, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-06-30 |
| David M Shafer | Uconn Health Center, Farmington, CT 06030 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Michael J Murphy | Dept of Dermatology, Farmington, CT 06030 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Richard F Kaplan | Univ. of Ct., Farmington, CT 06030 | Psychologist | 2020-06-01 ~ 2021-05-31 |
| Nicholas George Vitale | 22 Woods Drive, Norwich, CT 06030 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| Bruce E Gould | Univ of Conn Health Center, Farmington, CT 06030 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Vinayak M Sathe | Uconn Health Center,263 Farmington Ave, Farmington, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Shobhana Pathani | Department of Medicine, 263 Farmington Ave, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Patricia L Almeida | John Dempsey Hospital, Farmington, CT 06030 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Find all Licenses in zip 06030 | |||
| City | FARMINGTON |
| Zip Code | 06030 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + FARMINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gregory T. Lee | 8 Spruce St Apt 33f, New York, NY 10038-5224 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Gregory J Lyddy Dds | 55 Elm St, Fairfield, CT 06824 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Gregory S Bloom Md | 112 Quarry Rd Ste 400, Trumbull, CT 06611 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Gregory M Flis | 8 Lendler Ln, Wallingford, CT 06492 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Gregory A Krane | Po Box 110880, Gainesville, FL 32611 | Controlled Substance Registration for Practitioner | 2013-08-23 ~ 2015-02-28 |
| Gregory S Slater Md | 36 Windsor Rd, New Britain, CT 06052 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
| Gregory V Hebert | 80 Seymour St, Hartford, CT 06102-8000 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Gregory L Arnold Dmd | 98 West St, Litchfield, CT 06759-3500 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Gregory Lutkus | 161 Taylor Rd, Colchester, CT 06415-1726 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Gregory Cardello | 282 Washington St 4h, Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
Please comment or provide details below to improve the information on GREGORY G POLKOWSKI MD.
| 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).