STEVEN DOLACKY
Controlled Substance Registration for Practitioner


Address: 263 Farmington Ave # Mc-1235, Farmington, CT 06030-0001

STEVEN DOLACKY (Credential# 944874) 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.

Business Overview

STEVEN DOLACKY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0048198. 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 263 Farmington Ave # Mc-1235, Farmington, CT 06030-0001. The current status is inactive.

Basic Information

Licensee Name STEVEN DOLACKY
Credential ID 944874
Credential Number CSP.0048198
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 263 Farmington Ave # Mc-1235
Farmington
CT 06030-0001
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2010-08-26
Effective Date 2013-03-01
Expiration Date 2015-02-28
Refresh Date 2016-01-29

Office Location

Street Address 263 FARMINGTON AVE # MC-1235
City FARMINGTON
State CT
Zip Code 06030-0001

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Dhruva Chawla 263 Farmington Ave # Mc-1235, Farmington, CT 06030-0002 Controlled Substance Registration for Practitioner 2013-04-03 ~ 2015-02-28
Joseph Villanueva 263 Farmington Ave # Mc-1235, Farmington, CT 06030-0002 Controlled Substance Registration for Practitioner 2013-03-01 ~ 2015-02-28
Vinay Nidadavolu 263 Farmington Ave # Mc-1235, Farmington, CT 06030-0002 Controlled Substance Registration for Practitioner 2013-03-06 ~ 2015-02-28
Allan L Cruz 263 Farmington Ave # Mc-1235, Farmington, CT 06030-0002 Controlled Substance Registration for Practitioner 2013-03-01 ~ 2015-02-28
Jonessa Ann S Atienza 263 Farmington Ave # Mc-1235, Farmington, CT 06030-0002 Controlled Substance Registration for Practitioner 2013-03-01 ~ 2015-02-28
Kavitha Bagavathy 263 Farmington Ave # Mc-1235, Farmington, CT 06030-0002 Controlled Substance Registration for Practitioner 2013-03-01 ~ 2015-02-28
Bilal Rahim 263 Farmington Ave # Mc-1235, Farmington, CT 06030-0002 Controlled Substance Registration for Practitioner 2013-03-11 ~ 2015-02-28
Deepa Nankani 263 Farmington Ave # Mc-1235, Farmington, CT 06030-0002 Controlled Substance Registration for Practitioner 2013-05-23 ~ 2015-02-28
Shine K Raju 263 Farmington Ave # Mc-1235, Farmington, CT 06030-0002 Controlled Substance Registration for Practitioner 2013-03-01 ~ 2015-02-28
Anuja Waghela 263 Farmington Ave # Mc-1235, Farmington, CT 06030-0002 Controlled Substance Registration for Practitioner 2013-03-01 ~ 2015-02-28
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Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Wendy A Miller Mc1921 Farmington Ave # 263, Farmington, CT 06030-0001 Physician/surgeon 2020-06-01 ~ 2021-05-31
Jason J Ziegler 2 Courthouse Square, Farmington, CT 06030-0001 Real Estate Salesperson 2020-06-01 ~ 2021-05-31
Bryden T Considine L2104 of Medicine Rm, Farmington, CT 06030-0001 Resident Physician 2017-07-03 ~ 2021-06-30
Dillon Paulo 4260 Cordoba Ct, Farmington, CT 06030-0001 Resident Physician 2020-07-01 ~ 2024-06-30
Erica Shen Nofziger 263 Farmington Ave, Farmington, CT 06030-0001 Resident Physician 2020-07-01 ~ 2027-06-30
Omar Ibrahim 263 Farmington Ave # Mc-1321, Farmington, CT 06030-0001 Physician/surgeon 2020-06-01 ~ 2021-05-31
Jillian L Fortier Uconn Health Center, Department of Surgery, Farmington, CT 06030-0001 Physician/surgeon 2020-05-01 ~ 2021-04-30
Douglas Zelisko 263 Farmington Ave Dept Of, Farmington, CT 06030-0001 Physician/surgeon 2020-04-23 ~ 2021-01-31
Ruchir D Trivedi 263 Farmington Ave # Mc-1405, Farmington, CT 06030-0001 Physician/surgeon 2020-06-01 ~ 2021-05-31
Rawan J.j. Sarsour 263 Farmington Ave # Mc3905, Farmington, CT 06030-0001 Provisional Faculty Dentist 2020-04-21 ~ 2021-04-30
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Licenses in the same zip code

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

Competitor

Search similar business entities

City FARMINGTON
Zip Code 06030
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + FARMINGTON

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Dataset Information

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).

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