JAIME GRODZICKI MD (Credential# 983239) 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.
JAIME GRODZICKI MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0049588. 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 160 Cabrini Blvd Apt 19, New York, NY 10033-1143. The current status is inactive.
| Licensee Name | JAIME GRODZICKI MD |
| Credential ID | 983239 |
| Credential Number | CSP.0049588 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
160 Cabrini Blvd Apt 19 New York NY 10033-1143 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2011-02-03 |
| Effective Date | 2013-03-01 |
| Expiration Date | 2015-02-28 |
| Refresh Date | 2016-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 977768 | 1.049451 | Physician/Surgeon | 2011-01-19 | 2012-11-01 - 2013-10-31 | INACTIVE |
| Street Address | 160 CABRINI BLVD APT 19 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10033-1143 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amanda Cheryl Peled | 481 Fort Washington Ave, New York, NY 10033 | Physical Therapist | 2020-05-01 ~ 2021-04-30 |
| Porfirio Dominguez | 615 West 176th Street Ste B, New York, NY 10033 | Tax Preparer/facilitator Permit | 2020-02-11 ~ 2022-02-28 |
| Jovan Greenaway | 85 Audubon Ave, New York, NY 10033 | Licensed Practical Nurse | ~ |
| Diane Frances Fields | 825 W 187th St, New York, NY 10033 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Morgan Neary | 217 Haven Ave, New York, NY 10033 | Master's Level Social Worker | 2020-01-01 ~ 2020-12-31 |
| Vertoe, Inc. | 1332 Riverside Drive, New York, NY 10033 | Securities - Exemptions | 2019-12-13 ~ |
| Jeffrey Petrower | 50 Overlook Ter, New York, NY 10033 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
| Norman L Herman | 160 Cabrini Boulevard, New York, NY 10033 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Stanley Edward Lau | 359 Fort Washington Avenue, New York, NY 10033 | Certified Public Accountant Certificate | 2020-01-01 ~ 2020-12-31 |
| Christopher P Moran | 854 West 181st Street, Apt 5d, New York, NY 10033 | Architect | 2019-08-01 ~ 2020-07-31 |
| Find all Licenses in zip 10033 | |||
| City | NEW YORK |
| Zip Code | 10033 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW YORK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jaime N Stewart Pa-c | 900 Mix Ave Apt 13, Hamden, CT 06514-5106 | Controlled Substance Registration for Practitioner | 2009-03-23 ~ 2011-02-28 |
| Jaime P Mobiglia Pa-c | 25 Pleasant St, Danbury, CT 06810-7607 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jaime Padavil | 56 Franklin St, Waterbury, CT 06706-1253 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Jaime Daly | 900 Chapel St., New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2014-02-06 ~ 2015-02-28 |
| Jaime G Pugeda Md | 33-c Monroe St, Milford, CT 06460 | Controlled Substance Registration for Practitioner | 2003-03-01 ~ 2004-02-28 |
| Jaime M James | 915 Main St Apt 203, Hartford, CT 06103-1236 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Jaime Gutierrez Dds | 304 Federal Rd, Brookfield, CT 06804 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jaime A Caballero | 574 Central Ave Apt 3b, New Haven, CT 06515-2154 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Jaime L. Hill | 77 Park Ave, Cranston, RI 02905-3514 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jaime L Kriner Pa | 303 Lakeview Ct, Mars, PA 16046-2852 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Please comment or provide details below to improve the information on JAIME GRODZICKI 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).