TESSA BALACH MD (Credential# 990204) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2018. The license expiration date date is February 28, 2019. The license status is INACTIVE.
TESSA BALACH MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.049795. The credential type is physician/surgeon. The effective date is March 1, 2018. The expiration date is February 28, 2019. The business address is 20 Liberty Square #277, Bloomfield, CT 06002. The current status is inactive.
| Licensee Name | TESSA BALACH MD |
| Credential ID | 990204 |
| Credential Number | 1.049795 |
| Credential Type | Physician/Surgeon |
| Business Address |
20 Liberty Square #277 Bloomfield CT 06002 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2011-05-02 |
| Effective Date | 2018-03-01 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2019-06-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 993828 | CSP.0049993 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2011-05-04 | 2015-03-01 - 2017-02-28 | INACTIVE |
| Street Address | 20 LIBERTY SQUARE #277 |
| City | BLOOMFIELD |
| State | CT |
| Zip Code | 06002 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Paula L Raines | 92 Daniel Blvd, Bloomfield, CT 06002 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Kesone Taletia Telfer | 36 Walsh Street, Bloomfield, CT 06002 | Advanced Practice Registered Nurse | ~ |
| Joan Zito Upton | 106 Duncaster Road, Bloomfield, CT 06002 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Sheri M Sparks | Primary Eye Care Center, Bloomfield, CT 06002 | Optometrist | 2020-09-01 ~ 2021-08-31 |
| Kaman Aerospace Corporation | Old Windsor Road, Bloomfield, CT 06002 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Healing Meals Foundation Corporation | Po Box 7223, Bloomfield, CT 06002 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Taylor A West | 5 Tiffany Ln, Bloomfield, CT 06002 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Emma J Ranel | 53 Burr Road, Bloomfield, CT 06002 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Dorothy W Field | 177 Oliver Way, Bloomfield, CT 06002 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Carol J Mortensen | 6 Maple Edge Dr, Bloomfield, CT 06002 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06002 | |||
| City | BLOOMFIELD |
| Zip Code | 06002 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + BLOOMFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tessa W Huncke | 125 Parkway Road, #1319, Bronxville, NY 10708 | Physician/surgeon | 2000-11-03 ~ 2001-10-31 |
| Tessa Rose Konczylo | 40 Bertrose Ave, Milford, CT 06460-5906 | Physician Assistant | ~ |
| Tessa O'regan Design LLC | 34 Great Hill Rd, Ridgefield, CT 06877-2608 | Home Improvement Contractor | 2016-12-01 ~ 2017-11-30 |
| Martrinelli Sauvignon Blanc Tessa Lee | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2008-02-08 ~ 2011-02-07 |
| Tessa M Harrington | 6 Oak Rd, Cromwell, CT 06416-1011 | Paramedic | 2019-12-01 ~ 2020-11-30 |
| Tessa Kelly | 509 Pecks Rd, Pittsfield, MA 01201-1339 | Architect | 2017-08-01 ~ 2018-07-31 |
| Tessa R. Thompson | 112 Village Dr, Torrington, CT 06790-4265 | Hairdresser/cosmetician | 2020-04-01 ~ 2022-03-31 |
| Tessa L Kramer | 32 Bretton Rd Apt 3, West Hartford, CT 06119-1208 | Psychologist | 2016-11-01 ~ 2017-10-31 |
| Tessa D Seballos | 205 S. Main St, Seymour, CT 06483 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Tessa Lyn Hydock | 609 Merrow Rd Apt 84, Tolland, CT 06084-3943 | Pharmacy Technician | 2020-04-01 ~ 2021-03-31 |
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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).