MEGAN WALLACE CARMAN (Credential# 1042854) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 29, 1989. The license expiration date date is February 28, 1991. The license status is INACTIVE.
MEGAN WALLACE CARMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.030352. The credential type is physician/surgeon. The effective date is September 29, 1989. The expiration date is February 28, 1991. The business address is 1128 Town Colony Dr, Middletown, CT 06457-5925. The current status is inactive.
Licensee Name | MEGAN WALLACE CARMAN |
Credential ID | 1042854 |
Credential Number | 1.030352 |
Credential Type | Physician/Surgeon |
Business Address |
1128 Town Colony Dr Middletown CT 06457-5925 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1989-09-29 |
Effective Date | 1989-09-29 |
Expiration Date | 1991-02-28 |
Refresh Date | 2011-11-30 |
Street Address | 1128 TOWN COLONY DR |
City | MIDDLETOWN |
State | CT |
Zip Code | 06457-5925 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Angela M Weese | 1128 Town Colony Dr, Middletown, CT 06457 | Registered Nurse | 1994-07-13 ~ 1995-07-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Alice E Milardo | 916 Town Colony Dr, Middletown, CT 06457-5925 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
Jessica L Helmer | 1132 Town Colony Dr, Middletown, CT 06457-5925 | Physical Therapist Assistant | 2018-09-01 ~ 2019-08-31 |
Lisa M Krause | 1127 Town Colony Dr, Middletown, CT 06457-5925 | Veterinarian | 2013-06-01 ~ 2014-05-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Elizabeth M Mailhot | 177 Timber Ridge Rd, Middletown, CT 06457 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
Rebecca S Fennessy | 22 Keefe Ln, Middletown, CT 06457 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
Eloise M Gagnon | 538 Bow Lane, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
Salvatore Dimauro | 245 Dekoven Dr, Middletown, CT 06457 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
Frank L Wright | 261 Spencer Dr, Middletown, CT 06457 | Barber | 2020-08-01 ~ 2022-07-31 |
Gino A Cardella | 50 Sonoma Lane, Middletown, CT 06457 | Real Estate Salesperson | ~ |
Shannon Lee Mcquillan | 5 Forest Glen Circle, Middletown, CT 06457 | Registered Nurse | 2020-06-26 ~ 2020-09-30 |
Lori Dimauro · Carta | 244 Chamberlain Hill Road, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
Gail A Corrow | 85 Dora Dr, Middletown, CT 06457 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Mariter V Perez | 8 Moss Glen, Middletown, CT 06457 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06457 |
City | MIDDLETOWN |
Zip Code | 06457 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + MIDDLETOWN |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Kuk Seung Lee | 200 Carman Ave, #14j, East Meadow, NY 11554 | Physician/surgeon | 1984-07-09 ~ 1985-07-31 |
Mahmuda M. Ahmed | 200 Carman Ave Apt 5g, East Meadow, NY 11554-1166 | Physician/surgeon | 2012-08-22 ~ 2013-05-31 |
Nandini P Sharma | 200 Carman Ave, East Meadow, NY 11554 | Physician/surgeon | 2005-02-24 ~ 2006-01-31 |
Liana M Barrow | 200 Carman Ave Apt 14d, East Meadow, NY 11554-1151 | Physician/surgeon | 2011-09-13 ~ 2011-11-30 |
Julie T Antique | 200 Carman Ave #28f, East Meadow, NY 11554 | Physician/surgeon | 2000-08-01 ~ 2001-07-31 |
Maheswaran M Pillai | 200 Carman Ave Apt 17a, East Meadow, NY 11554-1161 | Physician/surgeon | 2009-07-27 ~ 2009-11-30 |
Sathish Cayenne Md | 200 Carman Avenue, East Meadow, NY 11554 | Physician/surgeon | 1998-04-30 ~ 1999-04-30 |
Vadim Tsesin | 200 Carman Avenue, East Meadow, NY 11554 | Physician/surgeon | 1995-12-26 ~ 1997-01-31 |
Valentin Pescaru | 200 Carman Avenue, East Meadow, NY 11554 | Physician/surgeon | 2002-11-18 ~ 2003-09-30 |
Max L Wallace Jr | 383 Rockwood Drive, Southington, CT 06489 | Physician/surgeon | 2017-09-01 ~ 2018-08-31 |
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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).