MICHAEL F LACHOWICZ (Credential# 1329411) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
MICHAEL F LACHOWICZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003508. The credential type is physician assistant. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 27 Old Farms Rd, Cheshire, CT 06410-3757. The current status is active.
Licensee Name | MICHAEL F LACHOWICZ |
Credential ID | 1329411 |
Credential Number | 23.003508 |
Credential Type | Physician Assistant |
Business Address |
27 Old Farms Rd Cheshire CT 06410-3757 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2016-01-25 |
Effective Date | 2020-06-01 |
Expiration Date | 2021-05-31 |
Refresh Date | 2020-04-07 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1330587 | CSP.0062023 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-01-28 | 2019-03-01 - 2021-02-28 | ACTIVE |
847981 | 70.008248 | Emergency Medical Technician | 2007-02-22 | 2007-02-22 - 2008-09-30 | INACTIVE |
Street Address | 27 OLD FARMS RD |
City | CHESHIRE |
State | CT |
Zip Code | 06410-3757 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Brian K Texeira | 53 Old Farms Rd, Cheshire, CT 06410-3757 | Emergency Medical Technician | 2020-01-01 ~ 2022-12-31 |
Blaze A Graham | 83 Old Farms Rd, Cheshire, CT 06410-3757 | Asbestos Abatement Supervisor | 2016-01-01 ~ 2016-12-31 |
Ann Mcmurtry · Reese | 47 Old Farms Road, Cheshire, CT 06410-3757 | Registered Nurse | 1998-02-02 ~ 1999-03-31 |
Reba J Gardner | 71 Old Farms Rd, Cheshire, CT 06410-3757 | Real Estate Salesperson | ~ |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Mr B's · Bimonte's Pizza Castle | 155 Highland Ave, Cheshire, CT 06410 | Bakery | 2020-07-01 ~ 2021-06-30 |
Traci L Bonassar | 452 Castle Glenn, Cheshire, CT 06410 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
Faith H Morico · Hennessey | 177 Wallingford Rd, Cheshire, CT 06410 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
Renee D Kane | 40 Willow St, Cheshire, CT 06410 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Kara Capuano | 20 Renee Court, Cheshire, CT 06410 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Eugenia A Marquez | 22 Currier Way, Cheshire, CT 06410 | Radiographer | 2020-07-01 ~ 2021-06-30 |
Mahnaz M Emamian | 471 West Main St, Cheshire, CT 06410 | Esthetician | ~ |
Margarita A. Norris | 302 Highland Avenue, Cheshire, CT 06410 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Wendell D Wallace Juedes | 545 Country Club Rd, Cheshire, CT 06410 | Podiatrist | 2020-04-01 ~ 2021-03-31 |
Hyunjung An | 55 Moneta Ln., Cheshire, CT 06410 | Acupuncturist | ~ |
Find all Licenses in zip 06410 |
City | CHESHIRE |
Zip Code | 06410 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + CHESHIRE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Michael Moi | 85 Riverside Ave Apt G2, Stamford, CT 06905-4421 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
Michael D Devanney Pa | 28 Evergreen Ln, Glastonbury, CT 06033 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
Michael L Zande Pa | 31 Seymour St Ste 100, Hartford, CT 06106-5521 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
Michael S Cremins Pa | 31 Seymour St Ste 100, Hartford, CT 06106-5521 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
Michael T Oesau Pa | 267 Grant St, Bridgeport, CT 06610 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
Michael B Heilbrunn Pa | 80 Phyfe Rd, Fairfield, CT 06824 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
Carl L Michael | 25 Lefferts Ave., Brooklyn, NY 11225 | Physician Assistant | 2000-06-15 ~ 2000-11-30 |
Michael Dow Pa | 23 Daniel St, East Hampton, CT 06424 | Physician Assistant | 2007-05-18 ~ 2008-07-31 |
Michael S Thibault | 15 Essex Dr, Milford, CT 06460-3810 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
Kyle Michael Schilling | 331 Merrow Rd, Tolland, CT 06084-3935 | Physician Assistant | ~ |
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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).