MICKAELA MARICHAL (Credential# 1375070) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.
MICKAELA MARICHAL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0063893. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 14 E 77th St Apt Gr, New York, NY 10075-1724. The current status is lapsed.
| Licensee Name | MICKAELA MARICHAL |
| Credential ID | 1375070 |
| Credential Number | CSP.0063893 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
14 E 77th St Apt Gr New York NY 10075-1724 |
| Business Type | INDIVIDUAL |
| Status | LAPSED |
| Active | 1 |
| Issue Date | 2016-08-24 |
| Effective Date | 2017-03-01 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2019-03-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1355266 | 10.136596 | Registered Nurse | 2016-08-22 | 2016-11-01 - 2017-10-31 | INACTIVE |
| 1361488 | 12.006693 | Advanced Practice Registered Nurse | 2016-08-22 | 2016-11-01 - 2017-10-31 | INACTIVE |
| 1355486 | 10.133997-TEMP | Registered Nurse - Temporary | 2016-05-20 | 2016-05-20 - 2016-09-16 | INACTIVE |
| Street Address | 14 E 77TH ST APT GR |
| City | NEW YORK |
| State | NY |
| Zip Code | 10075-1724 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| I Rand Rodgers Md | 229 East 79th St, New York City, NY 10075 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Li C Pei | 151 East 79th St, New York, NY 10075 | Architect | 2020-05-07 ~ 2020-07-31 |
| Laure C Aubuchon | 325 East 79th Street, New York, NY 10075 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Alexandra Zavin | 539 E 78th St #6i, New York, NY 10075 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Timothy Godaire | 509 E 77th Street Apt 6m, New York, NY 10075 | Home Improvement Salesperson | 2020-03-09 ~ 2020-11-30 |
| Emil K Heringer | 511 East 80th St, New York, NY 10075 | Optometrist | 2020-01-01 ~ 2020-12-31 |
| Norman Maurice Rowe | 71 East 77th Street, Suite 1a, New York, NY 10075 | Physician/surgeon | 2020-02-29 ~ 2021-02-28 |
| Wendee K Schildhaus | 124 East 79th Street, New York, NY 10075 | Marital and Family Therapist | 2020-04-01 ~ 2021-03-31 |
| Chien C Pei | 225 East 79th St, New York, NY 10075 | Architect | 2020-01-28 ~ 2018-07-31 |
| David R Ortiz | 445 East 77th Street, New York, NY 10075 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Find all Licenses in zip 10075 | |||
| City | NEW YORK |
| Zip Code | 10075 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW YORK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
| Mickaela Predom | 3 Kenilworth Dr, Killingworth, CT 06419-1213 | Home Improvement Salesperson | 2019-12-01 ~ 2020-11-30 |
| Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
| Arundati Rao | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Qi Che Md | Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Erin K Fee | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Hae J Kim Pa | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-31 ~ 2009-02-28 |
| Huu Duc D Luu | 630 Mix Ave Apt 6p, Hamden, CT 06514-2320 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Min Jin Kim | 639 4th Ave Apt 5c, Brooklyn, NY 11232-1048 | Controlled Substance Registration for Practitioner | 2012-05-10 ~ 2013-02-28 |
| Modestus Lee Md | 211 Midland Ave, Rye, NY 10580 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on MICKAELA MARICHAL.
| 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).