MICHAEL TAINE MILLER (Credential# 1376909) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2017. The license expiration date date is May 31, 2018. The license status is INACTIVE.
MICHAEL TAINE MILLER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.055816. The credential type is physician/surgeon. The effective date is June 1, 2017. The expiration date is May 31, 2018. The business address is 199 Park Club Lane Suite 300, Williamsville, NY 14221. The current status is inactive.
| Licensee Name | MICHAEL TAINE MILLER |
| Credential ID | 1376909 |
| Credential Number | 1.055816 |
| Credential Type | Physician/Surgeon |
| Business Address |
199 Park Club Lane Suite 300 Williamsville NY 14221 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2016-10-13 |
| Effective Date | 2017-06-01 |
| Expiration Date | 2018-05-31 |
| Refresh Date | 2018-09-03 |
| Street Address | 199 Park Club Lane Suite 300 |
| City | Williamsville |
| State | NY |
| Zip Code | 14221 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Keyur Suryakant Shah | 199 Park Club Lane Suite 300, Williamsville, NY 14221 | Physician/surgeon | 2018-11-01 ~ 2019-10-31 |
| Jonathan Terry Marshall | 199 Park Club Lane Suite 300, Williamsville, NY 14221 | Physician/surgeon | 2018-10-01 ~ 2019-09-30 |
| Michael Frank Tabone | 199 Park Club Lane Suite 300, Williamsville, NY 14221 | Physician/surgeon | 2018-02-01 ~ 2019-01-31 |
| Douglas Stephen Drumsta | 199 Park Club Lane Suite 300, Williamsville, NY 14221 | Physician/surgeon | 2018-02-01 ~ 2019-01-31 |
| Charles James Lesh | 199 Park Club Lane Suite 300, Williamsville, NY 14221 | Physician/surgeon | 2018-02-01 ~ 2019-01-31 |
| Jason Robert Pericak | 199 Park Club Lane Suite 300, Williamsville, NY 14221 | Physician/surgeon | 2018-01-01 ~ 2018-12-31 |
| Anthony Robert Mangano | 199 Park Club Lane Suite 300, Williamsville, NY 14221 | Physician/surgeon | 2017-12-01 ~ 2018-11-30 |
| Phillip Adam Baum | 199 Park Club Lane Suite 300, Williamsville, NY 14221 | Physician/surgeon | 2017-11-01 ~ 2018-10-31 |
| Andrew Terrell Dunn | 199 Park Club Lane Suite 300, Williamsville, NY 14221 | Physician/surgeon | 2017-08-01 ~ 2018-07-31 |
| Thomas Anthony Lostracco | 199 Park Club Lane Suite 300, Williamsville, NY 14221 | Physician/surgeon | 2017-08-01 ~ 2018-07-31 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marc C Mussachio | 30 N Forest Rd, Williamsville, NY 14221 | Architect | 2020-08-01 ~ 2021-07-31 |
| Kathleen A Swann | 2330 Maple Rd, Williamsville, NY 14221 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Asher B Blum | 163 Viscount Dr, Williamsville, NY 14221 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| David R Ludwig | 75 Farmington Road, Williamsville, NY 14221 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Andrew V Terragnoli | 205 Maple Rd, Williamsville, NY 14221 | Professional Engineer | 2020-02-24 ~ 2021-01-31 |
| Adrian A Forzani II | 158 Brushcreek Rd, Williamsville, NY 14221 | Professional Engineer | 2014-02-01 ~ 2015-01-31 |
| Yasser M Heakal | 70 Glendon Pl, Williamsville, NY 14221 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Neiman Funds | 6631 Main Street, Williamsville, NY 14221 | Investment Company - Open End | 2019-12-31 ~ 2020-12-31 |
| Shelina Siu | 84 Sandhurst Ct, Williamsville, NY 14221 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Satish B Mohan · Progressive Builders | 126 Viscount Dr, Williamsville, NY 14221 | Home Improvement Contractor | 2018-09-20 ~ 2019-11-30 |
| Find all Licenses in zip 14221 | |||
| City | Williamsville |
| Zip Code | 14221 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Williamsville |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael A Miller | 54 Clark St., New Haven, CT 06511 | Physician/surgeon | 2008-05-01 ~ 2009-04-30 |
| Michael Saffir Md | 14 Miller Rd, Bethany, CT 06524-3224 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Ma Margarita Christine P Reyes | 157 Taine Mountain Rd, Burlington, CT 06013 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Michael K Miller | 107 Pipers Hill Road, Wilton, CT 06897-1416 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Michael L Miller | 4207 E Cotton Center Blvd, Phoenix, AZ 85040-8893 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Michael D Miller | 533 Cottage Grove Road, Bloomfield, CT 06002 | Certified Public Accountant Firm Permit | 1988-12-08 ~ 1988-12-31 |
| Michael D Abate | 114 Taine Mountain Rd, Burlington, CT 06013-1918 | Real Estate Salesperson | 2015-06-01 ~ 2016-05-31 |
| Audrey F Miller Md | Physician/surgeon | 2010-06-01 ~ 2011-05-31 | |
| Leo R Miller | 268 Hillspoint Rd, Westport, CT 06880 | Physician/surgeon | 1996-02-08 ~ 1997-03-31 |
| Dorothy A Miller | 110 Fisher Ave Apt 3f, Eastchester, NY 10709-2620 | Physician/surgeon | ~ |
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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).