MICHAEL BERNARD VALLETTA (Credential# 1420787) 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.
MICHAEL BERNARD VALLETTA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.056553-DO. The credential type is physician/surgeon. The effective date is March 1, 2018. The expiration date is February 28, 2019. The business address is 307 S Evergreen Ave, Woodbury, NJ 08096-2739. The current status is inactive.
| Licensee Name | MICHAEL BERNARD VALLETTA |
| Credential ID | 1420787 |
| Credential Number | 1.056553-DO |
| Credential Type | Physician/Surgeon |
| Credential SubCategory | DO |
| Business Address |
307 S Evergreen Ave Woodbury NJ 08096-2739 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2017-06-15 |
| Effective Date | 2018-03-01 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2019-06-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1443610 | CSP.0066619 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-08-18 | 2017-08-18 - 2019-02-28 | LAPSED |
| Street Address | 307 S EVERGREEN AVE |
| City | WOODBURY |
| State | NJ |
| Zip Code | 08096-2739 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alexander Kazos | 307 S Evergreen Ave, Woodbury, NJ 08096-2739 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Rick Daniel Ornum Figurasin | 307 S Evergreen Ave, Woodbury, NJ 08096-2739 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Joseph Sehwa Tsao | 307 S Evergreen Ave, Woodbury, NJ 08096 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Edwin Tower Layng | 307 S Evergreen Ave, Woodbury, NJ 08096-2739 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Timothy Dale Jayne Jr | 307 S Evergreen Ave, Woodbury, NJ 08096-2739 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michael John Garcia Jr | 307 S Evergreen Ave, Woodbury, NJ 08096-2739 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Kayleigh Gromilovitz Pung | 307 S Evergreen Ave, Woodbury, NJ 08096 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Victoria Rose Feist | 307 S Evergreen Ave, Woodbury, NJ 08096-2739 | Advanced Practice Registered Nurse | 2019-06-01 ~ 2020-05-31 |
| Russell Julius Pearl | 307 S Evergreen Ave, Woodbury, NJ 08096-2739 | Controlled Substance Registration for Practitioner | 2018-01-29 ~ 2019-02-28 |
| Drew Thomas Carlton | 307 S Evergreen Ave, Woodbury, NJ 08096-2739 | Physician/surgeon | ~ |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| D Kurt Acker | 135 Grant Ave, Deptford Township, NJ 08096 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Janea Mary Gibbs | Po Box 5253, Deptford, NJ 08096 | Registered Nurse - Temporary | 2020-03-17 ~ 2020-07-15 |
| Timothy Paul Dotzler | Teamhealth Northeast Group, Waterbury, NJ 08096 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Tiffany Tapp | 29 N Main St., Norwalk, CT 08096 | Massage Therapist | ~ |
| Anthony Frederick Scenna | 117 Beacon Dr, Deptford, NJ 08096 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Christopher James Douglas Tems | 307 S. Evergreen Avenue, Woodbury, NJ 08096 | Physician/surgeon | 2018-01-19 ~ 2018-08-31 |
| Meghan Siobhan Leary | 657 Steeplechase Ct, Deptford, NJ 08096 | Registered Nurse | 2019-02-01 ~ 2020-01-31 |
| Jc Anderson Assoc | 40 Ash Ave, Woodbury, NJ 08096 | Professional Engineer | 1992-01-22 ~ 1993-01-31 |
| Ea Moy Cnslt Elec Eng | 340 Delaware St, Woodbury, NJ 08096 | Professional Engineer | 1994-02-03 ~ 1995-01-31 |
| Scott Kennedy | 625 Sweetgum Lane, Deptford, NJ 08096 | Certified Public Accountant License | 2014-01-01 ~ 2014-12-31 |
| Find all Licenses in zip 08096 | |||
| City | WOODBURY |
| Zip Code | 08096 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WOODBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gerald A Valletta | 12 Country Way, New Milford, CT 06776 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Frank J Valletta · Valletta Tile & Marble | 11 Lake Rd, North Branford, CT 06471-1253 | Home Improvement Contractor | 2008-12-01 ~ 2009-11-30 |
| J Bernard Gee | 38 Turtle Bay, Branford, CT 06405 | Physician/surgeon | 2013-04-01 ~ 2014-03-31 |
| Bernard Nolan | Po Box 733, Lancaster, OH 43130 | Physician/surgeon | 2001-04-09 ~ 2002-05-31 |
| Bernard Brass | 25 Willard Rd, Brookline, MA 02445-4203 | Physician/surgeon | ~ |
| Michael A Valletta | 98 Jersey St, Waterbury, CT 06706-2712 | Pharmacy Technician | 2008-04-28 ~ 2009-03-31 |
| Bernard B Vinoski Jr | 33 Highland St Apt 4h, New Britain, CT 06052-2025 | Physician/surgeon | 1987-07-15 ~ 1991-07-31 |
| Bernard Adelsberg | 3 Mountaincrest Dr, Cheshire, CT 06410-3554 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
| Bernard Lavergne Md | 4 Chanticleer Ln, Old Lyme, CT 06371 | Physician/surgeon | 2005-07-14 ~ 2006-08-31 |
| Bernard Cohen | 95 Wiltshire Rd, Scarsdale, NY 10583-4561 | Physician/surgeon | 2006-07-07 ~ 2007-08-31 |
Please comment or provide details below to improve the information on MICHAEL BERNARD VALLETTA.
| 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).