MICHAEL KLIGFELD (Credential# 145847) 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 INACTIVE.
MICHAEL KLIGFELD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0007507. 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 300 Seymour Ave Ste 205, Derby, CT 06418-1343. The current status is inactive.
| Licensee Name | MICHAEL KLIGFELD |
| Credential ID | 145847 |
| Credential Number | CSP.0007507 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
300 Seymour Ave Ste 205 Derby CT 06418-1343 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - SURRENDERED |
| Issue Date | 2005-03-01 |
| Effective Date | 2017-03-01 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2017-09-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 542121 | 1.016890 | Physician/Surgeon | 1974-06-18 | 2018-01-01 - 2018-07-05 | INACTIVE |
| Street Address | 300 SEYMOUR AVE STE 205 |
| City | DERBY |
| State | CT |
| Zip Code | 06418-1343 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Steven A Hirshorn | 300 Seymour Ave Ste 101, Derby, CT 06418-1343 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Joseph A Camilleri Jr Md | 300 Seymour Ave Ste 102, Derby, CT 06418-1343 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Debra A Montini | 8 Academy Hill Ext, Derby, CT 06418 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Laura M Boanno | 131 Marshall La, Derby, CT 06418 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Danyun Chen | 49 Pershing Dr., Derby, CT 06418 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Fan Geng | Shoprite Shopping Center, Derby, CT 06418 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Danni Xu | Shoprite Shopping Center49 Pershing Dr, Derby, CT 06418 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Yao Zhang | Shoprite Shopping Center 49 Pershing Dr, Derby, CT 06418 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Phillip N Burke | 3 Camptown St, Derby, CT 06418 | Emergency Medical Technician | 2017-06-07 ~ 2020-06-30 |
| Diane A Rosner | 229 Shagbark Drive, Derby, CT 06418 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
| Pamela C Lavelle | 194 Minerva St, Derby, CT 06418 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Grade A Market - Derby LLC | 49 Pershing Dr, Derby, CT 06418 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06418 | |||
| City | DERBY |
| Zip Code | 06418 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + DERBY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stacey C Michael Dmd | Michael Dental of Clinton, LLC, Clilnton, CT 06413 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michael K Hwang Dmd | Michael K Hwang, Dmd, LLC, East Hartford, CT 06108 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michael Lao | 195 Hartford Rd Apt C32, New Britain, CT 06053-1519 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Michael A Tevosian | 680 Mix Ave 1f, Hamden, CT 06514 | Controlled Substance Registration for Practitioner | 2004-10-08 ~ 2005-02-28 |
| Michael Reisman Dds | 128 Lee Dr, Southington, CT 06489 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michael A Mcgourty Pa | 56 Oak St, Middletown, RI 02842-4945 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Michael Blefeld | 495 Rt 184, Groton, CT 06340 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michael B. Tom | 286 Overlook Dr, Greenwich, CT 06830-6720 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michael Yao | 132 Bell Rd, Scarsdale, NY 10583-5835 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Michael B Schwartz | 30 Pin Oak Cir, Stamford, CT 06903-2828 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on MICHAEL KLIGFELD.
| 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).