MICHAEL J NASO (Credential# 1635825) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2020. The license expiration date date is August 31, 2021. The license status is ACTIVE.
MICHAEL J NASO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.063557. The credential type is physician/surgeon. The effective date is September 1, 2020. The expiration date is August 31, 2021. The business address is 130 Division St, Derby, CT 06418-1326. The current status is active.
| Licensee Name | MICHAEL J NASO |
| Credential ID | 1635825 |
| Credential Number | 1.063557 |
| Credential Type | Physician/Surgeon |
| Business Address |
130 Division St Derby CT 06418-1326 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-05-31 |
| Effective Date | 2020-09-01 |
| Expiration Date | 2021-08-31 |
| Refresh Date | 2020-06-08 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1487758 | 1.057440-RES | Resident Physician | 2017-07-01 | 2017-07-01 - 2021-06-30 | ACTIVE |
| 1081423 | CSP.0053000 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2012-07-30 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 846262 | 70.006529 | Emergency Medical Technician | 2005-10-12 | 2005-10-12 - 2007-06-30 | INACTIVE |
| Street Address | 130 DIVISION ST |
| City | DERBY |
| State | CT |
| Zip Code | 06418-1326 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ricardo Concepcion Gomez | 130 Division St, Derby, CT 06418-1326 | Resident Physician | 2020-07-01 ~ 2024-06-30 |
| Anwesh Poosala | 130 Division St, Derby, CT 06418-1326 | Resident Physician | 2020-07-01 ~ 2024-06-30 |
| Da Young Ryu | 130 Division St, Derby, CT 06418 | Resident Physician | 2020-07-01 ~ 2024-06-30 |
| Genevieve C Kela | 130 Division St, Derby, CT 06418-1326 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
| Inshiya Dawoodi | 130 Division St, Derby, CT 06418-1326 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
| Sovit Dahal | 130 Division St, Derby, CT 06418-1326 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
| Rosa Constantino | 130 Division St, Derby, CT 06418-1326 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
| Ivanshi Gondalia | 130 Division St, Derby, CT 06418-1326 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
| Angad Gill | 130 Division St, Derby, CT 06418-1326 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
| Douglas Palacios | 130 Division St, Derby, CT 06418-1326 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kathleen M Chaisson Md | 130 Division St # I, Derby, CT 06418-1326 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Turn The Tide Foundation Inc | 130 Division St Fl 2, Derby, CT 06418-1326 | Public Charity | 2017-12-01 ~ 2018-11-30 |
| 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 | Physician/Surgeon |
| License Type + County | Physician/Surgeon + DERBY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ronald C Naso | 2777 Summer Street, Stamford, CT 06905 | Psychologist | 2020-04-01 ~ 2021-03-31 |
| Sean Naso | 277 - 2 Bridge Street, Stamford, CT 06905 | Off Track Betting Facility Employee | 2017-05-30 ~ 2017-12-31 |
| Michael D Fox | 165 Walnut St, Willimantic, CT 06226-2308 | Physician/surgeon | 1976-05-28 ~ 1981-10-31 |
| Michael J Lombino | 80 E Putnant Ave, Cos Cob, CT 06807 | Physician/surgeon | 2012-12-01 ~ 2013-11-30 |
| Michael Schwartz | Stamford, CT 06903-2828 | Physician/surgeon | 2013-01-01 ~ 2013-12-31 |
| Michael W Berg | Rr 3 Box 175, Los Fresnos, TX 78566 | Physician/surgeon | 2003-12-22 ~ 2005-02-28 |
| Michael Grasso | 3 Keane Ct, Rye, NY 10580-1144 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Michael D Savarese | P.o.box 142, Roxbury, CT 06783-0142 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Michael Yuz | P.o. Box 1395, Medford, NJ 08055 | Physician/surgeon | 2011-07-01 ~ 2012-06-30 |
| Kenneth Gross | 9 Michael St, Norwalk, CT 06854-3415 | Physician/surgeon | ~ |
Please comment or provide details below to improve the information on MICHAEL J NASO.
| 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).