MICHAL NOWAK (Credential# 1635989) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2019. The license expiration date date is July 31, 2020. The license status is ACTIVE.
MICHAL NOWAK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.063717. The credential type is physician/surgeon. The effective date is August 1, 2019. The expiration date is July 31, 2020. The business address is 174 Linden St Apt E3, New Haven, CT 06511-2463. The current status is active.
| Licensee Name | MICHAL NOWAK |
| Credential ID | 1635989 |
| Credential Number | 1.063717 |
| Credential Type | Physician/Surgeon |
| Business Address |
174 Linden St Apt E3 New Haven CT 06511-2463 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-06-18 |
| Effective Date | 2019-08-01 |
| Expiration Date | 2020-07-31 |
| Refresh Date | 2019-07-23 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1491936 | 1.059671-RES | Resident Physician | 2017-07-01 | 2018-07-01 - 2019-06-30 | INACTIVE |
| 1236560 | CSP.0058329 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-07-28 | 2015-03-01 - 2017-02-28 | INACTIVE |
| Street Address | 174 LINDEN ST APT E3 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511-2463 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Barbara J Dinesen | 174 Linden St Apt E2, New Haven, CT 06511-2463 | Licensed Clinical Social Worker | 2020-03-01 ~ 2021-02-28 |
| Elizabeth A Goggin | 174 Linden St Apt E5, New Haven, CT 06511-2463 | Licensed Clinical Social Worker | 2019-10-01 ~ 2020-09-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Montessori School On Edgewood Inc. | 230 Edgewood Avenue, New Haven, CT 06511 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Therese Parks · Visel Drug Store | 264 Munson St, New Haven, CT 06511 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dazjia Monet Green | 115 Edgewood Ave Apt 64, New Haven, CT 06511 | Registered Nurse | 2020-06-27 ~ 2021-05-31 |
| Carol Yam | 343 Humphrey St, New Haven, CT 06511 | Registered Nurse | ~ |
| Marwan S Haddad | 38 Lincoln Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mary Lou Gaeta Md | 558 Chapel Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Cary M Tucker | 64 Bishop St, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Frank J Pannenborg | 505 Ellsworth Ave, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Crystal E Gooding | 26 Woodland Street, New Haven, CT 06511 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Kieran Jones | 260 Crown St Unit 1f, New Haven, CT 06511 | Registered Nurse | ~ |
| Find all Licenses in zip 06511 | |||
| City | NEW HAVEN |
| Zip Code | 06511 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michal Lementowski | 2 Eastgate Ave Ste 103, Monessen, PA 15062-1392 | Physician/surgeon | 2016-10-01 ~ 2017-09-30 |
| Michal R Kaczor Md | 733 Broadway Apt 208, Albany, NY 12207-2345 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Michal Savcenko | 18 Horizon Pt, Frisco, TX 75034-6840 | Physician/surgeon | 2013-03-06 ~ 2014-01-31 |
| Michal E Kulon | 214 Sturges Ridge Rd, Wilton, CT 11733-3801 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Michal Obrzut | 32-36 Harrison St, Johnson City, NY 13790-2181 | Physician/surgeon | 2011-04-01 ~ 2012-03-31 |
| Maria De Pena-nowak | 404 Midland Ave, Rye, NY 10580-3943 | Physician/surgeon | ~ |
| Michal M Kassur | 8817 Chateau Drive, Pickerington, OH 43147 | Physician/surgeon | 1992-11-24 ~ 1993-10-31 |
| Michal Kunz | 1463 Whitehill Rd, Yorktown Heights, NY 10598-3534 | Physician/surgeon | 2019-12-02 ~ 2020-12-31 |
| Paul C Nowak Md | 12 Susan Dr, Somers, NY 10589 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Brian D. Nowak | 8 Indian Well Ct, Huntington, NY 11743-5726 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on MICHAL NOWAK.
| 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).