MICHAEL LONGO MD
Controlled Substance Registration for Practitioner


Address: 5 Mansfield Grove Road, East Haven, CT 06512

MICHAEL LONGO MD (Credential# 164344) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 1999. The license expiration date date is February 28, 2000. The license status is INACTIVE.

Business Overview

MICHAEL LONGO MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0023200. The credential type is controlled substance registration for practitioner. The effective date is March 1, 1999. The expiration date is February 28, 2000. The business address is 5 Mansfield Grove Road, East Haven, CT 06512. The current status is inactive.

Basic Information

Licensee Name MICHAEL LONGO MD
Credential ID 164344
Credential Number CSP.0023200
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 5 Mansfield Grove Road
East Haven
CT 06512
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 1999-03-01
Expiration Date 2000-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
552040 1.034442 Physician/Surgeon 1995-05-05 1998-08-12 - 1999-08-31 INACTIVE

Office Location

Street Address 5 MANSFIELD GROVE ROAD
City EAST HAVEN
State CT
Zip Code 06512

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Amer Zeidan 5 Mansfield Grove Road, East Haven, CT 06512 Physician/surgeon 2020-05-01 ~ 2021-04-30
Frances Hubbell 5 Mansfield Grove Road, East Haven, CT 06512 Hairdresser/cosmetician 2015-01-01 ~ 2016-12-31
David J Schreibman Md 5 Mansfield Grove Road, East Haven, CT 06512 Physician/surgeon 2003-12-01 ~ 2005-01-31

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Toni Louise Montuori 44 Francis St, East Haven, CT 06512 Radiographer 2020-07-01 ~ 2021-06-30
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Niraliben N Patel 44 Columbus Ave, East Haven, CT 06512 Esthetician ~
Alyssa C Zordan 65 Francis Street, East Haven, CT 06512 Registered Nurse 2020-09-01 ~ 2021-08-31
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Competitor

Search similar business entities

City EAST HAVEN
Zip Code 06512
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + EAST HAVEN

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Marie-christin Longo Md 5 Mansfield Grove Rd #243, East Haven, CT 06512 Controlled Substance Registration for Practitioner 1999-03-01 ~ 2000-02-28
Stacey C Michael Dmd Michael Dental of Clinton, LLC, Clilnton, CT 06413 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
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Dataset Information

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).

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