MICHAEL JOSEPH ELLIS (Credential# 1669685) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
MICHAEL JOSEPH ELLIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.064219-DO. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 47 Barberie Ave, Highlands, NJ 07732-1517. The current status is active.
| Licensee Name | MICHAEL JOSEPH ELLIS |
| Credential ID | 1669685 |
| Credential Number | 1.064219-DO |
| Credential Type | Physician/Surgeon |
| Credential SubCategory | DO |
| Business Address |
47 Barberie Ave Highlands NJ 07732-1517 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-09-11 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-05-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 2002823 | CSP.0073082 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2020-01-29 | 2020-01-29 - 2021-02-28 | ACTIVE |
| Street Address | 47 BARBERIE AVE |
| City | HIGHLANDS |
| State | NJ |
| Zip Code | 07732-1517 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cornelius J Guiney | 1 Scenic Drive, Highlands, NJ 07732 | Certified General Real Estate Appraiser | 2019-05-01 ~ 2020-04-30 |
| Andrew Robert Stockton | 31 Grand Tour, Highlands, NJ 07732 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Denise Whalen | 14-1 Beach Boulevard, Highland, NJ 07732 | Notary Public Appointment | 2006-03-06 ~ 2011-03-31 |
| Michael Larrauri | 205 Shore Dr, Highlands, NJ 07732 | Real Estate Salesperson | 2006-07-26 ~ 2007-05-31 |
| Robert F Wright Jr | 255 Shore Dr #24, Highlands, NJ 07732 | Real Estate Salesperson | 2004-06-01 ~ 2005-05-31 |
| Amy K Shrewsbury | 6 Locust St, Highlands, NJ 07732-1009 | Hairdresser/cosmetician | 2020-03-01 ~ 2022-02-28 |
| Frederick W Teschke · The Radio Exchange | 330 Shore Dr # E-8, Highlands, NJ 07732-1145 | Tv & Radio Antenna Installation & Repair Dealer | ~ |
| Jacob Fry | 47 Twinlights Ter, Highlands, NJ 07732-1862 | Architect | 2020-01-02 ~ 2020-07-31 |
| Jessica Lynn Sousa | 200 Portland Rd Apt D-2, Highlands, NJ 07732-1933 | Licensed Practical Nurse | 2015-01-01 ~ 2015-12-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Renee J Derese | 1113 S Main St, Highlands, TX 77562-4241 | Registered Nurse - Temporary | 2013-12-07 ~ 2014-04-05 |
| Jon M Burroughs | 984 Twin Lakes Dr, Highlands, NC 28741 | Temporary Certified General Real Estate Appraiser | 2001-04-12 ~ 2001-10-04 |
| City | HIGHLANDS |
| Zip Code | 07732 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + HIGHLANDS |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael W Joseph | 7 S View Terrace, Old Saybrook, CT 06475 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Joseph Michael Wiener | 62 Cooper Sq Apt 4b, New York, NY 10003-7101 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Joseph Michael Pober | 975 Park Avenue, New York, NY 10028 | Physician/surgeon | ~ |
| Joseph Michael Wentzell | 2201 Minnesota Avenue, Anacortes, WA 98221 | Physician/surgeon | 1984-01-03 ~ 1987-09-30 |
| Joseph Michael Rozell | 11995 Singletree Lane, Eden Prairie, MN 55344 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Michael Joseph Vecchione | 1768 Business Center Drive, Reston, VA 20190 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Richard A Fraser | 5 Ellis Ct, Rye, NY 10580 | Physician/surgeon | 2010-12-01 ~ 2011-11-30 |
| Scott Ellis | 523 E 72nd St Fl 5, New York, NY 10021-4099 | Physician/surgeon | ~ |
| James H Ellis | 103 N Redbud Ct, Mahomet, IL 61853-9284 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Peter J Ellis Md | 34 Autumn St, New Haven, CT 06511-2221 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
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| 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).