MICHAEL MOLLOY (Credential# 2015550) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 8, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
MICHAEL MOLLOY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.065443. The credential type is physician/surgeon. The effective date is May 8, 2020. The expiration date is April 30, 2021. The business address is 19210 N 39th Way, Phoenix, AZ 85050-6349. The current status is active.
Licensee Name | MICHAEL MOLLOY |
Credential ID | 2015550 |
Credential Number | 1.065443 |
Credential Type | Physician/Surgeon |
Business Address |
19210 N 39th Way Phoenix AZ 85050-6349 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2020-05-08 |
Effective Date | 2020-05-08 |
Expiration Date | 2021-04-30 |
Refresh Date | 2020-05-11 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
2044284 | CSP.0073987 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2020-05-12 | 2020-05-12 - 2021-02-28 | ACTIVE |
Street Address | 19210 N 39TH WAY |
City | PHOENIX |
State | AZ |
Zip Code | 85050-6349 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Erica Elizabeth Mckenzie | 3602 E. Monona Drive, Phoenix, AZ 85050 | Pharmacist | 2018-02-01 ~ 2020-01-31 |
Jane E Dalen | 3229 E. Marco Polo Road, Phoenix, AZ 85050 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
Scott Raby | 21862 N 40th St, Phoenix, AZ 85050 | Home Improvement Salesperson | 2020-01-02 ~ 2020-11-30 |
Olga Vallone | 4006 E Rockwood Dr, Phoenix, AZ 85050 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
Urszula H Kotlow | 21001 N. Tatum Blvd, Suite 1630, #277, Phoenix, AZ 85050 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
Stacey L Denmark | 20219 North 33rd Place, Phoenix, AZ 85050 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
Maria F Meadows | 20660 N 40th St, Pheonix, AZ 85050 | Real Estate Salesperson | 2017-01-11 ~ 2017-05-31 |
Eric D. Engstrom | 22206 N. 36th Way, Phoenix, AZ 85050 | Certified Public Accountant License | 2006-02-07 ~ 2006-12-31 |
Da-cheng Lee | 21150 N Tatum Blvd Apt 4014, Phoenix, AZ 85050 | Engineer-in-training | 2003-09-09 ~ 2013-09-09 |
Michael Marranca Jr | 3920 East Quail Ave, Phoenix, AZ 85050 | Physician Assistant | 2012-08-01 ~ 2013-07-31 |
Find all Licenses in zip 85050 |
City | PHOENIX |
Zip Code | 85050 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + PHOENIX |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Robert J Molloy | 41 Harwood Ave, Harwich, MA 02645 | Physician/surgeon | 1994-06-06 ~ 1995-05-31 |
Peter M Molloy | 38 Spring St, Noank, CT 06340 | Physician/surgeon | 2010-09-01 ~ 2011-08-31 |
Edward M Molloy | 575 Fairfield Beach Rd, Fairfield, CT 06824-6740 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
Molloy & Son LLC | 47 Flat Swamp Rd, Newtown, CT 06470 | Home Improvement Contractor | 2001-12-01 ~ 2002-11-30 |
Philip J Molloy · P J Molloy Roofing Services | 376 Founders Rd, Glastonbury, CT 06033 | Home Improvement Contractor | 2007-12-01 ~ 2008-11-30 |
Michael J Molloy | 44 Fox Run Rd, Madison, CT 06443 | Emergency Medical Technician | 2008-09-24 ~ 2010-07-01 |
Michael L Molloy | 125 College Hwy, Southwick, MA 01077 | Heating, Piping & Cooling Unlimited Journeyperson | 2016-09-01 ~ 2017-08-31 |
Michael E Blefeld | 495 Rt. 184, Groton, CT 06340 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
V Subramoni | 8 Michael Way, Pennington, NJ 08534 | Physician/surgeon | 2000-08-18 ~ 2001-05-31 |
Michael E Perkins | 79 Doe Run, Tolland, CT 06084 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
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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).