MICHELLE M BARNETT MD (Credential# 354148) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is February 29, 2004. The license expiration date date is February 28, 2005. The license status is INACTIVE.
MICHELLE M BARNETT MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0034267. The credential type is controlled substance registration for practitioner. The effective date is February 29, 2004. The expiration date is February 28, 2005. The business address is 69 Eastland Rd, Longmeadow, MA 01106. The current status is inactive.
| Licensee Name | MICHELLE M BARNETT MD |
| Credential ID | 354148 |
| Credential Number | CSP.0034267 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
69 Eastland Rd Longmeadow MA 01106 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 2004-02-29 |
| Expiration Date | 2005-02-28 |
| Refresh Date | 2009-01-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 559515 | 1.041932 | Physician/Surgeon | 2003-10-17 | 2003-10-17 - 2004-08-31 | INACTIVE |
| Street Address | 69 EASTLAND RD |
| City | LONGMEADOW |
| State | MA |
| Zip Code | 01106 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael S Caronna | 24 Chandler Ave, Longmeadow, MA 01106 | Registered Sanitarian | 2020-09-01 ~ 2021-08-31 |
| Susan Helen Templeton | 146 Pleasantview Avenue, Longmeadow, MA 01106 | Registered Nurse | ~ |
| Brittany Moreland | 103 Birchwood Ave, Longmeadow, MA 01106 | Real Estate Salesperson | 2020-06-22 ~ 2021-05-31 |
| Krystyna Olczuk | 158 Tanglewood Dr, Longmeadow, MA 01106 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Susan M Neville | 43 Lincoln Road, Longmeadow, MA 01106 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Kate E Schoenberger | 91 Williston Dr, Longmeadow, MA 01106 | Paramedic | 2020-09-01 ~ 2021-08-31 |
| Bryant E Ostrander | 52 Whitmun Road, Longmeadow, MA 01106 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Minsook Ku | 23 Herbert Street, Longmeadow, MA 01106 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-12 ~ 2022-01-31 |
| Lily Schneider | 160 Captain Rd, Longmeadow, MA 01106 | Emergency Medical Technician | ~ |
| Kimberly Marie Maynard | 175 Franklin Road, Longmeadow, MA 01106 | Psychologist | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 01106 | |||
| City | LONGMEADOW |
| Zip Code | 01106 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + LONGMEADOW |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hy V Phan Md | 23 Barnett St C22, New Haven, CT 06515 | Controlled Substance Registration for Practitioner | 2013-05-07 ~ 2015-02-28 |
| Aditi Madabvushi | 32 Barnett St, New Haven, CT 06515-2047 | Controlled Substance Registration for Practitioner | 2009-04-13 ~ 2011-02-28 |
| Suparna Dutta Md | 23 Barnett St Apt C2, New Haven, CT 06515 | Controlled Substance Registration for Practitioner | 2008-07-31 ~ 2009-02-28 |
| Jessica A Rosen | 32 Barnett St D22, New Haven, CT 06515 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Naciye Mulayim Md | 28 Barnett St #b22, New Haven, CT 06915 | Controlled Substance Registration for Practitioner | 2003-04-22 ~ 2004-02-28 |
| Rahil R Jummani Md | 32 Barnett St Apt D2, New Haven, CT 06515 | Controlled Substance Registration for Practitioner | 2004-04-05 ~ 2005-02-28 |
| Julio E Pena | 34 Barnett St Apt E1, New Haven, CT 06515-2059 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Yaron B Gesthalter | 19 Barnett St Apt E2, New Haven, CT 06515-2045 | Controlled Substance Registration for Practitioner | 2011-04-14 ~ 2013-02-28 |
| Efrat Rosenthal | 19 Barnett St Apt E2, New Haven, CT 06515-2045 | Controlled Substance Registration for Practitioner | 2011-05-04 ~ 2013-02-28 |
| Jessica L Barnett Pa | 61 Jenta Lane, Watertown, CT 06795 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
Please comment or provide details below to improve the information on MICHELLE M BARNETT MD.
| 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).