MICHAEL DZUBATY MD (Credential# 538644) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 18, 1999. The license expiration date date is March 31, 2000. The license status is INACTIVE.
MICHAEL DZUBATY MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.006278. The credential type is physician/surgeon. The effective date is March 18, 1999. The expiration date is March 31, 2000. The business address is 522 Ocean Ave, West Haven, CT 06516. The current status is inactive.
| Licensee Name | MICHAEL DZUBATY MD |
| Credential ID | 538644 |
| Credential Number | 1.006278 |
| Credential Type | Physician/Surgeon |
| Business Address |
522 Ocean Ave West Haven CT 06516 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1949-10-13 |
| Effective Date | 1999-03-18 |
| Expiration Date | 2000-03-31 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 151498 | CSP.0003227 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 - 2000-02-28 | INACTIVE | |
| 154705 | CSP.0014212 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1996-05-08 - 1997-02-28 | INACTIVE | |
| 154727 | CSP.0014230 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1994-11-02 - 1996-06-01 | INACTIVE |
| Street Address | 522 OCEAN AVE |
| City | WEST HAVEN |
| State | CT |
| Zip Code | 06516 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nancy Cabrera Salinas | 649 Third Ave., West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-07-31 |
| Lauralee L Gaglio | 27 Peppermill Drive, West Haven, CT 06516 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Evelyn Ruiz Conant | 309 Terrace Ave, Unit 42, West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Junqin Wang | 15 Central Ave West Haven, West Haven, CT 06516 | Nail Technician | ~ |
| Mehmet Sofuoglu Md | Va Conn Healthcare System, West Haven, CT 06516 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Monica M Skakacz | 19 Cowpen Rd, West Haven, CT 06516 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Lourdes Maribel Guzman | 26 York Street, West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Mcdonald's · Tay Mac Dba | 1129 Campbell Ave, West Haven, CT 06516 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Dyaija Soriano | 29 Ridge Court East, West Haven, CT 06516 | Esthetician | 2020-06-26 ~ 2022-05-31 |
| Katherine M Grable | 13 Perry Merrill Drive, West Haven, CT 06516 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06516 | |||
| City | WEST HAVEN |
| Zip Code | 06516 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WEST HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tanya M Dzubaty | 522 Ocean Ave., West Haven, CT 06516 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Michael E Blefeld | 495 Rt. 184, Groton, CT 06340 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Michael A. Contillo | 73 Market St, Yonkers, NY 10710-7602 | Physician/surgeon | ~ |
| Michael P Goldman | 15 Elm Pl, Greenwich, CT 06830-6615 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Michael D Greenaway | 446 Rte #81, Killingworth, CT 06419 | Physician/surgeon | 2014-10-01 ~ 2015-09-30 |
| Michael J Kelly | Po Box 585, Salisbury, CT 06068-0585 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Michael D Gribetz | Po Box 650, New Hartford, NY 13413-0650 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Michael S Komarow | 755 2nd Ave Fl 2, New York, NY 10017-5977 | Physician/surgeon | 2013-04-01 ~ 2014-03-31 |
| Michael L May | P.o. Box 320757, Los Gatos, CA 95032 | Physician/surgeon | 2005-03-28 ~ 2006-04-30 |
| Michael B. Shapiro | 639 W End Ave, New York, NY 10025-7343 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
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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).