MALCOLM A GALEN (Credential# 540822) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2014. The license expiration date date is May 31, 2015. The license status is INACTIVE.
MALCOLM A GALEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.013687. The credential type is physician/surgeon. The effective date is June 1, 2014. The expiration date is May 31, 2015. The business address is 8 Stonepost, Simsbury, CT 06070. The current status is inactive.
Licensee Name | MALCOLM A GALEN |
Credential ID | 540822 |
Credential Number | 1.013687 |
Credential Type | Physician/Surgeon |
Business Address |
8 Stonepost Simsbury CT 06070 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1968-11-08 |
Effective Date | 2014-06-01 |
Expiration Date | 2015-05-31 |
Refresh Date | 2015-09-03 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
152001 | CSP.0005341 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2008-03-01 - 2009-02-28 | INACTIVE |
Street Address | 8 Stonepost |
City | Simsbury |
State | CT |
Zip Code | 06070 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Henry Withers | 571 Hopmeadow St, Simsbury, CT 06070 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
Nancy W Flanagan | 9 Carver Circle, Simsbury, CT 06070 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
Catharina A Bates | 12 East View Dr., Simsbury, CT 06070 | Real Estate Salesperson | 2020-06-25 ~ 2021-05-31 |
Faith E Preato | 25 Squadron Line Rd, Simsbury, CT 06070 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Diane Bragoni | 542 Hopmeadow Street, #128, Simsbury, CT 06070 | Architect | 2020-08-01 ~ 2021-07-31 |
Virginia S Durst · Banks | 20 Woodcliff Drive, Simsbury, CT 06070 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
Caitlin M Cornier | 18 Saxton Brook Drive, Simsbury, CT 06070 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Nancy L Alleva · Maule | 1079 Hopmeadow St, Simsbury, CT 06070 | Respiratory Care Practitioner | 2020-09-01 ~ 2021-08-31 |
Stephen R Birghenti · Simsbury Inn | 397 Hopmeadow St, Simsbury, CT 06070 | Hotel Liquor (50000 Or More Population) | 2019-08-14 ~ 2020-12-13 |
Deborah L Poniatowski · Blase | 35 Munnisunk Dr, Simsbury, CT 06070 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06070 |
City | Simsbury |
Zip Code | 06070 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + Simsbury |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Roman A Klufas | 50 Galen Ct., Seekonk, MA 02771 | Physician/surgeon | ~ |
Galen M Eversole | R & R Md, Henderson, NV 89074 | Physician/surgeon | 2011-11-01 ~ 2012-10-31 |
Kenneth D Galen Md | Pmb #134, Las Vegas, NV 89117 | Physician/surgeon | 2014-11-01 ~ 2015-10-31 |
Galen F Maze Rothstein | 3544 Nw Astor St, Camas, WA 98607-8580 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
Malcolm S Edgar Jr | 410 Washington St, Norwich, CT 06360 | Physician/surgeon | 2000-01-10 ~ 2001-03-31 |
Malcolm K Johnson | 420 Jefferson Ave Apt 1, Brooklyn, NY 11221-1087 | Physician/surgeon | 2019-10-03 ~ 2020-09-30 |
Barjinder Darbhanga | 50 Malcolm St, Hamden, CT 06514 | Physician/surgeon | 2008-05-05 ~ 2009-05-31 |
Malcolm M Ellison | 960 Ocean Ave, New London, CT 06320 | Physician/surgeon | 1994-06-20 ~ 1995-08-31 |
Jing Liu | One Malcolm Avenue, Teterboro, NJ 07608 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
Xinzhu Pang | 1 Malcolm Ave, Teterboro, NJ 07608-1011 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
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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).