RAYMOND F MACIONUS (Credential# 540920) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 2, 2005. The license expiration date date is October 31, 2006. The license status is INACTIVE.
RAYMOND F MACIONUS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.013962. The credential type is physician/surgeon. The effective date is September 2, 2005. The expiration date is October 31, 2006. The business address is 520 Saybrook Rd, Middletown, CT 06457. The current status is inactive.
Licensee Name | RAYMOND F MACIONUS |
Credential ID | 540920 |
Credential Number | 1.013962 |
Credential Type | Physician/Surgeon |
Business Address |
520 Saybrook Rd Middletown CT 06457 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1969-08-11 |
Effective Date | 2005-09-02 |
Expiration Date | 2006-10-31 |
Refresh Date | 2009-07-08 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
148914 | CSP.0000236 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-03-01 | 2005-03-01 - 2006-02-28 | INACTIVE |
Street Address | 520 SAYBROOK RD |
City | MIDDLETOWN |
State | CT |
Zip Code | 06457 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jonathan S Aranow Md | 520 Saybrook Rd, Middletown, CT 06457 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Dana Ufnal Kivlin | 520 Saybrook Rd, Middletown, CT 06457-4700 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Peter S Romeyn | 520 Saybrook Rd, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Timothy C. Siegrist Md | 520 Saybrook Rd, Middletown, CT 06457-4700 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
John Rogan Md | 520 Saybrook Rd, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Kiran Pandey Md | 520 Saybrook Rd, Middletown, CT 06457 | Physician/surgeon | 2008-05-29 ~ 2009-07-31 |
Alan E Bernstein Md | 520 Saybrook Rd, Middletown, CT 06457 | Physician/surgeon | 2000-01-21 ~ 2001-03-31 |
David M Renison Md | 520 Saybrook Rd, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 1998-03-01 ~ 1999-02-28 |
Herbert A Kaufmann | 520 Saybrook Rd, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 1993-11-16 ~ 1995-12-01 |
Richard Campbell-jacobs | 520 Saybrook Rd, Middletown, CT 06457 | Physician/surgeon | 1992-09-24 ~ 1993-10-31 |
Find all Licenses in the same address |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Elizabeth M Mailhot | 177 Timber Ridge Rd, Middletown, CT 06457 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
Rebecca S Fennessy | 22 Keefe Ln, Middletown, CT 06457 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
Eloise M Gagnon | 538 Bow Lane, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
Salvatore Dimauro | 245 Dekoven Dr, Middletown, CT 06457 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
Frank L Wright | 261 Spencer Dr, Middletown, CT 06457 | Barber | 2020-08-01 ~ 2022-07-31 |
Gino A Cardella | 50 Sonoma Lane, Middletown, CT 06457 | Real Estate Salesperson | ~ |
Shannon Lee Mcquillan | 5 Forest Glen Circle, Middletown, CT 06457 | Registered Nurse | 2020-06-26 ~ 2020-09-30 |
Lori Dimauro · Carta | 244 Chamberlain Hill Road, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
Gail A Corrow | 85 Dora Dr, Middletown, CT 06457 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Mariter V Perez | 8 Moss Glen, Middletown, CT 06457 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06457 |
City | MIDDLETOWN |
Zip Code | 06457 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + MIDDLETOWN |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Raymond J Anton Md | Raymond J. Anton, M.d., Russell, MA 01071 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Raymond R Marsh Md | 83 Grennan Rd, W Hartford, CT 06107 | Physician/surgeon | 1997-01-14 ~ 1998-03-31 |
Raymond Iannaccone | 25 Oakwood Rd, Allendale, NJ 07401-2100 | Physician/surgeon | 2014-05-01 ~ 2015-04-30 |
Matthew Raymond | 340 N Main St, Southington, CT 06489-2529 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Raymond A Gaito Sr | 255 The Esplanade, Venice, FL 34285 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Raymond R Russell IIi | 333 Cedar St # 3, New Haven, CT 06510-3206 | Physician/surgeon | 2017-06-01 ~ 2018-05-31 |
Raymond Magauran | 275 Bicentennial Hwy, Springfield, MA 01118-1900 | Physician/surgeon | 2017-12-01 ~ 2018-11-30 |
Robert Swotinsky | 21 Raymond Rd, Sudbury, MA 01776-3444 | Physician/surgeon | 2016-08-01 ~ 2017-07-31 |
Raymond M Cole | 49 Lake Ave, Greenwich, CT 06830 | Physician/surgeon | 1995-02-06 ~ 1996-04-30 |
Raymond E Winicki Md | 171 Grandview Ave Ste 201, Waterbury, CT 06708 | 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).