MICHAEL D GREENAWAY (Credential# 542521) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2014. The license expiration date date is September 30, 2015. The license status is INACTIVE.
MICHAEL D GREENAWAY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.017749. The credential type is physician/surgeon. The effective date is October 1, 2014. The expiration date is September 30, 2015. The business address is 446 Rte #81, Killingworth, CT 06419. The current status is inactive.
Licensee Name | MICHAEL D GREENAWAY |
Credential ID | 542521 |
Credential Number | 1.017749 |
Credential Type | Physician/Surgeon |
Business Address |
446 Rte #81 Killingworth CT 06419 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1976-07-16 |
Effective Date | 2014-10-01 |
Expiration Date | 2015-09-30 |
Refresh Date | 2016-01-03 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
160352 | CSP.0018481 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2011-03-01 - 2013-02-28 | INACTIVE |
Street Address | 446 RTE #81 |
City | KILLINGWORTH |
State | CT |
Zip Code | 06419 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Rajendra K Bobba | 39 Buell Hill Rd, Killingworth, CT 06419 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Deborah M Cabral | 61 Little Cty Rd, Killingworth, CT 06419 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Cheryl Dickson Toman | 16 Cedar Drive, Killingworth, CT 06419 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
Nanci S Coleman | 9 Buell Hill Rd., Killingworth, CT 06419 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Sondra D Arbona | 21 Robin Ln, Killingworth, CT 06419 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Lisa R Barbour | 32 Boulder Trail, Killingworth, CT 06419 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
Barbara K Irzyk | 12 Warwickshire Dr., Killingworth, CT 06419 | Speech and Language Pathologist | 2020-09-01 ~ 2021-08-31 |
Diane Shauk Shuir | 184 Route 81 Bldg2, Killingworth, CT 06419 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-20 ~ 2022-05-31 |
Yvonne Bradley | 42 Fawn Hill Road, Killingworth, CT 06419 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
Staci L Petroskey | 140 Little City Road, Killingworth, CT 06419 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 06419 |
City | KILLINGWORTH |
Zip Code | 06419 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + KILLINGWORTH |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Michael Grasso | 3 Keane Ct, Rye, NY 10580-1144 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Michael J Lombino | 80 E Putnant Ave, Cos Cob, CT 06807 | Physician/surgeon | 2012-12-01 ~ 2013-11-30 |
Michael B. Shapiro | 639 W End Ave, New York, NY 10025-7343 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
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 Levitz | 291 Wickham Rd, Glastonbury, CT 06033 | Physician/surgeon | ~ |
Michael D Fox | 165 Walnut St, Willimantic, CT 06226-2308 | Physician/surgeon | 1976-05-28 ~ 1981-10-31 |
Michael Yuz | P.o. Box 1395, Medford, NJ 08055 | Physician/surgeon | 2011-07-01 ~ 2012-06-30 |
Michael L May | P.o. Box 320757, Los Gatos, CA 95032 | Physician/surgeon | 2005-03-28 ~ 2006-04-30 |
Michael R O'brien | 110 Avon St Apt 1, New Haven, CT 06511-2423 | Physician/surgeon | ~ |
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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).