MICHELE H JOHNSON (Credential# 555227) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
MICHELE H JOHNSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.037637. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 333 Cedar Street, New Haven, CT 06520-8042. The current status is active.
Licensee Name | MICHELE H JOHNSON |
Credential ID | 555227 |
Credential Number | 1.037637 |
Credential Type | Physician/Surgeon |
Business Address |
333 Cedar Street New Haven CT 06520-8042 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1999-04-02 |
Effective Date | 2020-05-01 |
Expiration Date | 2021-04-30 |
Refresh Date | 2020-03-24 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
216490 | CSP.0028323 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-06-09 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 333 CEDAR STREET |
City | NEW HAVEN |
State | CT |
Zip Code | 06520-8042 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Molly Elizabeth Mcadow | 333 Cedar Street, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Mamatha Punjala Md | 333 Cedar Street, New Haven, CT 06520-8051 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Katherine Nash | 333 Cedar Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Richard Bronen Md | 333 Cedar Street, New Haven, CT 06520-8042 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Dianne Lee | 333 Cedar Street, New Haven, CT 06520 | Resident Physician | 2017-07-01 ~ 2021-06-30 |
Lavanya Bellumkonda | 333 Cedar Street, New Haven, CT 06520-8017 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Zachary A Corbin | 333 Cedar Street, New Haven, CT 06520 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Engin Deniz Md | 333 Cedar Street, New Haven, CT 06510 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Daniel P Petrylak | 333 Cedar Street, New Haven, CT 06520 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Kelly May Werner | 333 Cedar Street, New Haven, CT 06520 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Find all Licenses in the same address |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Cicero Silva | Po Box 208042, New Haven, CT 06520-8042 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Thomas R Goodman | Yale University, New Haven, CT 06520-8042 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Marcus Conti | Dept of Diagnostic Radiology - Yale University, New Haven, CT 06520-8042 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Maryam Etesami | Po Box 208042, Yale Medicine, New Haven, CT 06520-8042 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
John C Chaloupka Md | Dept of Radiology/yale University, New Haven, CT 06520-8042 | Physician/surgeon | 2002-10-21 ~ 2003-11-30 |
Ferenc Czeyda-pommersheim | Po Box 208042, New Haven, CT 06520-8042 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Anne Mcb Curtis | Yale School of Medicine, New Haven, CT 06520-8042 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Chinar Omprakash Lath | Po Box 208042, New Haven, CT 06520-8042 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Jonathan L Killam | 333 Cedar St, New Haven, CT 06520-8042 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Jeffrey Weinreb Md | Po Box 208042, New Haven, CT 06520-8042 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Find all Licenses in zip 06520-8042 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Orchestra New England | P.o. Box 200123, New Haven, CT 06520 | Public Charity | 2019-06-01 ~ 2020-05-31 |
Catherine A Dinauer | 333 Cedar St., Fmb 131, New Haven, CT 06520 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Kofi Agyare Mensah | 300 Cedar Street, New Haven, CT 06520 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Kevin Huang | 330 Cedar Street, New Haven, CT 06520 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Mubdiul Imtiaz Ali | 300 Cedar St, Tac S425, New Haven, CT 06520 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Dr Akhil Khosla | 300 Cedar St, Tac S425 P.o. Box 208057, New Haven, CT 06520 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Scott N Gettinger Md | 333 Cedar St-yale Cancer Center, New Haven, CT 06520 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Lindsay Sarah Mcalpine | Yale -new Haven Hospital, New Haven, CT 06520 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
Michael Hurwitz | 333 Cedar St Www211, New Haven, CT 06520 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Patrick M Popiel | Yale University, Department of Ob/gyn, New Haven, CT 06520 | Resident Physician | 2017-07-01 ~ 2021-06-30 |
Find all Licenses in zip 06520 |
City | NEW HAVEN |
Zip Code | 06520 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + NEW HAVEN |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Michele E Gasiorowski-mauroy Md | 40 W Elm St, Greenwich, CT 06830-6425 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Michele L Rohr Md | 43 Greenfield Ave, Bronxville, NY 10708 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Michele J Feinberg Md | 8 Fairport Rd, Westport, CT 06880 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Michele Roberts | 44 Howard St, Paxton, MA 01612-1569 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
Michele Conlon | 29 Cheney Rd., Marlborough, CT 06447 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
Michele M Mahn | 7 Graniks Way, Suffern, NY 10901-3952 | Physician/surgeon | 2011-06-01 ~ 2012-05-31 |
Michele P Normandin | 305 Norfolk Rd, Litchfield, CT 06759-2528 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Michele A Spirko | 53 Concord Way, Amherst, MA 01002 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Michele Karim Md | 161 West 61 St Apt 104, New York, NY 10023 | Physician/surgeon | 2005-09-30 ~ 2006-09-30 |
Michele A Fahey | 155 Superior Avenue, Decatur, GA 30030-1814 | Physician/surgeon | 2002-03-18 ~ 2003-05-31 |
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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).