MICHAEL J MEDVECKY MD (Credential# 557260) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2020. The license expiration date date is July 31, 2021. The license status is ACTIVE.
MICHAEL J MEDVECKY MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.039676. The credential type is physician/surgeon. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is 800 Howard Avenue, New Haven, CT 06520. The current status is active.
| Licensee Name | MICHAEL J MEDVECKY MD |
| Credential ID | 557260 |
| Credential Number | 1.039676 |
| Credential Type | Physician/Surgeon |
| Business Address |
800 Howard Avenue New Haven CT 06520 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2001-07-02 |
| Effective Date | 2020-08-01 |
| Expiration Date | 2021-07-31 |
| Refresh Date | 2020-05-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 281850 | CSP.0031164 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2001-07-16 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 800 HOWARD AVENUE |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06520 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ayse Sule Tinaz | 800 Howard Avenue, New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Peter Jokl | 800 Howard Avenue, New Haven, CT 06520 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Jennifer L Wong | 800 Howard Avenue, New Haven, CT 06519 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Jorge O Moreno | 800 Howard Avenue, New Haven, CT 06519 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Saral Mehra | 800 Howard Avenue, New Haven, CT 06520 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Daniel B Dicapua | 800 Howard Avenue, New Haven, CT 06519 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Dieter M Lindskog Md | 800 Howard Avenue, New Haven, CT 06520 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Haven Free Clinic | 800 Howard Avenue, New Haven, CT 06510 | Outpatient Clinic | 2017-02-14 ~ 2020-12-31 |
| James C Alex | 800 Howard Avenue, New Haven, CT 06520-1304 | Physician/surgeon | 2003-01-22 ~ 2004-03-31 |
| Kenneth B Briskin Md | 800 Howard Avenue, New Haven, CT 06520 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
| Find all Licenses in the same address | |||
| 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 |
|---|---|---|---|
| T Edward Medvecky II | 5 Ely Ave, South Norwalk, CT 06854 | Home Improvement Contractor | 2005-07-14 ~ 2005-11-30 |
| Janice H Medvecky | 106-18 Balance Rock Road, Seymour, CT 06483 | Hairdresser/cosmetician | 2008-07-24 ~ 2010-09-30 |
| Michael W Berg | Rr 3 Box 175, Los Fresnos, TX 78566 | Physician/surgeon | 2003-12-22 ~ 2005-02-28 |
| Michael Lynch Cummings | CT | Physician/surgeon | 1989-12-22 ~ |
| Michael P Goldman | 15 Elm Pl, Greenwich, CT 06830-6615 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Michael E Ripps | 344 Third Ave, New York, NY 10010 | Physician/surgeon | 2011-08-01 ~ 2012-07-31 |
| Michael Marchese | 31 Remove, Bronx, NY 10465 | Physician/surgeon | ~ |
| V Subramoni | 8 Michael Way, Pennington, NJ 08534 | Physician/surgeon | 2000-08-18 ~ 2001-05-31 |
| Michael D Savarese | P.o.box 142, Roxbury, CT 06783-0142 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Michael J Kelly | Po Box 585, Salisbury, CT 06068-0585 | 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).