MICHELE M MCMAHON MD (Credential# 558847) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2011. The license expiration date date is March 31, 2012. The license status is INACTIVE.
MICHELE M MCMAHON MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.041264. The credential type is physician/surgeon. The effective date is April 1, 2011. The expiration date is March 31, 2012. The business address is 118 Shady Brooke Circle, St Simons Island, GA 31522. The current status is inactive.
Licensee Name | MICHELE M MCMAHON MD |
Credential ID | 558847 |
Credential Number | 1.041264 |
Credential Type | Physician/Surgeon |
Business Address |
118 Shady Brooke Circle St Simons Island GA 31522 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2003-03-26 |
Effective Date | 2011-04-01 |
Expiration Date | 2012-03-31 |
Refresh Date | 2012-07-03 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
338181 | CSP.0033447 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2009-03-01 - 2011-02-28 | INACTIVE |
Street Address | 118 Shady Brooke Circle |
City | St Simons Island |
State | GA |
Zip Code | 31522 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Rebecca Anne Robinson | 301 Plantation Chase, Saint Simons Island, GA 31522 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
Lorraine Davis | 900 Wimbledon Dr, St Simons Island, GA 31522 | Real Estate Salesperson | 1997-09-26 ~ 1998-05-31 |
Cathead Landing Development Inc | 123 Marina Dr, St Simons Island, GA 31522 | Interstate Land Sales Registration | 2009-07-17 ~ 2009-12-31 |
Thomas E Runyan | 311 Carnoustie Street, St. Simons Island, GA 31522 | Physician/surgeon | 2010-11-01 ~ 2011-10-31 |
L Vincent Claps | 109 Augusta, St Simons Island, GA 31522 | Physician/surgeon | 1995-12-08 ~ 1995-12-31 |
Stacey L Perler | 850 Mallory St, Saint Simons Island, GA 31522 | Registered Nurse | ~ 1995-12-31 |
George M Matuch | P.o. Box 24359, St Simons Island, GA 31522 | Dentist | 2004-03-02 ~ 2004-12-31 |
Chris A Rose | 225 Park Circle, St Simons Is, GA 31522 | Hairdresser/cosmetician | 1992-02-24 ~ 1993-02-28 |
Ernest J Steinhilber | 103 Enclave Lane, St. Simons, GA 31522 | Physician/surgeon | 2003-02-10 ~ 2003-12-04 |
Kathleen M Kelly | 145 Meadows Drive, St Simons Island, GA 31522 | Registered Nurse | 1994-09-23 ~ 1995-11-30 |
Find all Licenses in zip 31522 |
City | St Simons Island |
Zip Code | 31522 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + St Simons Island |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Martin J Krauthamer | 8 Mcmahon Ln, Westport, CT 06880-1039 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
Kevin D Mcmahon | 546 So Broad St, Meriden, CT 06450 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
Joseph A Mcmahon | 26 Downer St, Pawcatuck, CT 06379 | Physician/surgeon | 1991-06-27 ~ 1992-05-31 |
Sean Robert Mcmahon | 246 Kingswood Dr, Avon, CT 06001-3182 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
David F Mcmahon | 29 Puritan Lane, Swampscott, MA 09107 | Physician/surgeon | 1997-02-06 ~ 1998-02-28 |
Gregory Charles Mcmahon | 2001 Hamilton St Apt 1029, Philadelphia, PA 19130-4211 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Michele Mcmahon | 1084 Hodges Way, Stone Mountain, GA 30087 | Registered Nurse | 1996-08-07 ~ 1997-08-31 |
Michele Karim Md | 161 West 61 St Apt 104, New York, NY 10023 | Physician/surgeon | 2005-09-30 ~ 2006-09-30 |
Michele J Feinberg Md | 8 Fairport Rd, Westport, CT 06880 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Michele M Mahn | 7 Graniks Way, Suffern, NY 10901-3952 | Physician/surgeon | 2011-06-01 ~ 2012-05-31 |
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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).