MICHEAL P HENDERSON MD (Credential# 559327) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 30, 2004. The license expiration date date is April 30, 2005. The license status is INACTIVE.
MICHEAL P HENDERSON MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.041744. The credential type is physician/surgeon. The effective date is April 30, 2004. The expiration date is April 30, 2005. The business address is 281 Willow St, New Haven, CT 06511. The current status is inactive.
| Licensee Name | MICHEAL P HENDERSON MD |
| Credential ID | 559327 |
| Credential Number | 1.041744 |
| Credential Type | Physician/Surgeon |
| Business Address |
281 Willow St New Haven CT 06511 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2003-08-01 |
| Effective Date | 2004-04-30 |
| Expiration Date | 2005-04-30 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 357384 | CSP.0034418 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-02-29 - 2005-02-28 | INACTIVE |
| Street Address | 281 WILLOW ST |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Montessori School On Edgewood Inc. | 230 Edgewood Avenue, New Haven, CT 06511 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Therese Parks · Visel Drug Store | 264 Munson St, New Haven, CT 06511 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dazjia Monet Green | 115 Edgewood Ave Apt 64, New Haven, CT 06511 | Registered Nurse | 2020-06-27 ~ 2021-05-31 |
| Carol Yam | 343 Humphrey St, New Haven, CT 06511 | Registered Nurse | ~ |
| Marwan S Haddad | 38 Lincoln Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mary Lou Gaeta Md | 558 Chapel Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Cary M Tucker | 64 Bishop St, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Frank J Pannenborg | 505 Ellsworth Ave, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Crystal E Gooding | 26 Woodland Street, New Haven, CT 06511 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Kieran Jones | 260 Crown St Unit 1f, New Haven, CT 06511 | Registered Nurse | ~ |
| Find all Licenses in zip 06511 | |||
| City | NEW HAVEN |
| Zip Code | 06511 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Adam Micheal Coy | 2825 Oak Lawn Ave Unit 192749, Dallas, TX 75219-4688 | Physician/surgeon | 2020-06-05 ~ 2021-06-30 |
| Galen M Eversole | R & R Md, Henderson, NV 89074 | Physician/surgeon | 2011-11-01 ~ 2012-10-31 |
| Kimberly J Henderson | 24 State Rte. 727, Ansonia, CT 06401 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Jason S Henderson D O | 4 Farm Dr, Farmington, CT 06032 | Physician/surgeon | 2002-10-03 ~ 2003-08-31 |
| Cynthia B Malixi | 267 Buckskin St, Henderson, NV 89014 | Physician/surgeon | 1995-11-16 ~ 1996-10-31 |
| John R. Wohlwend | 12 Sankaty Cir, Henderson, NV 89052-6670 | Physician/surgeon | 2016-09-01 ~ 2017-08-31 |
| Ching-yi Yu | 2313 Rosendale Village Ave, Henderson, NV 89052-8731 | Physician/surgeon | 2012-04-01 ~ 2013-03-31 |
| Gary D More | 65 Teton Pines Drive, Henderson, NV 89014 | Physician/surgeon | 1997-10-20 ~ 1998-10-31 |
| Stephen E Solomon | 99 Callaway Circle, Henderson, NV 89074 | Physician/surgeon | 2012-02-06 ~ 2012-10-31 |
| David D Henderson | 135 Town St, East Haddam, CT 06423-1458 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Please comment or provide details below to improve the information on MICHEAL P HENDERSON MD.
| 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).