GEOFFREY M MUKWAYA (Credential# 559560) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
GEOFFREY M MUKWAYA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.041978. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 15 Fawnwood Rd, Sandy Hook, CT 06482. The current status is active.
| Licensee Name | GEOFFREY M MUKWAYA |
| Credential ID | 559560 |
| Credential Number | 1.041978 |
| Credential Type | Physician/Surgeon |
| Business Address |
15 Fawnwood Rd Sandy Hook CT 06482 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2003-11-10 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 413020 | CSP.0037956 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-08-11 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 15 FAWNWOOD RD |
| City | SANDY HOOK |
| State | CT |
| Zip Code | 06482 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Catherine A D'aquila | 4 Fleetwood Drive, Sandy Hook, CT 06482 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Deanna M Galanis | 9 Riverside Road, Sandy Hook, CT 06482 | Eyelash Technician | 2020-06-26 ~ 2022-02-28 |
| Bruce J Kerns | 42 Great Quarter Rd, Sandy Hook, CT 06482 | Veterinarian | 2020-06-01 ~ 2021-05-31 |
| Nancy B Sheehan | 6 Clearview Drive, Sandy Hook, CT 06482 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
| Elisa A Keenan | 8 Farview Dr, Sandy Hook, CT 06482 | Licensed Practical Nurse | 2020-04-01 ~ 2021-03-31 |
| Children's Adventure Center Inc. | 14 Riverside Road, Sandy Hook, CT 06482 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Linda J Wallace | 80 Walnut Tree Hill, Sandy Hook, CT 06482 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Gina E Long | 35 Poplar Drive, Sandy Hook, CT 06482 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Phillip M Lombardo | 42 Berkshire Road, Sandy Hook, CT 06482 | Real Estate Salesperson | 2020-06-15 ~ 2021-05-31 |
| Robert D Mitchell | 71 Osborn Hill Rd, Sandy Hook, CT 06482 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06482 | |||
| City | SANDY HOOK |
| Zip Code | 06482 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + SANDY HOOK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Geoffrey A Allen | 145 Cottage St B-1, New Haven, CT 06511 | Physician/surgeon | 1996-08-23 ~ 1997-08-31 |
| Geoffrey M Murrish | P.o Box #320757, Los Gatos, CA 95032 | Physician/surgeon | 2018-08-01 ~ 2019-07-31 |
| Ian Geoffrey Wittman | 301 E 17th St, New York, NY 10003 | Physician/surgeon | 2018-02-16 ~ 2019-02-28 |
| Geoffrey A Agrons | 23 Norwood Ave, Kensington, CA 94707 | Physician/surgeon | 2015-04-01 ~ 2016-03-31 |
| Geoffrey Etherington II | 302 Route 81, Killingworth, CT 06419 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Geoffrey W Ndeto | 36 Franklin Avenue, Rosemont, PA 19010 | Physician/surgeon | ~ 1995-09-30 |
| Geoffrey C Achonu | 30 Davenport Avenue, New Rochelle, NY 10805 | Physician/surgeon | 2004-02-02 ~ 2005-01-31 |
| Geoffrey H Hammond | Post Office Box 695, Danville, CA 94526 | Physician/surgeon | 1997-06-06 ~ 1998-05-31 |
| Geoffrey R Kaump | 7 Warner Rd, North Haven, CT 06473-3532 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Geoffrey J Gottlieb | 30 Lake Mansfield Rd, Great Barrington, MA 01230-1019 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
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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).