MARY B MACKESSY MD (Credential# 563350) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
MARY B MACKESSY MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.045768. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 54 Tridell Drive, Plantsville, CT 06479. The current status is active.
| Licensee Name | MARY B MACKESSY MD |
| Credential ID | 563350 |
| Credential Number | 1.045768 |
| Credential Type | Physician/Surgeon |
| Business Address |
54 Tridell Drive Plantsville CT 06479 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2007-08-10 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-05-21 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 481754 | CSP.0042582 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2007-09-12 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 54 Tridell Drive |
| City | plantsville |
| State | CT |
| Zip Code | 06479 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kim E Graham | 54 Tridell Drive, Plantsville, CT 06479 | Hairdresser/cosmetician | 2020-04-01 ~ 2022-03-31 |
| Lisa M Warych | 54 Tridell Drive, Plantsville, CT 06479 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Karen Slonus | 9 Wilbur St, Plantsville, CT 06479 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Ann-kristin Friedrich | 77 Carter Lane, Plantsville, CT 06479 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Trevor Steskla | 1157 Marion Ave, Plantsville, CT 06479 | Heating, Piping & Cooling Limited Journeyperson | ~ |
| Rebecca L Fernandes | 29 Fleetwood Rd, Plantsville, CT 06479 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Pawan K Karanam | 33 Hubeny Drive, Plantsville, CT 06479 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Charles A Moss | 105 Roxbury Rd, Plantsville, CT 06479 | Architect | 2020-08-01 ~ 2021-07-31 |
| Marceille M Crookes | 30 Hillside Ave, Plantsville, CT 06479 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Lino L Gelada | 221 Burritt Street, Plantsville, CT 06479 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Tony's Restaurant & Pizza Palace | 1315 Meriden Wtby Rd, Plantsville, CT 06479 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Richard Oulundsen II | 924 Prospect Street, Plantsville, CT 06479 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Find all Licenses in zip 06479 | |||
| City | plantsville |
| Zip Code | 06479 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + plantsville |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mary C. Banda | 72 Lawrence Dr, Longmeadow, MA 01106-1618 | Physician/surgeon | ~ |
| Mary S D Ghaly | Po Box 483, Niantic, CT 06357 | Physician/surgeon | 2019-02-01 ~ 2020-01-31 |
| Jessica Mary Lee | 53 Sconset Ln, Guilford, CT 06437 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Mary K Smentek | 78 Olive St #318, New Haven, CT 06510 | Physician/surgeon | 2006-02-06 ~ 2007-02-28 |
| Mary L Newport | 22 Avonridge, Avon, CT 06001 | Physician/surgeon | 2011-02-01 ~ 2012-01-31 |
| Mary P Olsen | 16 Main St, Farmington, CT 06032-2230 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mary A Nicholas | 26 College St, Old Saybrook, CT 06475 | Physician/surgeon | 1992-06-25 ~ 1993-06-30 |
| Mary Fiel-gan | 7 Trumbull Ln, Farmington, CT 06032-3061 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Mary Fraga | 26 Clinton Ave, Westport, CT 06880 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Mary N Tenenbaum | 282 Perham St, Boston, MA 02132 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
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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).