CHRISTINE E MACKEN MD (Credential# 565136) 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.
CHRISTINE E MACKEN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.047554. The credential type is physician/surgeon. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is 55 Danbury Road, Wilton, CT 06897. The current status is active.
| Licensee Name | CHRISTINE E MACKEN MD |
| Credential ID | 565136 |
| Credential Number | 1.047554 |
| Credential Type | Physician/Surgeon |
| Business Address |
55 Danbury Road Wilton CT 06897 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2009-04-07 |
| Effective Date | 2020-08-01 |
| Expiration Date | 2021-07-31 |
| Refresh Date | 2020-05-08 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 446146 | CSP.0039819 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-10-25 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 55 Danbury Road |
| City | Wilton |
| State | CT |
| Zip Code | 06897 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Glenn Alan Macfarlane | 55 Danbury Road, Wilton, CT 06897 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sarojini C Kurra | 55 Danbury Road, Wilton, CT 06897 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicole Adara Case | 14 Middlebrook Farm Rd, Wilton, CT 06897 | Emergency Medical Technician | ~ |
| C B Tart | 105 Seeley Road, Wilton, CT 06897 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Matthew P Schmitt | 116 Borglum Rd, Wilton, CT 06897 | Home Improvement Contractor | 2020-06-18 ~ 2020-11-30 |
| Music On The Hill Inc | 48 New Canaan Road, Wilton, CT 06897 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Neelam Narula | 11 Glen Ridge, Wilton, CT 06897 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Katherine S Lewis | 43 Antler Lane, Wilton, CT 06897 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Steven Phillips | 944 Danbury Rd, Wilton, CT 06897 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Sally S Chao Md | 48 Saint Johns Rd, Wilton, CT 06897 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Christine M Tenore | 150 St Johns Road, Wilton, CT 06897 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Susan Lee | 200 Danbury Road, Apt 5, Wilton, CT 06897 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Find all Licenses in zip 06897 | |||
| City | Wilton |
| Zip Code | 06897 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Wilton |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Christine A Walsh | P.o.box 238, Douglaston, NY 11363 | Physician/surgeon | 2016-01-01 ~ 2016-12-31 |
| Christine J Lim | 111 Park St #4g, New Haven, CT 06511 | Physician/surgeon | 2005-12-23 ~ 2007-02-28 |
| Christine Cho Md | 116 Court St/#803, New Haven, CT 06511 | Physician/surgeon | 2004-03-05 ~ 2005-04-30 |
| Christine L Bilbrey | 181 Purchase St Apt 10, Rye, NY 10580-2145 | Physician/surgeon | 2015-02-25 ~ 2015-06-30 |
| Christine T Del Gaizo | 260 Main St, Islip, NY 11751 | Physician/surgeon | 1991-12-20 ~ 1992-12-31 |
| Christine Penso | Dept of Ob/gyn, New Haven, CT 06504 | Physician/surgeon | 1996-01-29 ~ 1997-02-28 |
| Christine E Waldron Do | 761 Main Ave, Norwalk, CT 06851 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Christine G Butler Md | 9 Everit St, New Haven, CT 06511 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Christine Nicoleau | 27 Bedell Rd, Katonah, NY 10536-3306 | Physician/surgeon | 2013-08-01 ~ 2014-07-31 |
| Christine M Chaput | 33 Canal St., Weatogue, CT 06089 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
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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).