MICHAEL J STAGNER (Credential# 985948) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 20, 2011. The license expiration date date is March 31, 2012. The license status is INACTIVE.
MICHAEL J STAGNER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.049865. The credential type is physician/surgeon. The effective date is May 20, 2011. The expiration date is March 31, 2012. The business address is 390 Greenway Dr, Kingman, AZ 86401-3965. The current status is inactive.
| Licensee Name | MICHAEL J STAGNER |
| Credential ID | 985948 |
| Credential Number | 1.049865 |
| Credential Type | Physician/Surgeon |
| Business Address |
390 Greenway Dr Kingman AZ 86401-3965 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2011-05-20 |
| Effective Date | 2011-05-20 |
| Expiration Date | 2012-03-31 |
| Refresh Date | 2012-07-03 |
| Street Address | 390 GREENWAY DR |
| City | KINGMAN |
| State | AZ |
| Zip Code | 86401-3965 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Geoffrey Lane Schroder | 1732 Motor Ave, Kingman, AZ 86401 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| New Life Clinics | 5536 N. Copper Canyon Wy, Kingman, AZ 86401 | Public Charity | 2007-06-01 ~ 2008-05-31 |
| Phyllis R Jordan | 1841 Davis Ave, Kingman, AZ 86401 | Licensed Practical Nurse | 1998-01-14 ~ 1999-02-28 |
| Cristita E Nagsuban · Strera | 3350 Harrison Street, Kingman, AZ 86401 | Registered Nurse | 1996-09-26 ~ 1997-10-31 |
| Tasha R Inturrisi · Gibson | 2365 Northfield Avenue, Kingman, AZ 86401 | Licensed Practical Nurse | 2005-09-02 ~ 2006-08-31 |
| Vincent N Miles Md | 7849 S Hawk Rd, Kingman, AZ 86401-4774 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Carol E Tarquinio | 600 Rawhide Dr, Kingman, AZ 86401-7285 | Physical Therapist | 2013-03-12 ~ 2014-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stephanie Smith | 3880 Stockton Hill Rd Ste 103-175, Kingman, AZ 86409 | Registered Nurse | 2019-03-19 ~ 2019-09-30 |
| Michael T Moore | Po Box 6056, Kingman, AZ 86402-6056 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Lisa Anne Spann | 1041 Astor Ave Apt 1, Kingman, AZ 86409-3903 | Registered Nurse | 2011-02-01 ~ 2012-01-31 |
| Linda J Butler | 3880 Stockton Hill Rd # 103-159, Kingman, AZ 86409-0595 | Registered Nurse | ~ |
| Jeanette R Eakerns | 960 Palo Verde Drive, Kingman, AZ 86104 | Registered Nurse | 2006-04-03 ~ 2007-03-31 |
| Donald G. Leschnik | P.o. Box #6742, Kingman, AZ 86402 | Pharmacist | 1999-02-01 ~ 2000-01-31 |
| Luisa O'connor | Po Box 6056, Kingman, AZ 86402-6056 | Pharmacy Technician | 2020-04-01 ~ 2021-03-31 |
| City | KINGMAN |
| Zip Code | 86401 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + KINGMAN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael F Salvana | P.o.box 233, Lee Center, NY 13363-0233 | Physician/surgeon | 2006-08-11 ~ 2007-08-31 |
| Michael W Berg | Rr 3 Box 175, Los Fresnos, TX 78566 | Physician/surgeon | 2003-12-22 ~ 2005-02-28 |
| Michael G Myers | Los Gatos, CA 95032 | Physician/surgeon | 2018-07-01 ~ 2019-06-30 |
| Michael Schwartz | Stamford, CT 06903-2828 | Physician/surgeon | 2013-01-01 ~ 2013-12-31 |
| Michael D Gribetz | Po Box 650, New Hartford, NY 13413-0650 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Michael D Greenaway | 446 Rte #81, Killingworth, CT 06419 | Physician/surgeon | 2014-10-01 ~ 2015-09-30 |
| Michael E Tom | 926 Quinnipiac Ave Apt 9, New Haven, CT 06513-3349 | Physician/surgeon | 2012-06-01 ~ 2013-05-31 |
| Michael D Savarese | P.o.box 142, Roxbury, CT 06783-0142 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Michael E Ripps | 344 Third Ave, New York, NY 10010 | Physician/surgeon | 2011-08-01 ~ 2012-07-31 |
| Michael E Perkins | 79 Doe Run, Tolland, CT 06084 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Please comment or provide details below to improve the information on MICHAEL J STAGNER.
| 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).