MICHAEL O'HAGAN PA-C (Credential# 1003771) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is June 24, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.
MICHAEL O'HAGAN PA-C is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0050525. The credential type is controlled substance registration for practitioner. The effective date is June 24, 2011. The expiration date is February 28, 2013. The business address is 172 Upper Grand St, Highland, NY 12528-1047. The current status is inactive.
| Licensee Name | MICHAEL O'HAGAN PA-C |
| Credential ID | 1003771 |
| Credential Number | CSP.0050525 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
172 Upper Grand St Highland NY 12528-1047 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2011-06-24 |
| Effective Date | 2011-06-24 |
| Expiration Date | 2013-02-28 |
| Refresh Date | 2014-07-24 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 990432 | 23.002580 | Physician Assistant | 2011-05-23 | 2011-05-23 - 2011-12-31 | INACTIVE |
| Street Address | 172 UPPER GRAND ST |
| City | HIGHLAND |
| State | NY |
| Zip Code | 12528-1047 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Philip Alexis Wolin | 22 Dogwood Knoll, Highland, NY 12528 | Registered Nurse | 2020-05-15 ~ 2020-09-30 |
| Dean Rivers Pa | 30 Toc Drive, Highland, NY 12528 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
| Paolo Nardi | 222 Plutarch Rd, New Paltz, NY 12528 | Tax Preparer/facilitator Permit | 2020-02-11 ~ 2022-02-28 |
| Vivian J Lee | 9 Emerson Terrace, Highland, NY 12528 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Mark A Stier | 7 Arden Dr, Highland, NY 12528 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Amodh K Nirala | 26 Tano Drive, Highland, NY 12528 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| John Declair | 64 Ose Rd, Highland, NY 12528 | Home Improvement Salesperson | 2015-12-01 ~ 2016-11-30 |
| Angeline Taylor | 365 Crescent Avenue, Highland, NY 12528 | Notary Public Appointment | 1998-08-28 ~ 2003-08-31 |
| Nankumar Dindial | 83 Glen Rock Cir, Highland, NY 12528 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Phyllis R Bessman | 16 Woodside Place, Highland, NY 12528 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Find all Licenses in zip 12528 | |||
| City | HIGHLAND |
| Zip Code | 12528 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + HIGHLAND |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Matilda N. Hagan Md | 132 1st St, Hamden, CT 06514 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Oladunni S Idowu-adedeji | 15 Hagan St, Providence, RI 02904-1217 | Controlled Substance Registration for Practitioner | ~ |
| Lauren K O'hagan | Dept of Graduate Medicine - 6 South, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Stacey C Michael Dmd | Michael Dental of Clinton, LLC, Clilnton, CT 06413 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michael K Hwang Dmd | Michael K Hwang, Dmd, LLC, East Hartford, CT 06108 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michael A Mcgourty Pa | 56 Oak St, Middletown, RI 02842-4945 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Michael Ring Md | Hartford, CT 06105 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Michael X Lee | 64 Robbins St, Waterbury, CT 06708 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Michael Reisman Dds | 128 Lee Dr, Southington, CT 06489 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michael M Talty Pa | Wingdale, NY 12594 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
Please comment or provide details below to improve the information on MICHAEL O'HAGAN PA-C.
| 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).