SOE T. MAUNGLAY (Credential# 1049436) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2016. The license expiration date date is March 31, 2017. The license status is INACTIVE.
SOE T. MAUNGLAY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.050639. The credential type is physician/surgeon. The effective date is April 1, 2016. The expiration date is March 31, 2017. The business address is 1295 Barry Dr Suite B, Lapeer, MI 48446. The current status is inactive.
| Licensee Name | SOE T. MAUNGLAY |
| Credential ID | 1049436 |
| Credential Number | 1.050639 |
| Credential Type | Physician/Surgeon |
| Business Address |
1295 Barry Dr Suite B Lapeer MI 48446 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2012-02-24 |
| Effective Date | 2016-04-01 |
| Expiration Date | 2017-03-31 |
| Refresh Date | 2017-07-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1054396 | CSP.0052064 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2012-03-05 | 2015-03-01 - 2017-02-28 | INACTIVE |
| Street Address | 1295 Barry Dr Suite B |
| City | Lapeer |
| State | MI |
| Zip Code | 48446 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| North American Dismantling Corporation | Po Box 307, Lapeer, MI 48446 | Demolition Contractor | 2020-04-01 ~ 2021-03-31 |
| Towana L Ernst | 3648 Genesee Road, Lapeer, MI 48446 | Registered Nurse | 2001-07-13 ~ 2002-06-30 |
| Jennifer A Patreka | 3691 Lakeshore Drive, Lapeer, MI 48446 | Registered Nurse | 2001-10-29 ~ 2002-12-31 |
| Michael R Welch | 1208 Wiltshire Ct, Lapeer, MI 48446 | Electrical Unlimited Journeyperson | ~ |
| Molly Dow | 1104 Wilson Dr, Lapeer, MI 48446-2934 | Registered Nurse | 2018-12-01 ~ 2019-11-30 |
| Michael E Zielinski | 1794 N Lapeer Rd Ste A, Lapeer, MI 48446-7664 | Physician/surgeon | 2020-04-21 ~ 2020-08-31 |
| City | Lapeer |
| Zip Code | 48446 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Lapeer |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
| Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
| Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Nazanin Barzideh Md | North Shore Retina Physician, Pllc, East Hills, NY 11576 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
| Susan J Batlan Md | Eye Physician Associates of Hartford, West Hartford, CT 06107 | Physician/surgeon | 2000-07-27 ~ 2001-07-31 |
| Sajot S Grewal Md | Danbury Office of Physician Services PC, Danbury, CT 06810 | Physician/surgeon | 2004-01-30 ~ 2005-03-31 |
Please comment or provide details below to improve the information on SOE T. MAUNGLAY.
| 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).