MICHAEL A LAVALLEE JR (Credential# 1152298) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
MICHAEL A LAVALLEE JR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.051963-DO. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 4 Shaws Cv, New London, CT 06320-4956. The current status is active.
Licensee Name | MICHAEL A LAVALLEE JR |
Credential ID | 1152298 |
Credential Number | 1.051963-DO |
Credential Type | Physician/Surgeon |
Credential SubCategory | DO |
Business Address |
4 Shaws Cv New London CT 06320-4956 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2013-05-23 |
Effective Date | 2020-05-01 |
Expiration Date | 2021-04-30 |
Refresh Date | 2020-02-10 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
537791 | CSP.0045950 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2009-09-14 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 4 SHAWS CV |
City | NEW LONDON |
State | CT |
Zip Code | 06320-4956 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jonathan L Levine Md | 4 Shaws Cv Ste 204, New London, CT 06320-4956 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Joseph Ombalsky Md | 4 Shaws Cv Ste 204/205, New London, CT 06320-4956 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Frank Mayeda Md | 4 Shaws Cv Ste 204, New London, CT 06320-4956 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Kate E Felter | 4 Shaws Cv Ste 204, New London, CT 06320-4956 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Paul R Bourguignon | Nemg, New London, CT 06320 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Stephan Nousiopoulos | 27 Alger Place, New London, CT 06320 | Architect | 2020-08-01 ~ 2021-07-31 |
Diana Elisabeth Cabrera-mora | 327 Montauk Avenue, New London, CT 06320 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-03-31 |
Yuhua Han | 18 Anthony Rd Apt H, New London, CT 06320 | Massage Therapist | ~ |
Empire Pizza · Empire Pizza LLC | 150 Broad St, New London, CT 06320 | Bakery | 2020-07-01 ~ 2021-06-30 |
Irene C Besser | 19 Hawthorne Dr, New London, CT 06320 | Licensed Nurse Midwife | 2020-09-01 ~ 2021-08-31 |
Robert F Gardner | 241 Crystal Ave, New London, CT 06320 | Home Improvement Salesperson | 2020-06-26 ~ 2020-11-30 |
Angie Alejandra Botero Castro | 14 Concord Court, Groton, CT 06320 | Master's Level Social Worker | ~ |
Kevin J O'reilly | 20 Parkway South, New London, CT 06320 | Psychologist | 2020-09-01 ~ 2021-08-31 |
Sonny's Market LLC | 324 Jefferson Ave, New London, CT 06320 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06320 |
City | NEW LONDON |
Zip Code | 06320 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + NEW LONDON |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Robert L Lavallee Jr | 20 Westfield Ave, Ansonia, CT 06401 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Jeffrey R Lavallee | 59 Sycamore St Ste 301, Glastonbury, CT 06033-4536 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Daniel F Lavallee · D & R Lavallee | 187 Allentown Rd, Terryville, CT 06786 | Home Improvement Contractor | 1995-12-01 ~ 1996-11-30 |
David R Lavallee · Lavallee Carpentry | 925 Oronoke Rd Unit 17d, Waterbury, CT 06708 | Home Improvement Contractor | 1996-01-17 ~ 1996-11-30 |
D & R Lavallee LLC | 187 Allentown Rd, Terryville, CT 06786 | New Home Construction Contractor | 2015-10-01 ~ 2017-09-30 |
Eric Lavallee · E F Lavallee Inc | 147 Barbotte, Lacolle Quebec Canada, J0J1J0 | Plumbing & Piping Unlimited Contractor | 2001-01-17 ~ 2001-10-31 |
Michael E Lavallee | 370 Lathrop Rd, Plainfield, CT 06374-2018 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Lavallee Construction LLC | 83 Rich Rd, North Grosvenordale, CT 06255 | Demolition Contractor | 2020-04-01 ~ 2021-03-31 |
Michael R Lavallee | 29 Fall Mountain Lake Road, Terryville, CT 06786 | Electrical Unlimited Contractor | 2013-10-01 ~ 2014-09-30 |
Lavallee Construction LLC | 83 Rich Rd, North Grovenordale, CT 06255 | New Home Construction Contractor | 2019-10-01 ~ 2021-09-30 |
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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).