MICHAEL A LAVALLEE JR
Physician/surgeon


Address: 4 Shaws Cv, New London, CT 06320-4956

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.

Business Overview

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.

Basic Information

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

Other licenses

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

Office Location

Street Address 4 SHAWS CV
City NEW LONDON
State CT
Zip Code 06320-4956

Licenses in the same zip code

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

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Paul R Bourguignon Nemg, New London, CT 06320 Physician/surgeon 2020-07-01 ~ 2021-06-30
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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
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Competitor

Search similar business entities

City NEW LONDON
Zip Code 06320
License Type Physician/Surgeon
License Type + County Physician/Surgeon + NEW LONDON

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Dataset Information

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).

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