MICHAEL RAYMOND GREEN (Credential# 1214637) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license expiration date date is November 30, 1989. The license status is INACTIVE.
MICHAEL RAYMOND GREEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.026109. The credential type is physician/surgeon. The expiration date is November 30, 1989. The business address is 331 Bread and Cheese Hollow Rd, Northport, NY 11768-2610. The current status is inactive.
| Licensee Name | MICHAEL RAYMOND GREEN |
| Credential ID | 1214637 |
| Credential Number | 1.026109 |
| Credential Type | Physician/Surgeon |
| Business Address |
331 Bread and Cheese Hollow Rd Northport NY 11768-2610 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1985-01-23 |
| Expiration Date | 1989-11-30 |
| Refresh Date | 2014-04-01 |
| Street Address | 331 BREAD AND CHEESE HOLLOW RD |
| City | NORTHPORT |
| State | NY |
| Zip Code | 11768-2610 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ryan L Kleinkopf | 21 Lorraine Court, Northport, NY 11768 | Emergency Medical Technician | ~ |
| Michael A Memoli | 51 Heights Rd, Northport, NY 11768 | Professional Engineer | 2014-02-01 ~ 2015-01-31 |
| Kenneth W Bossung | 88 Laurel Hill Road, Northport, NY 11768 | Professional Engineer | 2014-02-01 ~ 2015-01-31 |
| Grace Brown | 19 Essex Drive, Northport, NY 11768 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Margaret Clare Ward | 112 Lisa Drive, Northport, NY 11768 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| David J Mastanduno | 11 Winkle Point Dr, Northport, NY 11768 | Interior Designer | 2020-01-01 ~ 2020-12-31 |
| John V Catapano | 46 Brookfield Road, Fort Salonga, NY 11768 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Robert A Peterson | 22 Beverly Court, Northport, NY 11768 | Architect | 2019-08-01 ~ 2020-07-31 |
| Tracy Margaret Thorn | 78 Mar-man Drive, Northport, NY 11768 | Registered Nurse | ~ |
| Eric S Postal | 30 Allenby Drive, Northport, NY 11768 | Physician/surgeon | 2018-03-01 ~ 2019-02-28 |
| Find all Licenses in zip 11768 | |||
| City | NORTHPORT |
| Zip Code | 11768 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NORTHPORT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael E Bush | 6 Green Lane, Norwalk, CT 06850 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Michael L Green Md | 367 Cedar Street, New Haven, CT 06510 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Michael E Smith Md | 6 Lower Green, Lancaster, PA 17602 | Physician/surgeon | 2019-07-01 ~ 2020-06-30 |
| Michael E Nottidge Md | 718 Green Hill Boulevard, Brentwood, TN 37027 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Raymond J Anton Md | Raymond J. Anton, M.d., Russell, MA 01071 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Yu-hui Lee | 7-11 Green St Apt 4a, Metuchen, NJ 08840-2411 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Stephanie Green Md | 2 Fox Den Way, Woodbridge, CT 06525 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Kang Lu | 72 Green St, Athol, MA 01331-2603 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Matthew Raymond | 340 N Main St, Southington, CT 06489-2529 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Raymond R Marsh Md | 83 Grennan Rd, W Hartford, CT 06107 | Physician/surgeon | 1997-01-14 ~ 1998-03-31 |
Please comment or provide details below to improve the information on MICHAEL RAYMOND GREEN.
| 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).