JOSEPH EUGENE FLACK (Credential# 1469676) 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.
JOSEPH EUGENE FLACK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.060195. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 135 Forest Glen Rd, Longmeadow, MA 01106-1116. The current status is active.
| Licensee Name | JOSEPH EUGENE FLACK |
| Credential ID | 1469676 |
| Credential Number | 1.060195 |
| Credential Type | Physician/Surgeon |
| Business Address |
135 Forest Glen Rd Longmeadow MA 01106-1116 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-04-03 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-02-10 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1503333 | CSP.0067727 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-04-09 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 135 FOREST GLEN RD |
| City | LONGMEADOW |
| State | MA |
| Zip Code | 01106-1116 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jonathan P Longo | 109 Forest Glen Rd, Longmeadow, MA 01106-1116 | Home Improvement Contractor | 2015-03-04 ~ 2015-11-30 |
| Leslie Clement | 87 Forest Glen Rd, Longmeadow, MA 01106-1116 | Real Estate Broker | 2008-03-26 ~ 2009-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael S Caronna | 24 Chandler Ave, Longmeadow, MA 01106 | Registered Sanitarian | 2020-09-01 ~ 2021-08-31 |
| Susan Helen Templeton | 146 Pleasantview Avenue, Longmeadow, MA 01106 | Registered Nurse | ~ |
| Brittany Moreland | 103 Birchwood Ave, Longmeadow, MA 01106 | Real Estate Salesperson | 2020-06-22 ~ 2021-05-31 |
| Krystyna Olczuk | 158 Tanglewood Dr, Longmeadow, MA 01106 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Susan M Neville | 43 Lincoln Road, Longmeadow, MA 01106 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Kate E Schoenberger | 91 Williston Dr, Longmeadow, MA 01106 | Paramedic | 2020-09-01 ~ 2021-08-31 |
| Bryant E Ostrander | 52 Whitmun Road, Longmeadow, MA 01106 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Minsook Ku | 23 Herbert Street, Longmeadow, MA 01106 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-12 ~ 2022-01-31 |
| Lily Schneider | 160 Captain Rd, Longmeadow, MA 01106 | Emergency Medical Technician | ~ |
| Kimberly Marie Maynard | 175 Franklin Road, Longmeadow, MA 01106 | Psychologist | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 01106 | |||
| City | LONGMEADOW |
| Zip Code | 01106 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + LONGMEADOW |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Charles Flack | Ohs 3rd Fl, San Bernadino, CA 92415 | Physician/surgeon | 1993-09-23 ~ 1994-07-31 |
| Eugene Joseph Fontenot Jr | 53 Brian Lane, Avon, CT 06001 | Physician/surgeon | 1999-11-12 ~ 2001-01-31 |
| Ahrens, Flack & Co., LLC | 200 West Main St, Stamford, CT 06902 | Certified Public Accountant Firm Permit | 1998-01-01 ~ 1998-12-31 |
| John A. Flack, Cpa | 1117 East Putnam Ave. #398, Riverside, CT 06870 | Certified Public Accountant Firm Permit | 2004-01-01 ~ 2004-12-31 |
| Flack & Kurtz | Box 304 Candlewood Isle, New Fairfield, CT 06812 | Professional Engineer | 1994-12-30 ~ 1996-01-31 |
| Eugene Kim | 615 W 131st St Fl 3, New York, NY 10027-7922 | Physician/surgeon | ~ |
| Eugene F Lawlor IIi | Po Box 9, Unionville, CT 06085 | Physician/surgeon | 2003-10-21 ~ 2004-11-30 |
| Eugene A Burke | 270 Jay St, Brooklyn, NY 11201 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Eugene M Wasserman Md | 1 Theall Rd, Rye, NY 10580 | Physician/surgeon | 2008-02-14 ~ 2009-03-31 |
| Eugene J D'adamo | 33 Cedar St, Rye, NY 10580 | Physician/surgeon | 1996-09-05 ~ 1997-08-31 |
Please comment or provide details below to improve the information on JOSEPH EUGENE FLACK.
| 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).