MICHAEL O'SULLIVAN (Credential# 1488730) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2013. The license expiration date date is June 30, 2019. The license status is INACTIVE.
MICHAEL O'SULLIVAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.058125-RES. The credential type is resident physician. The effective date is July 1, 2013. The expiration date is June 30, 2019. The business address is 109 S Main St Apt C6, West Hartford, CT 06107-2527. The current status is inactive.
| Licensee Name | MICHAEL O'SULLIVAN |
| Credential ID | 1488730 |
| Credential Number | 1.058125-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
109 S Main St Apt C6 West Hartford CT 06107-2527 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - INACTIVE |
| Issue Date | 2013-07-01 |
| Effective Date | 2013-07-01 |
| Expiration Date | 2019-06-30 |
| Refresh Date | 2019-07-01 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1175779 | CSP.0055620 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-07-25 | 2017-03-01 - 2019-02-28 | LAPSED |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael O'sullivan | 9 Pell Mell Dr, Bethel, CT 06801 | Home Improvement Contractor | ~ 1995-12-01 |
| Street Address | 109 S MAIN ST APT C6 |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06107-2527 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Olive Ntege | 109 S Main St Apt C9, West Hartford, CT 06107-2527 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
| Melissa M. Clineburg | 109 S Main St Apt C10, West Hartford, CT 06107-2527 | Speech and Language Pathologist | 2010-10-01 ~ 2011-10-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rebecca L Stansfield | 73 Tunxis Road, West Hartford, CT 06107 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Kumari Joshi | 44 Bentwood Rd, West Hartford, CT 06107 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Laurie C Caines Md | 205 Stoner Drive, West Hartford, CT 06107 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Nicole K. Edlund | 11 Greenacres Avenue, West Hartford, CT 06107 | Master's Level Social Worker - Temporary Permit | ~ |
| Andrea M Yuliano | 39 Mountain Terrace Road, West Hartford, CT 06107 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Elizabeth M Ineson | 4 Linwold Dr, West Htfd, CT 06107 | Architect | 2020-08-01 ~ 2021-07-31 |
| Sarah G Potter | 19 Westland Ave, West Hartford, CT 06107 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Jessica C Abreu | 14 Deepwood Lane, West Hartford, CT 06107 | Real Estate Salesperson | 2020-06-18 ~ 2021-05-31 |
| William C Richter | 67 Hillsboro Drive, West Hartford, CT 06107 | Architect | 2020-08-01 ~ 2021-07-31 |
| Teresa M Stanton | 25 Common Dr., West Hartford, CT 06107 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06107 | |||
| City | WEST HARTFORD |
| Zip Code | 06107 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + WEST HARTFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael J Sullivan · Michael Sullivan Masonry | 4 Whippoorwill Rd, Old Lyme, CT 06371 | Home Improvement Contractor | 1995-11-28 ~ 1996-11-30 |
| John Stephen Sullivan | 38 Crown St Apt 310, New Haven, CT 06510-3354 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Marie Sullivan | 1 Hospital Plaza, Stamford, CT 06902 | Resident Physician | 2020-07-01 ~ 2024-06-30 |
| Phelan E Maruca-sullivan | 83 Vineyard Rd, New Haven, CT 06517-1637 | Resident Physician | 2017-07-01 ~ 2021-06-30 |
| Allison Mary Stuppy-sullivan | 20 York St, New Haven, CT 06510 | Resident Physician | 2018-07-01 ~ 2020-06-30 |
| Michael Sullivan LLC | 343 Hopmeadow St, Simsbury, CT 06089 | Home Improvement Contractor | 2000-12-04 ~ 2001-11-30 |
| Michael N Sullivan LLC | 343 Hopmeadow St, Westogue, CT 06089 | Home Improvement Contractor | 2006-06-22 ~ 2006-11-30 |
| Kelsey E Sullivan | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2019-07-01 ~ 2024-06-30 |
| Michael K Sullivan | 17 Sayles Ave, Lincoln, RI 02865-2133 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Michael Sullivan Construction LLC | 127 Military Hwy, Gales Ferry, CT 06335-1820 | Home Improvement Contractor | 2017-06-12 ~ 2017-11-30 |
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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).