MICHAL SENITKO (Credential# 1490972) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is June 24, 2015. The license expiration date date is June 30, 2021. The license status is ACTIVE.
MICHAL SENITKO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.059074-RES. The credential type is resident physician. The effective date is June 24, 2015. The expiration date is June 30, 2021. The business address is 404 Bedford Pl, Brandon, MS 39047-4532. The current status is active.
Licensee Name | MICHAL SENITKO |
Credential ID | 1490972 |
Credential Number | 1.059074-RES |
Credential Type | Resident Physician |
Credential SubCategory | RES |
Business Address |
404 Bedford Pl Brandon MS 39047-4532 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2015-06-24 |
Effective Date | 2015-06-24 |
Expiration Date | 2021-06-30 |
Refresh Date | 2020-05-27 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1269030 | CSP.0059574 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-07-14 | 2015-07-14 - 2017-02-28 | INACTIVE |
Street Address | 404 BEDFORD PL |
City | BRANDON |
State | MS |
Zip Code | 39047-4532 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Shannon Gilligan | 220 Turtle Lande, Brandon, MS 39047 | Registered Nurse | ~ |
Jennifer Gayle Eaglebarger | 113 Meadowview Ridge, Brandon, MS 39047 | Advanced Practice Registered Nurse | 2019-03-11 ~ 2020-03-31 |
Lauren D Mott | 1014 Chardonnay Circle, Brandon, MS 39047 | Registered Nurse | 2016-04-01 ~ 2017-03-31 |
Edward R Hansen | Po Box 4063, Brandon, MS 39047 | Professional Engineer | 2003-03-03 ~ 2004-01-31 |
Kristi L Speights | 378 Lakeway Dr, Brandon, MS 39047 | Registered Nurse | 2002-05-20 ~ 2003-05-31 |
Carla J Guidry | 426 Abbeywoods, Brandon, MS 39047 | Registered Nurse | 2002-08-27 ~ 2003-09-30 |
Cynthia M Nelson | 317 Lakeside Dr, Brandon, MS 39047 | Registered Nurse | 2001-08-20 ~ 2002-06-30 |
Dana K Burcham | 353 Evergreen Way, Brandon, MS 39047 | Registered Nurse | 2004-12-21 ~ 2006-01-31 |
Daniel A Savell | 130 Chesapeake Ave, Brandon, MS 39047 | Registered Nurse | 2002-11-29 ~ 2003-12-31 |
Sandra K Cockrell | 138 Willow Oak Drive, Brandon, MS 39047 | Registered Nurse | 2001-09-13 ~ 2002-08-31 |
Find all Licenses in zip 39047 |
City | BRANDON |
Zip Code | 39047 |
License Type | Resident Physician |
License Type + County | Resident Physician + BRANDON |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Michal A Kidacki | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-06-24 ~ 2021-06-30 |
Tova Michal Gardin | 20 York St Tompkins 2, Room 226, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
Michal Ufniarz · Michal Construction | 49 Hurley Commons, Bristol, CT 06010-5220 | Home Improvement Contractor | 2012-12-01 ~ 2013-11-30 |
Michal Construction LLC | 49 Hurley Commons, Bristol, CT 06010-5220 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
Michal Nowak | 174 Linden St Apt E3, New Haven, CT 06511-2463 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
Michal Lementowski | 2 Eastgate Ave Ste 103, Monessen, PA 15062-1392 | Physician/surgeon | 2016-10-01 ~ 2017-09-30 |
Michal R Kaczor Md | 733 Broadway Apt 208, Albany, NY 12207-2345 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Michal Savcenko | 18 Horizon Pt, Frisco, TX 75034-6840 | Physician/surgeon | 2013-03-06 ~ 2014-01-31 |
Michal Obrzut | 32-36 Harrison St, Johnson City, NY 13790-2181 | Physician/surgeon | 2011-04-01 ~ 2012-03-31 |
Michal E Kulon | 214 Sturges Ridge Rd, Wilton, CT 11733-3801 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
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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).