FAWN MICHELLE LANGERMAN (Credential# 1621959) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2020. The license expiration date date is July 31, 2021. The license status is ACTIVE.
FAWN MICHELLE LANGERMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.062466. The credential type is physician/surgeon. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is 222 Grove St, North Conway, NH 03860-5309. The current status is active.
| Licensee Name | FAWN MICHELLE LANGERMAN |
| Credential ID | 1621959 |
| Credential Number | 1.062466 |
| Credential Type | Physician/Surgeon |
| Business Address |
222 Grove St North Conway NH 03860-5309 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-03-18 |
| Effective Date | 2020-08-01 |
| Expiration Date | 2021-07-31 |
| Refresh Date | 2020-06-24 |
| Street Address | 222 GROVE ST |
| City | NORTH CONWAY |
| State | NH |
| Zip Code | 03860-5309 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Arlene Mrozowski | 3073 White Mountain Highway, North Conway, NH 03860 | Controlled Substance Registration for Practitioner | 2013-04-02 ~ 2015-02-28 |
| Ruth B Mason | Box 582, North Conway, NH 03860 | Registered Nurse | 2013-06-01 ~ 2014-05-31 |
| Ginnette L Allen · Leonetti | 116 Samuel Hale Drive, North Conway, NH 03860 | Hairdresser/cosmetician | 2008-02-04 ~ 2010-02-28 |
| Virginia R Boucher | P O Box 3414, North Conway, NH 03860 | Hairdresser/cosmetician | 1994-03-30 ~ 1995-03-31 |
| David A Stevenson | P.o. Box 1856, North Conway, NH 03860 | Physician/surgeon | 1996-04-29 ~ 1997-04-30 |
| Wilma H Fogarty | 131 Boulder Ridge Rd, Hales Location, NH 03860 | Registered Nurse | 2006-05-23 ~ 2007-06-30 |
| Jenny Decilla | 51 Artist Falls Road, North Conway, NH 03860 | Hairdresser/cosmetician | 2007-01-08 ~ 2008-11-30 |
| H Edmund Bergeron | Po Box 440, N Conway, NH 03860 | Professional Engineer | 2012-02-01 ~ 2013-01-31 |
| Leo M Kenney | Po Box 3, North Conway, NH 03860 | Chiropractor | 2010-07-01 ~ 2011-06-30 |
| Nancy L Mason | Po Box 582, North Conway, NH 03860-0582 | Registered Nurse | 1992-04-24 ~ 1993-04-30 |
| Find all Licenses in zip 03860 | |||
| City | NORTH CONWAY |
| Zip Code | 03860 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NORTH CONWAY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Leonard Lev | 55 Fawn Run, Glastonbury, CT 06033-4168 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Margaret Wright | 36 Fawn Dr, Cheshire, CT 06410 | Physician/surgeon | 1995-09-12 ~ 1996-10-31 |
| Ali Masud | 30 Fawn Ridge, Millwood, NY 10546 | Physician/surgeon | 2018-11-01 ~ 2019-10-31 |
| Patricia M Camuto | 30 Fawn Road, Easton, CT 06612 | Physician/surgeon | 2017-12-01 ~ 2018-11-30 |
| Elliot M Michel | 102 Fawn Meadow Ct, Pittsburgh, PA 15238 | Physician/surgeon | 1996-11-01 ~ 1997-12-31 |
| Susanne Shrader Md | 12 Fawn Brk, West Hartford, CT 06117-1032 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Krishan L Gupta | 16 Fawn Lane, Armonk, NY 10504 | Physician/surgeon | 2014-06-01 ~ 2015-05-31 |
| Joseph M Civetta Md | 12 Fawn Brk, West Hartford, CT 06117-1032 | Physician/surgeon | 2012-06-01 ~ 2013-05-31 |
| Joshua A Stein Md | 11 Fawn Brk, West Hartford, CT 06117 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Charles F Miller | 17103 Fawn Eagle, San Antonio, TX 78248-1576 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Please comment or provide details below to improve the information on FAWN MICHELLE LANGERMAN.
| 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).