MICHAEL MITTELMANN (Credential# 540504) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2011. The license expiration date date is October 31, 2012. The license status is INACTIVE.
MICHAEL MITTELMANN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.012846. The credential type is physician/surgeon. The effective date is November 1, 2011. The expiration date is October 31, 2012. The business address is 1531 Harvest Lane, Wall, NJ 08736-2215. The current status is inactive.
| Licensee Name | MICHAEL MITTELMANN |
| Credential ID | 540504 |
| Credential Number | 1.012846 |
| Credential Type | Physician/Surgeon |
| Business Address |
1531 Harvest Lane Wall NJ 08736-2215 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1967-05-24 |
| Effective Date | 2011-11-01 |
| Expiration Date | 2012-10-31 |
| Refresh Date | 2013-02-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 147551 | CSP.0005761 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1995-12-15 - 1997-02-28 | INACTIVE |
| Street Address | 1531 Harvest Lane |
| City | Wall |
| State | NJ |
| Zip Code | 08736-2215 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Thomas B Bauer | 82 Pearce Ave, Manasquan, NJ 08736 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Cindy Ann Fay | 171 South Street, Manasquan, NJ 08736 | Professional Counselor | 2020-05-11 ~ 2021-03-31 |
| David J Mantone | 54 Virginia Ave, Manasquan, NJ 08736 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Jason L Fichter | 1913 Atlantic Ave, Wall Township, NJ 08736 | Professional Engineer | 2018-02-01 ~ 2019-01-31 |
| Heather L Nice | 2547 River Rd, Wall, NJ 08736 | Registered Nurse | 2019-08-01 ~ 2020-07-31 |
| John F Hudak | 1363 Winter View Rd, Manasquan, NJ 08736 | Real Estate Salesperson | 2006-10-19 ~ 2007-05-31 |
| Thomas S Corcoran | 15 Willow Way, Manasquan, NJ 08736 | Professional Engineer | 2009-03-06 ~ 2010-01-31 |
| Keith G Heuer | 1507 W Atlantic Ave, Manasquan, NJ 08736 | Electrical Unlimited Journeyperson | ~ |
| George Aloysius | C/o Merritt Lane IIi Cpa, Manasquan, NJ 08736 | Certified Public Accountant Certificate | ~ |
| Karen M Neilson | 1112 Hillcrest Path, Manasquan, NJ 08736 | Physical Therapist | 2010-09-01 ~ 2011-08-31 |
| Find all Licenses in zip 08736 | |||
| City | Wall |
| Zip Code | 08736 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Wall |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Suzanne Mittelmann | 98 Mountain Rd, West Hartford, CT 06107-2920 | Real Estate Broker | 2013-01-17 ~ 2013-03-31 |
| Michael Levitz | 291 Wickham Rd, Glastonbury, CT 06033 | Physician/surgeon | ~ |
| Michael E Perkins | 79 Doe Run, Tolland, CT 06084 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Michael J Lombino | 80 E Putnant Ave, Cos Cob, CT 06807 | Physician/surgeon | 2012-12-01 ~ 2013-11-30 |
| Michael W Berg | Rr 3 Box 175, Los Fresnos, TX 78566 | Physician/surgeon | 2003-12-22 ~ 2005-02-28 |
| M Michael Eisenberg | 36 E 72 St Apt #2n, New York, NY 10021 | Physician/surgeon | 2007-01-19 ~ 2008-01-31 |
| Michael L May | P.o. Box 320757, Los Gatos, CA 95032 | Physician/surgeon | 2005-03-28 ~ 2006-04-30 |
| Michael F Salvana | P.o.box 233, Lee Center, NY 13363-0233 | Physician/surgeon | 2006-08-11 ~ 2007-08-31 |
| Michael S Komarow | 755 2nd Ave Fl 2, New York, NY 10017-5977 | Physician/surgeon | 2013-04-01 ~ 2014-03-31 |
| Michael Grasso | 3 Keane Ct, Rye, NY 10580-1144 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Please comment or provide details below to improve the information on MICHAEL MITTELMANN.
| 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).