MICHAEL W ROSEN MD (Credential# 540849) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2020. The license expiration date date is January 31, 2021. The license status is ACTIVE.
MICHAEL W ROSEN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.013758. The credential type is physician/surgeon. The effective date is February 1, 2020. The expiration date is January 31, 2021. The business address is 32 Mackay Farm Road, Woodbury, CT 06798. The current status is active.
| Licensee Name | MICHAEL W ROSEN MD |
| Credential ID | 540849 |
| Credential Number | 1.013758 |
| Credential Type | Physician/Surgeon |
| Business Address |
32 Mackay Farm Road Woodbury CT 06798 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1968-12-13 |
| Effective Date | 2020-02-01 |
| Expiration Date | 2021-01-31 |
| Refresh Date | 2019-11-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 151152 | CSP.0001958 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-03-01 - 2017-02-28 | INACTIVE |
| Street Address | 32 MACKAY FARM ROAD |
| City | WOODBURY |
| State | CT |
| Zip Code | 06798 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Russell J Hardy | 229 Bacon Pond Rd #114, Woodbury, CT 06798 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Geoffrey S Middeleer | 20 Roxbury Road, Woodbury, CT 06798 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Elaine P Templeton | 197 Carmel Hill Road, Woodbury, CT 06798 | Real Estate Salesperson | ~ |
| Ayrica L Gelinas | 65 Laurel Woods Road, Woodbury, CT 06798 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Christopher R Laux | Grey Fox Trail, Woodbury, CT 06798 | Architect | 2020-08-01 ~ 2021-07-31 |
| Diane L Robinson | P O Box 208, Woodbury, CT 06798 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Scott Freitag | 47 Woodbury Hill, Woodbury, CT 06798 | Medication Administration Certification | ~ |
| Brenda L Lupo | 31 Blueberry Lane, Woodbury, CT 06798 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jennifer L Thompson | 1280 Main St. North, Woodbury, CT 06798 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Eileen O Pflegl | 3 Hazel Plain Road, Woodbury, CT 06798 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Find all Licenses in zip 06798 | |||
| City | WOODBURY |
| Zip Code | 06798 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WOODBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael L Rosen | St. Francis Hospital, Hartford, CT 06100 | Physician/surgeon | 1982-05-05 ~ 1984-03-31 |
| Jeffrey D Rosen | P.o. Box 558, Ludlow, VT 05149 | Physician/surgeon | 2011-03-01 ~ 2012-02-29 |
| Jonathan Rosen | 139 Deer Run, Burlington, CT 06013 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Rick Rosen Md | 91 East Ave, Norwalk, CT 06851 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Eliot M Rosen | 45 Jefferson Rd, Branford, CT 06405 | Physician/surgeon | 1993-04-23 ~ 1994-05-31 |
| Daniel Joseph Rosen | 200 E 78th St Ste 1a, New York, NY 10075-2010 | Physician/surgeon | ~ |
| Harold Rosen | Med Ctr Delaware, Wilmington, DE 19899 | Physician/surgeon | 1993-10-25 ~ 1994-10-31 |
| Mitchell K Rosen | 15 Longview Lane, Chappaqua, NY 10514 | Physician/surgeon | 2002-06-28 ~ 2002-11-30 |
| Ari Rosen | 106 Upper Main Street, Sharon, CT 06069 | Physician/surgeon | 2002-09-26 ~ 2003-09-30 |
| Jennifer B Rosen | 146 Soundview Ave, White Plains, NY 10606 | Physician/surgeon | 2014-04-01 ~ 2015-03-31 |
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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).