JOHN H MACHLEDT JR
Physician/surgeon


Address: 65 Beers Rd, Easton, CT 06612-1758

JOHN H MACHLEDT JR (Credential# 542294) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 4, 2019. The license expiration date date is December 31, 2020. The license status is ACTIVE.

Business Overview

JOHN H MACHLEDT JR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.017242. The credential type is physician/surgeon. The effective date is December 4, 2019. The expiration date is December 31, 2020. The business address is 65 Beers Rd, Easton, CT 06612-1758. The current status is active.

Basic Information

Licensee Name JOHN H MACHLEDT JR
Credential ID 542294
Credential Number 1.017242
Credential Type Physician/Surgeon
Business Address 65 Beers Rd
Easton
CT 06612-1758
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 1975-05-12
Effective Date 2019-12-04
Expiration Date 2020-12-31
Refresh Date 2020-03-18

Other licenses

ID Credential Code Credential Type Issue Term Status
148912 CSP.0004792 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2013-03-01 - 2015-02-28 INACTIVE

Office Location

Street Address 65 BEERS RD
City EASTON
State CT
Zip Code 06612-1758

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Competitor

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City EASTON
Zip Code 06612
License Type Physician/Surgeon
License Type + County Physician/Surgeon + EASTON

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Dataset Information

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).

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