MICHAEL BORNEMANN (Credential# 542451) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 13, 1995. The license expiration date date is July 31, 1996. The license status is INACTIVE.
MICHAEL BORNEMANN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.017563. The credential type is physician/surgeon. The effective date is October 13, 1995. The expiration date is July 31, 1996. The business address is 990 Kanakou Pl, Honolulu, HI 96825. The current status is inactive.
Licensee Name | MICHAEL BORNEMANN |
Credential ID | 542451 |
Credential Number | 1.017563 |
Credential Type | Physician/Surgeon |
Business Address |
990 Kanakou Pl Honolulu HI 96825 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1975-09-19 |
Effective Date | 1995-10-13 |
Expiration Date | 1996-07-31 |
Refresh Date | 2009-07-08 |
Street Address | 990 KANAKOU PL |
City | HONOLULU |
State | HI |
Zip Code | 96825 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Wendy L Farah | 7192 Kalanianaole Hwy Ste A143a #276, Honolulu, HI 96825 | Licensed Clinical Social Worker | 2019-12-01 ~ 2020-11-30 |
Mary Courtney Satterfield | 7000 Hawaii Kai Drive Ph306, Honolulu, HI 96825 | Registered Nurse | 2017-12-01 ~ 2018-11-30 |
Pamela E Newell | 444 Lunalilo Home Road, Honolulu, HI 96825 | Dental Hygienist | 2004-03-11 ~ 2005-03-31 |
Mary Ann Kraska | Po Box 25746, Honolulu, HI 96825-0746 | Registered Nurse | 2017-06-01 ~ 2018-05-31 |
Jennifer C Proctor | 309 Opihikao Pl, Honolulu, HI 96825-1129 | Engineer-in-training | ~ |
Cary D Douglass | 6600 Kalanianaole Hwy, Honolulu, HI 96825-1273 | Physician/surgeon | 1992-10-23 ~ 1993-09-30 |
Mary P Johnson | 960 Kailiu Pl, Honolulu, HI 96825-1346 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
Marya C Ugelow | 500 Lunlilo Home Rd Ph28g, Honolulu, HI 96825-1734 | Pharmacist | 2014-02-01 ~ 2016-01-31 |
Walter Y Uyesugi | 7938 Hawaii Kai Dr, Honolulu, HI 96825-2856 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
Bobbie Brooks | 1062 Hoa St, Honolulu, HI 96825-3511 | Registered Nurse | 2020-05-08 ~ 2020-10-31 |
Find all Licenses in zip 96825 |
City | HONOLULU |
Zip Code | 96825 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + HONOLULU |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Carl Bornemann Md | Beebe Hill Rd, Falls Village, CT 06031 | Physician/surgeon | 1999-03-15 ~ 2000-03-31 |
Bornemann Products Incorporated | 402 Industrial Dr, Bremen, IN 46506 | Manufacturer of Bedding & Upholstered Furniture | 1992-10-01 ~ 1993-09-30 |
Michael Levitz | 291 Wickham Rd, Glastonbury, CT 06033 | Physician/surgeon | ~ |
Michael E Ripps | 344 Third Ave, New York, NY 10010 | Physician/surgeon | 2011-08-01 ~ 2012-07-31 |
Michael E Blefeld | 495 Rt. 184, Groton, CT 06340 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Michael J Lombino | 80 E Putnant Ave, Cos Cob, CT 06807 | Physician/surgeon | 2012-12-01 ~ 2013-11-30 |
M Michael Eisenberg | 36 E 72 St Apt #2n, New York, NY 10021 | Physician/surgeon | 2007-01-19 ~ 2008-01-31 |
Michael D Fox | 165 Walnut St, Willimantic, CT 06226-2308 | Physician/surgeon | 1976-05-28 ~ 1981-10-31 |
Michael B. Shapiro | 639 W End Ave, New York, NY 10025-7343 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
Michael D Savarese | P.o.box 142, Roxbury, CT 06783-0142 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
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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).