MICHAEL UNDERWOOD MD (Credential# 545920) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
MICHAEL UNDERWOOD MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.026267. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 62 Basket Shop Road, Hebron, CT 06248. The current status is active.
| Licensee Name | MICHAEL UNDERWOOD MD |
| Credential ID | 545920 |
| Credential Number | 1.026267 |
| Credential Type | Physician/Surgeon |
| Business Address |
62 Basket Shop Road Hebron CT 06248 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1985-04-09 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-03-10 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 152322 | CSP.0013070 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 62 BASKET SHOP ROAD |
| City | HEBRON |
| State | CT |
| Zip Code | 06248 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ying Li | 44 Barbers Way, Hebron, CT 06248 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Joan B Pethigal | 331 West Street, Hebron, CT 06248 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Hunter Alexis Ralston | 46 Tannery Hill Ln, Hebron, CT 06248 | Professional Counselor Associate | ~ |
| Ashley L O'neill | 65 Slocum Rd, Hebron, CT 06248 | Master's Level Social Worker | ~ |
| Elaine R Kirchherr · Lauterwasser | 39 Scarboro Rd, Hebron, CT 06248 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Julie Blier | 49 Joel Drive, Hebron, CT 06248 | Notary Public Appointment | 2019-04-01 ~ 2024-03-31 |
| Gary Silva | 85 Jones St., Hebron, CT 06248 | Medication Administration Certification | 2018-06-20 ~ 2020-06-19 |
| Hengzhe An | 32 Main St,#4, Hebron, CT 06248 | Nail Technician | ~ |
| Serge P Arel | 22 Tannery Hill Lane, Hebron, CT 06248 | Architect | 2020-08-01 ~ 2021-07-31 |
| Christine A Mattson | 73 Jan Drive, Hebron, CT 06248 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06248 | |||
| City | HEBRON |
| Zip Code | 06248 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + HEBRON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael S Zimmerman | 2475 Underwood, Houston, TX 77030 | Physician/surgeon | 1992-01-23 ~ 1993-01-31 |
| Aida Mckellar | 2425 Underwood #260, Houston, TX 77030 | Physician/surgeon | 1994-09-20 ~ 1994-09-30 |
| Howard R Underwood | 830 W.montgomery Avenue 412, Bryn Mawr, PA 19010-3319 | Physician/surgeon | 2001-03-09 ~ 2002-03-31 |
| Michael Mcintosh | 49 Underwood Ct, Stratford, CT 06614-3739 | Home Improvement Contractor | 2016-06-07 ~ 2016-11-30 |
| Michael P Mikecz | S-44 W-25780 Underwood Ct, Waukesha, WI 53189 | Professional Engineer | 2010-02-01 ~ 2011-01-31 |
| Michael Underwood | 295 Arbutus St, Middletown, CT 06457 | Home Improvement Salesperson | 2000-10-10 ~ 2001-11-30 |
| Jeffrey S Lehman · Underwood Designs | 220 Rt 7 South, Falls Village, CT 06031 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Katherine Sayaka Underwood | 123 York St Apt 11c, New Haven, CT 06511-5626 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Becker Underwood | 26 Davis Dr, Rtp, NC 27709-0003 | Commercial Fertilizer | 2015-07-01 ~ 2016-06-30 |
| Michael Yuz | P.o. Box 1395, Medford, NJ 08055 | Physician/surgeon | 2011-07-01 ~ 2012-06-30 |
Please comment or provide details below to improve the information on MICHAEL UNDERWOOD MD.
| 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).