MICHAEL E OPALAK (Credential# 546377) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
MICHAEL E OPALAK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.027114. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 2890 Main St Ste D, Stratford, CT 06614-4980. The current status is active.
Licensee Name | MICHAEL E OPALAK |
Credential ID | 546377 |
Credential Number | 1.027114 |
Credential Type | Physician/Surgeon |
Business Address |
2890 Main St Ste D Stratford CT 06614-4980 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1986-03-27 |
Effective Date | 2020-04-01 |
Expiration Date | 2021-03-31 |
Refresh Date | 2020-01-08 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
155418 | CSP.0014394 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 2890 MAIN ST STE D |
City | STRATFORD |
State | CT |
Zip Code | 06614-4980 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Patrick P Mastroianni | 2890 Main St Ste D, Stratford, CT 06614-4980 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Andrew Bedford Md | 2890 Main St, Stratford, CT 06614-4980 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Lucy Ann Salieb Shamberg | 2890 Main St, Stratford, CT 06614-4980 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Gregory N Soloway | 2890 Main St, Stratford, CT 06614-4980 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Nicole Marie Minaudo | 80 Barrows Ter, Stratford, CT 06614 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Constance Greene | 65 Pamela Drive, Stratford, CT 06614 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Courtney M Blaze | 90 Mercer Street, Stratford, CT 06614 | Massage Therapist | 2020-07-01 ~ 2022-06-30 |
William E Rosner Md | 81 B Seminole Lane, Stratford, CT 06614 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Demetrius I Mcqueen | 60 Emerald Pl, Stratford, CT 06614 | Real Estate Salesperson | 2020-06-26 ~ 2021-05-31 |
Alan Goldberg | 1825 Barnum Ave, Stratford, CT 06614 | Dentist | 2020-09-01 ~ 2021-08-31 |
Kimberly L Matakevich | 1367 Nichols Avenue, Stratford, CT 06614 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
Marybeth Nemergut | 990 Chapel St, Stratford, CT 06614 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Geraldine C Corry | 135 Wigwam Lane, Stratford, CT 06614 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Kathleen Sajgovic | 300 Post Oak Rd, Stratford, CT 06614 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06614 |
City | STRATFORD |
Zip Code | 06614 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + STRATFORD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Shirley A Opalak | 20 Fourth St., Waterbury, CT 06700 | Notary Public Appointment | 1984-11-28 ~ 1989-03-31 |
Kenneth W Opalak | 81 Nehantic Trail, Old Saybrook, CT 06475 | Notary Public Appointment | 1992-11-02 ~ 1997-11-30 |
Michael J Kelly | Po Box 585, Salisbury, CT 06068-0585 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
Michael Lynch Cummings | CT | Physician/surgeon | 1989-12-22 ~ |
Michael E Tom | 926 Quinnipiac Ave Apt 9, New Haven, CT 06513-3349 | Physician/surgeon | 2012-06-01 ~ 2013-05-31 |
Michael D Fox | 165 Walnut St, Willimantic, CT 06226-2308 | Physician/surgeon | 1976-05-28 ~ 1981-10-31 |
Michael D Greenaway | 446 Rte #81, Killingworth, CT 06419 | Physician/surgeon | 2014-10-01 ~ 2015-09-30 |
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 Schwartz | Stamford, CT 06903-2828 | Physician/surgeon | 2013-01-01 ~ 2013-12-31 |
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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).