MICHAEL R JACUCH (Credential# 547297) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2014. The license expiration date date is February 28, 2015. The license status is INACTIVE.
MICHAEL R JACUCH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.028651. The credential type is physician/surgeon. The effective date is March 1, 2014. The expiration date is February 28, 2015. The business address is Clipper Cardiovascular, Portsmouth, NH 03801. The current status is inactive.
| Licensee Name | MICHAEL R JACUCH |
| Credential ID | 547297 |
| Credential Number | 1.028651 |
| Credential Type | Physician/Surgeon |
| Business Address |
Clipper Cardiovascular Portsmouth NH 03801 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1987-11-09 |
| Effective Date | 2014-03-01 |
| Expiration Date | 2015-02-28 |
| Refresh Date | 2015-06-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 154330 | CSP.0015911 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1993-11-10 - 1995-12-01 | INACTIVE |
| Street Address | Clipper Cardiovascular |
| City | Portsmouth |
| State | NH |
| Zip Code | 03801 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Daniel L Davies | 903 Middle St, Portsmouth, NH 03801 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Christian Spencer Hosford | 430 West Rd, North Hampton, NH 03801 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| James F Petersen | 335 Maplewood Ave, Portsmouth, NH 03801 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Joseph M Yarborough | 746 Middle Rd, Portsmouth, NH 03801 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Susan C Elias | 101 Shattuck Way, Newington, NH 03801 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| R Alex Ross | 909 Islington Street Unit 6, Portsmouth, NH 03801 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| David M. Schneider | 7 Portwalk Place Unit 1203, Portsmouth, NH 03801 | Certified Public Accountant Certificate | 2020-01-01 ~ 2020-12-31 |
| Jeffrey S Nawrocki | Jsn Associates, LLC, Portsmouth, NH 03801 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Anthony D Coviello | 25 New Hampshire Ave, Suite 255, Portsmouth, NH 03801 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Noah J Elwood | 600 State Street, Portsmouth, NH 03801 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Find all Licenses in zip 03801 | |||
| City | Portsmouth |
| Zip Code | 03801 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Portsmouth |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael Jacuch Md | 51 Applegate Lane, East Hartford, CT 06107 | Physician/surgeon | 2006-07-27 ~ 2007-08-31 |
| Askold M Jacuch | 122 Lovers Ln, Windham, CT 06280-1347 | Electrical Unlimited Journeyperson | 2015-10-20 ~ 2016-09-30 |
| Michael J Kelly | Po Box 585, Salisbury, CT 06068-0585 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Michael A. Contillo | 73 Market St, Yonkers, NY 10710-7602 | Physician/surgeon | ~ |
| Michael Yuz | P.o. Box 1395, Medford, NJ 08055 | Physician/surgeon | 2011-07-01 ~ 2012-06-30 |
| Michael E Perkins | 79 Doe Run, Tolland, CT 06084 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Michael G Myers | Los Gatos, CA 95032 | Physician/surgeon | 2018-07-01 ~ 2019-06-30 |
| Michael E Ripps | 344 Third Ave, New York, NY 10010 | Physician/surgeon | 2011-08-01 ~ 2012-07-31 |
| Michael E Tom | 926 Quinnipiac Ave Apt 9, New Haven, CT 06513-3349 | Physician/surgeon | 2012-06-01 ~ 2013-05-31 |
| Michael S Komarow | 755 2nd Ave Fl 2, New York, NY 10017-5977 | Physician/surgeon | 2013-04-01 ~ 2014-03-31 |
Please comment or provide details below to improve the information on MICHAEL R JACUCH.
| 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).