JAMES P POLGA MD (Credential# 553902) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2012. The license expiration date date is April 30, 2013. The license status is INACTIVE.
JAMES P POLGA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.036310. The credential type is physician/surgeon. The effective date is May 1, 2012. The expiration date is April 30, 2013. The business address is 55 Dover Road, Longmeadow, MA 01106. The current status is inactive.
| Licensee Name | JAMES P POLGA MD |
| Credential ID | 553902 |
| Credential Number | 1.036310 |
| Credential Type | Physician/Surgeon |
| Business Address |
55 Dover Road Longmeadow MA 01106 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1997-08-15 |
| Effective Date | 2012-05-01 |
| Expiration Date | 2013-04-30 |
| Refresh Date | 2013-08-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 197518 | CSP.0027092 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2011-03-01 - 2013-02-28 | INACTIVE |
| Street Address | 55 DOVER ROAD |
| City | LONGMEADOW |
| State | MA |
| Zip Code | 01106 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael S Caronna | 24 Chandler Ave, Longmeadow, MA 01106 | Registered Sanitarian | 2020-09-01 ~ 2021-08-31 |
| Susan Helen Templeton | 146 Pleasantview Avenue, Longmeadow, MA 01106 | Registered Nurse | ~ |
| Brittany Moreland | 103 Birchwood Ave, Longmeadow, MA 01106 | Real Estate Salesperson | 2020-06-22 ~ 2021-05-31 |
| Krystyna Olczuk | 158 Tanglewood Dr, Longmeadow, MA 01106 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Susan M Neville | 43 Lincoln Road, Longmeadow, MA 01106 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Kate E Schoenberger | 91 Williston Dr, Longmeadow, MA 01106 | Paramedic | 2020-09-01 ~ 2021-08-31 |
| Bryant E Ostrander | 52 Whitmun Road, Longmeadow, MA 01106 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Minsook Ku | 23 Herbert Street, Longmeadow, MA 01106 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-12 ~ 2022-01-31 |
| Lily Schneider | 160 Captain Rd, Longmeadow, MA 01106 | Emergency Medical Technician | ~ |
| Kimberly Marie Maynard | 175 Franklin Road, Longmeadow, MA 01106 | Psychologist | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 01106 | |||
| City | LONGMEADOW |
| Zip Code | 01106 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + LONGMEADOW |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Randall James | 1002 Gotham Drive, St James, NY 11780 | Physician/surgeon | 2001-01-03 ~ 2001-12-31 |
| James Jen | James Jen, Md, Purchase, NY 10577 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Justin J Polga Md | 7540 Sw 126th Street, Pinecrest, FL 33156 | Controlled Substance Registration for Practitioner | 2017-04-14 ~ 2019-02-28 |
| James E Finn | P.o. Box 885, Middlebury, CT 06762 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| James N Slater | 123 Sullivan St Apt 3, New York, NY 10012-3642 | Physician/surgeon | ~ |
| Paul James Laveau | CT | Physician/surgeon | 1988-04-15 ~ 1990-06-30 |
| James Lebret | 56 Birchwood Ln, Hartsdale, NY 10530-3112 | Physician/surgeon | ~ |
| James M Pribula | Po Box 786, Sharon, CT 06069-0786 | Physician/surgeon | 2016-11-01 ~ 2017-10-31 |
| James S Zupnik | Po Box 191, Colchester, CT 06415 | Physician/surgeon | 1992-02-24 ~ 1992-09-15 |
| James F Silverman | Rd #7 Box 101, New Castle, PA 16102 | Physician/surgeon | 1993-02-25 ~ 1994-02-28 |
Please comment or provide details below to improve the information on JAMES P POLGA 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).