MICHAEL A MENNELLA (Credential# 557685) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 5, 2002. The license expiration date date is August 31, 2003. The license status is INACTIVE.
MICHAEL A MENNELLA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.040102. The credential type is physician/surgeon. The effective date is July 5, 2002. The expiration date is August 31, 2003. The business address is 176 Avalon Circle, Smithtown, NY 11787. The current status is inactive.
| Licensee Name | MICHAEL A MENNELLA |
| Credential ID | 557685 |
| Credential Number | 1.040102 |
| Credential Type | Physician/Surgeon |
| Business Address |
176 Avalon Circle Smithtown NY 11787 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2002-01-18 |
| Effective Date | 2002-07-05 |
| Expiration Date | 2003-08-31 |
| Refresh Date | 2009-07-08 |
| Street Address | 176 Avalon Circle |
| City | Smithtown |
| State | NY |
| Zip Code | 11787 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lee Anton Eskedal | 268 North Country Rd, Smithtown, NY 11787 | Registered Nurse | ~ |
| Ecg Engineering PC | 811 West Jericho Tpke, Smithtown, NY 11787 | Professional Engineering Corporation | 2020-07-18 ~ 2021-07-17 |
| Lacey Laurino | 38 Pineacre Drive, Smithtown, NY 11787 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Steven Joseph Hartmann | 920 West Jericho Tpke, Smithtown, NY 11787 | Tax Preparer/facilitator Permit | 2020-02-11 ~ 2022-02-28 |
| Megan Czuba | 78 Bayberry La, Smithtown, NY 11787 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Jamie A Walegir | 28 Villa Ln, Smithtown, NY 11787 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Susan Cohen-pessah | 6 Carriage House Rd, Smithtown, NY 11787 | Pharmacist | 2018-02-01 ~ 2020-01-31 |
| Steven G Hanuszek | 24 Dogwood Dr, Smithtown, NY 11787 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Wayne T Culver | 32 Oakside Rd, Smithtown, NY 11787 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Sean P Cunningham | 60 Avalon Circle, Smithtown, NY 11787 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Find all Licenses in zip 11787 | |||
| City | Smithtown |
| Zip Code | 11787 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Smithtown |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael G Myers | Los Gatos, CA 95032 | Physician/surgeon | 2018-07-01 ~ 2019-06-30 |
| Michael J Kelly | Po Box 585, Salisbury, CT 06068-0585 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Michael D Gribetz | Po Box 650, New Hartford, NY 13413-0650 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Michael L May | P.o. Box 320757, Los Gatos, CA 95032 | Physician/surgeon | 2005-03-28 ~ 2006-04-30 |
| Michael D Fox | 165 Walnut St, Willimantic, CT 06226-2308 | Physician/surgeon | 1976-05-28 ~ 1981-10-31 |
| Kenneth Gross | 9 Michael St, Norwalk, CT 06854-3415 | Physician/surgeon | ~ |
| Michael E Ripps | 344 Third Ave, New York, NY 10010 | Physician/surgeon | 2011-08-01 ~ 2012-07-31 |
| V Subramoni | 8 Michael Way, Pennington, NJ 08534 | Physician/surgeon | 2000-08-18 ~ 2001-05-31 |
| Michael D Greenaway | 446 Rte #81, Killingworth, CT 06419 | Physician/surgeon | 2014-10-01 ~ 2015-09-30 |
| Michael P Goldman | 15 Elm Pl, Greenwich, CT 06830-6615 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Please comment or provide details below to improve the information on MICHAEL A MENNELLA.
| 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).