MICHELLE P MALLITZ MD (Credential# 560519) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2012. The license expiration date date is June 30, 2013. The license status is INACTIVE.
MICHELLE P MALLITZ MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.042937. The credential type is physician/surgeon. The effective date is July 1, 2012. The expiration date is June 30, 2013. The business address is 76 Lords Hwy, Weston, CT 06883-1728. The current status is inactive.
| Licensee Name | MICHELLE P MALLITZ MD |
| Credential ID | 560519 |
| Credential Number | 1.042937 |
| Credential Type | Physician/Surgeon |
| Business Address |
76 Lords Hwy Weston CT 06883-1728 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2004-11-15 |
| Effective Date | 2012-07-01 |
| Expiration Date | 2013-06-30 |
| Refresh Date | 2013-10-08 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 395524 | CSP.0037013 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-03-09 | 2011-03-01 - 2013-02-28 | INACTIVE |
| Street Address | 76 LORDS HWY |
| City | WESTON |
| State | CT |
| Zip Code | 06883-1728 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joseph Buffardi IIi | 39 Tannery Lane South, Weston, CT 06883 | Architect | 2020-08-01 ~ 2021-07-31 |
| Patricia S Rosen | 5 Walker Lane, Weston, CT 06883 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Susan E Scheufele | 23 Heritage Lane, Weston, CT 06883 | Professional Counselor | 2020-09-01 ~ 2021-08-31 |
| Laurie A Figliola | 12 Grays Farm Road, Weston, CT 06883 | Dietitian/nutritionist | 2020-09-01 ~ 2021-08-31 |
| Peggy S Bud | 32 Gray's Farm Road, Weston, CT 06883 | Speech and Language Pathologist | 2020-09-01 ~ 2021-08-31 |
| William Kessinger | 30 Rogues Ridge, Weston, CT 06883 | Architect | 2020-08-01 ~ 2021-07-31 |
| Nancy Gorlow Thiel | 69 Lyons Plain Rd, Weston, CT 06883 | Architect | 2020-08-01 ~ 2021-07-31 |
| John R Verelley | 103 Elven O'clock Road, Weston, CT 06883 | Architect | 2020-08-01 ~ 2021-07-31 |
| Samuel Bell Jr | 65 Beaver Brook Rd, Weston, CT 06883 | Sub-surface Sewage Installer | 2020-08-01 ~ 2021-07-31 |
| Marilyn Silverman | 16 North Calvin Rd, Weston, CT 06883 | Psychologist | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06883 | |||
| City | WESTON |
| Zip Code | 06883 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WESTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michelle Brosnan | 1345 Rxr Plz, Uniondale, NY 11556-1301 | Physician/surgeon | 2019-05-01 ~ 2020-04-30 |
| Michelle P Chan Do | 15 Redcoat Rd, Norwalk, CT 06850 | Physician/surgeon | 2008-06-09 ~ 2009-03-31 |
| Michelle C Mcdade Md | 10 Newcastle Pl, Unionville, CT 06085 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Michelle Withee Md | 5 Perryridge Rd, Greenwich, CT 06830 | Physician/surgeon | 2009-03-17 ~ 2009-12-31 |
| Michelle L Kayser | 3016 N Harrison St, Wilmington, DE 19802-2936 | Physician/surgeon | ~ |
| Michelle A Hayes | P.o. Box 99, Owings Mills, MD 21117 | Physician/surgeon | 2002-11-05 ~ 2003-11-30 |
| Michelle Udeshi Md | 105 Via Foresta Ln, Williamsville, NY 14221 | Physician/surgeon | 2019-02-01 ~ 2020-01-31 |
| Michelle Leon Md | 166 Deer Run, Burlington, CT 06013 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Michelle Garcia-rybkin | 70 Dubois St, Newburgh, NY 12550-4851 | Physician/surgeon | ~ |
| Michelle J Romero | 18 Crown St, Plainville, CT 06062-2215 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Please comment or provide details below to improve the information on MICHELLE P MALLITZ 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).