MACKENZIE L SMITH (Credential# 561997) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
MACKENZIE L SMITH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.044415. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 836 E Broadway, Milford, CT 06460-6215. The current status is active.
| Licensee Name | MACKENZIE L SMITH |
| Credential ID | 561997 |
| Credential Number | 1.044415 |
| Credential Type | Physician/Surgeon |
| Business Address |
836 E Broadway Milford CT 06460-6215 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2006-06-01 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 445716 | CSP.0039645 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-08-04 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 836 E BROADWAY |
| City | MILFORD |
| State | CT |
| Zip Code | 06460-6215 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ryan A Searles | 824 E Broadway, Milford, CT 06460-6215 | Electrical Limited Journeyperson | 2019-11-05 ~ 2020-09-30 |
| Natasha M Rivera | 840 E Broadway Apt 2, Milford, CT 06460-6215 | Registered Nurse | 2017-09-01 ~ 2018-08-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Milford Council On Aging | 9 Jepson Drive, Milford, CT 06460 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| James J Melanson | 319 Welch's Point Road, Milford, CT 06460 | Optician | 2020-08-01 ~ 2021-07-31 |
| Robert J Colum | 61 Melba St, Milford, CT 06460 | Professional Engineer | 2020-06-16 ~ 2021-01-31 |
| James E Phillips | 88 Noble Ave, Milford, CT 06460 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Douglas H Gruber | 33 Lincoln Ave, Milford, CT 06460 | Licensed Alcohol and Drug Counselor | 2020-06-01 ~ 2021-05-31 |
| Christine D Rettig | 1 Schooner Lane, Milford, CT 06460 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
| Golden Dragon Inc | 262 D Quarry Rd, Mildord, CT 06460 | Food Warehouse | ~ |
| Kelli-ann Armstrong | 50 Cherry Street, Milford, CT 06460 | Optometrist | 2020-07-01 ~ 2021-06-30 |
| Mary C Cohen | 9 Stevens Street, Milford, CT 06460 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Nicole Wilson | 26 Daggett Street, Milford, CT 06460 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Find all Licenses in zip 06460 | |||
| City | MILFORD |
| Zip Code | 06460 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + MILFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Peter B Saadeh | Nine Mackenzie Glen, Greenwich, CT 06830 | Physician/surgeon | 2000-08-03 ~ 2001-08-31 |
| Richard S Mackenzie | 735 North 38th St, Allentown, PA 18104 | Physician/surgeon | 2000-11-27 ~ 2001-11-30 |
| Abdul Q Ahmed | 4320 Mackenzie Court, Mason, OH 45040 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Subhash C Ramnauth | 2094 Mackenzie Road, Toms River, NJ 08755 | Physician/surgeon | 2016-05-01 ~ 2017-04-30 |
| Lou M Smith | Po Box 15538, Durham, NC 27704-0538 | Physician/surgeon | 1988-10-28 ~ 1989-02-28 |
| Dallas A Smith | Greensboro, NC 27410 | Physician/surgeon | 2013-09-01 ~ 2014-08-31 |
| C A Smith | Box 1524, Castle Afb, CA 95342 | Physician/surgeon | 1996-05-03 ~ 1997-04-30 |
| Eni Smith | 888 W Big Beaver Rd, Troy, MI 48084-4736 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Jennifer L Yeh Md | 4 Smith Dr, Savannah, GA 31406-6441 | Physician/surgeon | 2012-12-01 ~ 2013-11-30 |
| Robin L Smith | 930 5th Ave Apt 8h, New York, NY 10021-2680 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
Please comment or provide details below to improve the information on MACKENZIE L SMITH.
| 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).