MICHELLE W DIU MD (Credential# 562947) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2020. The license expiration date date is December 31, 2020. The license status is ACTIVE.
MICHELLE W DIU MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.045365. The credential type is physician/surgeon. The effective date is January 1, 2020. The expiration date is December 31, 2020. The business address is 10130 Sw Morrison St, Portland, OR 97225. The current status is active.
| Licensee Name | MICHELLE W DIU MD |
| Credential ID | 562947 |
| Credential Number | 1.045365 |
| Credential Type | Physician/Surgeon |
| Business Address |
10130 Sw Morrison St Portland OR 97225 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2007-05-07 |
| Effective Date | 2020-01-01 |
| Expiration Date | 2020-12-31 |
| Refresh Date | 2019-11-12 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 952933 | CSP.0048953 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2010-09-15 | 2013-03-01 - 2015-02-28 | INACTIVE |
| 380788 | CSP.0036136 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-09-29 | 2008-03-01 - 2009-02-28 | INACTIVE |
| Street Address | 10130 SW Morrison St |
| City | Portland |
| State | OR |
| Zip Code | 97225 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Theodore G Lambert Jr | 6336 Sw Meade Ct, Portland, OR 97225 | Land Surveyor | 2009-02-01 ~ 2010-01-31 |
| Brad H Whisnant | 1160 Sw. Waveriy Place, Portland, OR 97225 | Acupuncturist | ~ |
| David T Feeney | 10154 Sw Washington St, Portland, OR 97225 | Engineer-in-training | 2001-03-13 ~ 2011-03-13 |
| Robert J Donnelly | 7400 Sw Barnes Rd Apt 362, Portland, OR 97225 | Architect | 2002-08-01 ~ 2003-07-31 |
| Lynn C Ironside | 7030 Sw Barnes Rd, Portland, OR 97225 | Dental Hygienist | 1999-05-14 ~ 2000-02-29 |
| Mary Ann N Laporte | 6979 S W Windemere, Portland, OR 97225 | Registered Nurse | 2001-07-24 ~ 2002-09-30 |
| Sandra J Schmunk | 9260 Sw Washington, Portland, OR 97225 | Registered Nurse | 2004-12-21 ~ 2005-09-30 |
| Elayne F Reichbach | 584 Sw Regency Place, Portland, OR 97225 | Dental Hygienist | 1997-02-05 ~ 1998-03-31 |
| Amanda M Jurasin | 7530 Sw Barnes Road #102-c, Portland, OR 97225 | Registered Nurse | 2000-05-04 ~ 2001-06-30 |
| Christina Gong | 7150 Sw Ridgemont St, Portland, OR 97225-1560 | Veterinarian | 2020-05-01 ~ 2021-04-30 |
| Find all Licenses in zip 97225 | |||
| City | Portland |
| Zip Code | 97225 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Portland |
| 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 P Mallitz Md | 76 Lords Hwy, Weston, CT 06883-1728 | Physician/surgeon | 2012-07-01 ~ 2013-06-30 |
| 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 | ~ |
Please comment or provide details below to improve the information on MICHELLE W DIU 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).