MATTHEW T SUGALSKI (Credential# 564176) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2016. The license expiration date date is June 30, 2017. The license status is INACTIVE.
MATTHEW T SUGALSKI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.046594. The credential type is physician/surgeon. The effective date is July 1, 2016. The expiration date is June 30, 2017. The business address is 6542 Se Lake Rd Ste 201, Milwaukie, OR 97222-2245. The current status is inactive.
Licensee Name | MATTHEW T SUGALSKI |
Credential ID | 564176 |
Credential Number | 1.046594 |
Credential Type | Physician/Surgeon |
Business Address |
6542 Se Lake Rd Ste 201 Milwaukie OR 97222-2245 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2008-06-03 |
Effective Date | 2016-07-01 |
Expiration Date | 2017-06-30 |
Refresh Date | 2017-10-03 |
Street Address | 6542 SE LAKE RD STE 201 |
City | MILWAUKIE |
State | OR |
Zip Code | 97222-2245 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Criterion Supply Inc · Interior Logic Group Property Services | 4500 Se Criterion Court Ste# 100, Milwaukee, OR 97222 | Home Improvement Contractor | 2019-12-12 ~ 2020-11-30 |
Donald C Pfaff · Cl 4 | 6542 Se Lake Rd, Milwaukie, OR 97222 | Professional Engineer | 2002-02-01 ~ 2003-01-31 |
Nancy E Coffey | 3126 Se Madison St, Milwaukie, OR 97222 | Dietitian/nutritionist | 2003-08-18 ~ 2004-08-31 |
Sr Moira Debono | 2512 Se Monroe Street, Milwaukie, OR 97222 | Dental Hygienist | 2007-01-02 ~ 2007-12-31 |
Davida B Hall | 11421 Se 30th Ave, Milwaukie, OR 97222-6705 | Registered Nurse | 2011-12-01 ~ 2012-11-30 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Kevin D Harris | 15981 Se Rickshire Ln, Milwaukie, OR 97267-4363 | Professional Engineer | 2010-02-01 ~ 2011-01-31 |
Deborah L Stanley | P.o. Box 22186, Milwaukie, OR 97269 | Hairdresser/cosmetician | 2002-02-14 ~ 2002-11-30 |
John C Kruzinski | 17995 S E Arista Dr, Milwaukie, OR 97267-6038 | Temporary Certified General Real Estate Appraiser | 2000-12-05 ~ 2001-06-02 |
City | MILWAUKIE |
Zip Code | 97222 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + MILWAUKIE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Matthew J Dammeyer | Po Box 194, Benson, MN 56215-0194 | Physician/surgeon | ~ |
Matthew Bushey Md | 1 Self Ct, Wallingford, CT 06492-2595 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Matthew Willett | 96 Mcintosh Dr, Portsmouth, RI 02871-1263 | Physician/surgeon | ~ |
Matthew S Clark | Po Box 129, Montrose, NY 10548-0129 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
Matthew A Fox | 22 Llanfair Rd, Ardmore, PA 19003-2320 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Karla M Perrizo | 383 Matthew St, Prospect, CT 06712 | Physician/surgeon | 2018-09-01 ~ 2019-08-31 |
Matthew H. Grant | Po Box 208022, New Haven, CT 06520-8022 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Matthew P Brennan | 136 Copperridge Dr, Brandon, MS 39042-3700 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Matthew O. Hubbard | Department of Sugery, CT 06510 | Physician/surgeon | 2019-02-01 ~ 2020-01-31 |
Matthew Joseph White | 307 S Evergreen Ave, Woodbury, NJ 08096-2739 | Physician/surgeon | ~ |
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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).