DOUGLAS J MACKO (Credential# 700730) is licensed (Dentist) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2015. The license expiration date date is January 31, 2016. The license status is INACTIVE.
DOUGLAS J MACKO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.004917. The credential type is dentist. The effective date is February 1, 2015. The expiration date is January 31, 2016. The business address is 55 Meriden Ave, Southington, CT 06489. The current status is inactive.
| Licensee Name | DOUGLAS J MACKO |
| Credential ID | 700730 |
| Credential Number | 2.004917 |
| Credential Type | Dentist |
| Business Address |
55 Meriden Ave Southington CT 06489 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL; PRIOR DISCIPLINE |
| Issue Date | 1980-07-19 |
| Effective Date | 2015-02-01 |
| Expiration Date | 2016-01-31 |
| Refresh Date | 2016-05-17 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 148928 | CSP.0010228 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-03-01 - 2015-02-28 | INACTIVE |
| Street Address | 55 MERIDEN AVE |
| City | SOUTHINGTON |
| State | CT |
| Zip Code | 06489 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Perin W Diana Jr | 55 Meriden Ave, Southington, CT 06489 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| John Delmonte Jr | 55 Meriden Ave, Southington, CT 06489 | Controlled Substance Registration for Practitioner | 2009-03-04 ~ 2011-02-28 |
| Choong S Sohn Md | 55 Meriden Ave, Southington, CT 06489 | Physician/surgeon | 2005-12-29 ~ 2007-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sarah M Moon | 321 Pilgrim Lane, Southington, CT 06489 | Esthetician | ~ |
| Joanna Milewski | 23 Stacy Cate Drive, Southington, CT 06489 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Richard M Testa | 81 Winter Park Road, Southington, CT 06489 | Massage Therapist | 2020-08-01 ~ 2022-07-31 |
| Valley Roofing LLC | 88 Ladyslipper Lane, Southington, CT 06489 | Home Improvement Contractor | ~ |
| Dunkin Donuts · New England Donuts LLC | 856 Queen St, Southington, CT 06489 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Elizabeth E Pizzuto | 45 Water Street, Southington, CT 06489 | Real Estate Salesperson | 2020-06-18 ~ 2021-05-31 |
| Nicholas C Ingel | 515 West Street, Southington, CT 06489 | Heating, Piping & Cooling Limited Journeyperson | 2020-06-23 ~ 2021-08-31 |
| Tyrone J Correa | 84 Minthal Drive, Southington, CT 06489 | Real Estate Salesperson | 2020-06-19 ~ 2021-05-31 |
| Marilyn F Coppola | 114 Spring Hill Rd, Southington, CT 06489 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Christine M Liebler | 30 Sultana Terrace, Southington, CT 06489 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06489 | |||
| City | SOUTHINGTON |
| Zip Code | 06489 |
| License Type | Dentist |
| License Type + County | Dentist + SOUTHINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ronald Macko · Ron Macko Construction | 97 Pond Meadow Rd, Ivoryton, CT 06442 | Home Improvement Contractor | 1997-12-19 ~ 1998-11-30 |
| Alex Macko · Alex Macko Forming and Flatwork | 1179 Hopeville Rd, Griswold, CT 06330 | Home Improvement Contractor | 2002-12-01 ~ 2003-11-30 |
| Douglas R Burbach Dmd | 19 Bennett Cir, Voluntown, CT 06384-1705 | Dentist | 2020-03-01 ~ 2021-02-28 |
| Douglas H Mahn | 32-38 200th St, Bayside, NY 11361 | Dentist | 1996-08-06 ~ 1997-05-31 |
| Douglas A Rollins | 2560 Dixwell Ave Ste 3a, Hamden, CT 06514-1852 | Dentist | 2019-11-01 ~ 2020-10-31 |
| Douglas A Treyz | 70 Riverside Drive, Ridgefield, CT 06877 | Dentist | 1992-03-24 ~ 1993-02-28 |
| Holly Douglas Matty | 23 Waregan Rd, Brooklyn, CT 06234 | Dentist | 2020-03-01 ~ 2021-02-28 |
| Douglas M Trepp | 500 West Putnam Ave., Greenwich, CT 06830 | Dentist | 2019-10-01 ~ 2020-09-30 |
| Douglas S Mann | 69 Deer Hill Ave, Danbury, CT 06810-7903 | Dentist | 2012-06-01 ~ 2013-05-31 |
| Douglas H Macgilpin | 145 Penn Dr, West Hartford, CT 06119-1041 | Dentist | 2018-12-01 ~ 2019-11-30 |
Please comment or provide details below to improve the information on DOUGLAS J MACKO.
| 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).