CARL L MICHAEL
Physician Assistant


Address: 25 Lefferts Ave., Brooklyn, NY 11225

CARL L MICHAEL (Credential# 742715) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is June 15, 2000. The license expiration date date is November 30, 2000. The license status is INACTIVE.

Business Overview

CARL L MICHAEL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000966. The credential type is physician assistant. The effective date is June 15, 2000. The expiration date is November 30, 2000. The business address is 25 Lefferts Ave., Brooklyn, NY 11225. The current status is inactive.

Basic Information

Licensee Name CARL L MICHAEL
Credential ID 742715
Credential Number 23.000966
Credential Type Physician Assistant
Business Address 25 Lefferts Ave.
Brooklyn
NY 11225
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2000-06-15
Effective Date 2000-06-15
Expiration Date 2000-11-30
Refresh Date 2009-07-08

Office Location

Street Address 25 Lefferts Ave.
City Brooklyn
State NY
Zip Code 11225

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Che L Henry 1087 Carroll Street, Brooklyn, NY 11225 Professional Engineer 2020-02-01 ~ 2021-01-31
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Angelique M Smith 49 Crown Street, Brooklyn, NY 11225 Master's Level Social Worker 2018-06-01 ~ 2019-05-31
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City Brooklyn
Zip Code 11225
License Type Physician Assistant
License Type + County Physician Assistant + Brooklyn

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Dataset Information

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).

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