MICHELLE UDESHI MD (Credential# 884912) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2019. The license expiration date date is January 31, 2020. The license status is ACTIVE.
MICHELLE UDESHI MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.048020. The credential type is physician/surgeon. The effective date is February 1, 2019. The expiration date is January 31, 2020. The business address is 105 Via Foresta Ln, Williamsville, NY 14221. The current status is active.
| Licensee Name | MICHELLE UDESHI MD |
| Credential ID | 884912 |
| Credential Number | 1.048020 |
| Credential Type | Physician/Surgeon |
| Business Address |
105 Via Foresta Ln Williamsville NY 14221 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2009-07-29 |
| Effective Date | 2019-02-01 |
| Expiration Date | 2020-01-31 |
| Refresh Date | 2019-01-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 896304 | CSP.0046744 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2009-10-09 | 2017-03-01 - 2019-02-28 | INACTIVE |
| 378910 | CSP.0035646 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-08-25 | 2007-03-01 - 2008-02-28 | INACTIVE |
| Street Address | 105 Via Foresta Ln |
| City | Williamsville |
| State | NY |
| Zip Code | 14221 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marc C Mussachio | 30 N Forest Rd, Williamsville, NY 14221 | Architect | 2020-08-01 ~ 2021-07-31 |
| Kathleen A Swann | 2330 Maple Rd, Williamsville, NY 14221 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Asher B Blum | 163 Viscount Dr, Williamsville, NY 14221 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| David R Ludwig | 75 Farmington Road, Williamsville, NY 14221 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Andrew V Terragnoli | 205 Maple Rd, Williamsville, NY 14221 | Professional Engineer | 2020-02-24 ~ 2021-01-31 |
| Adrian A Forzani II | 158 Brushcreek Rd, Williamsville, NY 14221 | Professional Engineer | 2014-02-01 ~ 2015-01-31 |
| Keyur Suryakant Shah | 199 Park Club Lane Suite 300, Williamsville, NY 14221 | Physician/surgeon | 2018-11-01 ~ 2019-10-31 |
| Yasser M Heakal | 70 Glendon Pl, Williamsville, NY 14221 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Neiman Funds | 6631 Main Street, Williamsville, NY 14221 | Investment Company - Open End | 2019-12-31 ~ 2020-12-31 |
| Shelina Siu | 84 Sandhurst Ct, Williamsville, NY 14221 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Find all Licenses in zip 14221 | |||
| City | Williamsville |
| Zip Code | 14221 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Williamsville |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rupesh R Udeshi Dmd | 533 Cambridge St Unit 310, Allston, MA 02134-2581 | Dentist | 2011-06-01 ~ 2012-05-31 |
| Michelle P Chan Do | 15 Redcoat Rd, Norwalk, CT 06850 | Physician/surgeon | 2008-06-09 ~ 2009-03-31 |
| Michelle C Mcdade Md | 10 Newcastle Pl, Unionville, CT 06085 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Michelle A Hayes | P.o. Box 99, Owings Mills, MD 21117 | Physician/surgeon | 2002-11-05 ~ 2003-11-30 |
| Michelle Garcia-rybkin | 70 Dubois St, Newburgh, NY 12550-4851 | Physician/surgeon | ~ |
| Michelle Loy | 32 Strawberry Hill Ct, Stamford, CT 06902-2594 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Michelle Withee Md | 5 Perryridge Rd, Greenwich, CT 06830 | Physician/surgeon | 2009-03-17 ~ 2009-12-31 |
| Michelle P Mallitz Md | 76 Lords Hwy, Weston, CT 06883-1728 | Physician/surgeon | 2012-07-01 ~ 2013-06-30 |
| Michelle W Diu Md | 10130 Sw Morrison St, Portland, OR 97225 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Michelle L Kayser | 3016 N Harrison St, Wilmington, DE 19802-2936 | 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).