NATHAN D MARK (Credential# 1054005) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2016. The license expiration date date is May 31, 2017. The license status is INACTIVE.
NATHAN D MARK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.050791-DO. The credential type is physician/surgeon. The effective date is June 1, 2016. The expiration date is May 31, 2017. The business address is 261 Jones Hollow Rd, Marlborough, CT 06447-1147. The current status is inactive.
| Licensee Name | NATHAN D MARK |
| Credential ID | 1054005 |
| Credential Number | 1.050791-DO |
| Credential Type | Physician/Surgeon |
| Credential SubCategory | DO |
| Business Address |
261 Jones Hollow Rd Marlborough CT 06447-1147 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2012-04-12 |
| Effective Date | 2016-06-01 |
| Expiration Date | 2017-05-31 |
| Refresh Date | 2017-09-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1067670 | CSP.0052334 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2012-05-02 | 2015-03-01 - 2017-02-28 | INACTIVE |
| 1053833 | CSP.0052044 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | - | INACTIVE |
| Street Address | 261 JONES HOLLOW RD |
| City | MARLBOROUGH |
| State | CT |
| Zip Code | 06447-1147 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Wendy C Dietz | 261 Jones Hollow Rd, Marlborough, CT 06447 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sean R Mandel | 223 Jones Hollow Rd, Marlborough, CT 06447-1147 | Heating, Piping & Cooling Unlimited Journeyperson | 2019-09-01 ~ 2020-08-31 |
| Joseph E Plourde | 249 Jones Hollow Rd, Marlborough, CT 06447-1147 | Plumbing & Piping Unlimited Contractor | 2016-11-01 ~ 2017-10-31 |
| Andris J Briga | 241 Jones Hollow Rd, Marlborough, CT 06447-1147 | Lottery Or Otb Service Provider Employee | 2014-12-05 ~ 2015-12-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Linda T Nachtigal Dvm | 86 Saner Road, Marlborough, CT 06447 | Veterinarian | 2020-07-01 ~ 2021-06-30 |
| Victoria Demari Cartagena | 113 Hebron Road, Marlborough, CT 06447 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Christina L Abrahamson · Lonergan | 47 South Stonybrook Drive, Marlborough, CT 06447 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Bozena M Michalski · Marcowka | 18 Portland Rd, Marlborough, CT 06447 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Benedict C Valentine II | 8 Independence Drive, Marlborough, CT 06447 | Podiatrist | 2020-06-01 ~ 2021-05-31 |
| Nicolette M Banbury | 21 Cheney Road, Marlborough, CT 06447 | Professional Counselor | 2020-09-01 ~ 2021-08-31 |
| Lynn E Wohlfert | 117 North Main Street, Marlborough, CT 06447 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Jo-ellen D Beam | 120 Edstrom Rd, Marlborough, CT 06447 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Kevin J Pease | 82 South Main St, Marlborough, CT 06447 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Lea L Lee | 38 Keirstead Circle, Marlborough, CT 06447 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06447 | |||
| City | MARLBOROUGH |
| Zip Code | 06447 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + MARLBOROUGH |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nathan Moses Szajnberg | CT | Physician/surgeon | ~ |
| Nathan A Kruger Md | 10 Fox Den Way, Woodbridge, CT 06525 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Nathan Haecker | Po Box 34457, Omaha, NE 68134-0457 | Physician/surgeon | 2020-05-01 ~ 2021-05-31 |
| Nathan T Patel | 9 Spinnaker Dr, Barrington, RI 02806-2831 | Physician/surgeon | 2015-08-01 ~ 2016-07-31 |
| Nathan W Olson | 250 Treeline Park Apt 701, San Antonio, TX 78209-7402 | Physician/surgeon | 2016-06-01 ~ 2017-05-31 |
| Ely B Nathan Md | 5001 Statesman Drive, Irving, TX 75063 | Physician/surgeon | 2003-10-27 ~ 2004-04-30 |
| Nathan C Walk Md | 2 Pole Bridge Ln, Guilford, CT 06437-2206 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Nathan Holtzberg | Connecticut Pain Car, Danbury, CT 06810 | Physician/surgeon | 1999-04-26 ~ 2000-05-31 |
| Viswa Nathan | 40,grouse Lane, Woodbridge, CT 06525 | Physician/surgeon | 2019-05-01 ~ 2020-04-30 |
| Michael Nathan Boggs | 1141 Falls Rd, Shelburne, VT 05482 | 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).