MARC E MANN MD (Credential# 147350) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
MARC E MANN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0011937. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is Nemg Internal Medicine, North Haven, CT 06473. The current status is active.
Licensee Name | MARC E MANN MD |
Credential ID | 147350 |
Credential Number | CSP.0011937 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
Nemg Internal Medicine North Haven CT 06473 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1999-03-01 |
Effective Date | 2019-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2018-12-28 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
545327 | 1.025163 | Physician/Surgeon | 1983-11-09 | 2019-10-01 - 2020-09-30 | ACTIVE |
Street Address | NEMG INTERNAL MEDICINE |
City | NORTH HAVEN |
State | CT |
Zip Code | 06473 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Renee A Rollier | 90 Fallon Drive, North Haven, CT 06473 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Carly J Brueggestrat Aprn | 191 Cloudland Rd, North Haven, CT 06473 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Heesuk Hyun | 769 Middletown Ave, North Haven, CT 06473 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Jacqueline N Sancho | 9 Corey Rd, North Haven, CT 06473 | Physical Therapist Assistant | 2020-08-01 ~ 2021-07-31 |
Irene L Smith | 35 Debra Lane, North Haven, CT 06473 | Radiographer | 2020-08-01 ~ 2021-07-31 |
Jane S Jane | 380 Skiff Street, North Haven, CT 06473 | Psychologist | 2020-09-01 ~ 2021-08-31 |
Shana Kathleen Lipp | [email protected], North Haven, CT 06473 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Haifeng Piao | 201 Universal Drive, North Haven, CT 06473 | Nail Technician | ~ |
Xuefan Piao | 32 Lexington Gardens, North Haven, CT 06473 | Nail Technician | ~ |
Zachary A Cuzzocreo | 45 Thorpe Street, North Haven, CT 06473 | Real Estate Salesperson | 2020-06-20 ~ 2021-05-31 |
Find all Licenses in zip 06473 |
City | NORTH HAVEN |
Zip Code | 06473 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NORTH HAVEN |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Elizabeth Mann | 86 E Quail Run, Charlestown, RI 02813 | Controlled Substance Registration for Practitioner | 2019-01-25 ~ 2021-02-28 |
Christa M Mann | 11 Watrous Ln, Woodbridge, CT 06525-1514 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
David Mann | 24 Hospital Ave, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Manpreet Mann | 20 Topeka Ct, Tinton Falls, NJ 07712 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
James A Mann Pa | 121 Plank Hill Rd, Simsbury, CT 06070 | Controlled Substance Registration for Practitioner | 1994-02-03 ~ 1996-01-01 |
James Howard Mann Jr | 2 Robin Hill Road, Waterford, CT 06385 | Controlled Substance Registration for Practitioner | 2001-03-01 ~ 2002-02-28 |
Deepinder Mann | 16731 Shallow Ridge Blvd, Houston, TX 77095-7058 | Controlled Substance Registration for Practitioner | 2015-05-06 ~ 2017-02-28 |
Jessica Mann Md | 263 Farmington Ave, Farmington, CT 06030-2947 | Controlled Substance Registration for Practitioner | 2009-03-02 ~ 2011-02-28 |
Marc A Pinn | 254 Whippoorwill Rd, Old Lyme, CT 06371-1441 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Marc D Aronson Md | 192 S Main St, Middletown, CT 06457-3727 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).