MARK BENEDICT (Credential# 1490587) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2017. The license expiration date date is June 30, 2021. The license status is ACTIVE.
MARK BENEDICT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.058689-RES. The credential type is resident physician. The effective date is July 1, 2017. The expiration date is June 30, 2021. The business address is 117 Shore Dr Apt 2, Branford, CT 06405-4858. The current status is active.
| Licensee Name | MARK BENEDICT |
| Credential ID | 1490587 |
| Credential Number | 1.058689-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
117 Shore Dr Apt 2 Branford CT 06405-4858 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-07-01 |
| Effective Date | 2017-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-05-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1170663 | CSP.0055006 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-06-28 | 2017-03-01 - 2019-02-28 | LAPSED |
| 1373966 | 1.055667-DO | Physician/Surgeon | 2016-08-29 | 2017-03-01 - 2018-02-28 | INACTIVE |
| Street Address | 117 SHORE DR APT 2 |
| City | BRANFORD |
| State | CT |
| Zip Code | 06405-4858 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michelle I Mckean · Llyon's Painting | 117 Shore Dr Apt 7, Branford, CT 06405-4858 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Brian Betterton · Short Beach Painting | 117 Shore Dr Apt 7, Branford, CT 06405-4858 | Home Improvement Contractor | 2018-11-05 ~ 2018-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Raymond M Johnson | 39 Bayberry Lane, Branford, CT 06405 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kirsten M Ranciato | 288 East Main Street, Branford, CT 06405 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Bimala Khadka Thapa | 726 Robert Frost Dr., Branford, CT 06405 | Nail Technician | ~ |
| Paul E Basile | 42 Valley Brook Road South, Branford, CT 06405 | Perfusionist | 2020-08-01 ~ 2021-07-31 |
| Lupe Monica Placencia-muy | 100 East Main Street 2nd Fl, Branford, CT 06405 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-02-28 |
| Bridget J Jennings | 159 Queach Road, Branford, CT 06405 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Ujeli Acharya | 21 Burban Drive, Branford, CT 06405 | Nail Technician | ~ |
| Cathleen Smith | 50 First Avenue, Branford, CT 06405 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Gita Thapa | 94 Village Lane, Branford, CT 06405 | Nail Technician | ~ |
| Cycle Venture Partners Fund I Lp - Lumeda Series 1 | 50 Limewood Avenue, Branford, CT 06405 | Securities - Exemptions | 2020-06-17 ~ |
| Find all Licenses in zip 06405 | |||
| City | BRANFORD |
| Zip Code | 06405 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + BRANFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mark Lazarovich | 23 Benedict Ave, Fairfield, CT 06430 | Physician/surgeon | 1981-01-01 ~ 1993-04-30 |
| Mark Steven Mcfarland | 267 Grant St, Bridgeport, CT 06610-2805 | Resident Physician | 2018-07-01 ~ 2023-06-30 |
| Mark Mikhitarian | 750 Summer Street #403, Norwalk, CT 06850 | Resident Physician | 2017-06-19 ~ 2018-06-18 |
| Justin Mark Le Blanc | 62 Toledo Ave, Warwick, RI 02888-4133 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Jason Mark Beckta | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Mark S Godfrey | 300 Cedar St Tac S425, New Haven, CT 06519-1612 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Mark Archer Eckardt | 20 York St. Tompkins 2, Room 226, New Haven, CT 06510-3220 | Resident Physician | 2020-06-22 ~ 2021-06-30 |
| William Benedict Inc · Benedict's Home & Garden | 480 Purdy Hill Rd, Monroe, CT 06468 | Non Legend Drug Permit | 2012-01-01 ~ 2012-12-31 |
| Mark Jonker | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2016-06-28 ~ 2020-06-30 |
| Mark D Spencer | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2018-07-01 ~ 2023-06-30 |
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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).