JUSTIN R MARCUS (Credential# 1490829) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 7, 2014. The license expiration date date is June 30, 2020. The license status is ACTIVE.
JUSTIN R MARCUS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.058931-RES. The credential type is resident physician. The effective date is July 7, 2014. The expiration date is June 30, 2020. The business address is 360 State St Apt 716, New Haven, CT 06510-3603. The current status is active.
| Licensee Name | JUSTIN R MARCUS |
| Credential ID | 1490829 |
| Credential Number | 1.058931-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
360 State St Apt 716 New Haven CT 06510-3603 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2014-07-07 |
| Effective Date | 2014-07-07 |
| Expiration Date | 2020-06-30 |
| Refresh Date | 2019-05-16 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1226713 | CSP.0057271 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-06-10 | 2015-03-01 - 2017-02-28 | INACTIVE |
| 1201470 | 1.053089 | Physician/Surgeon | 2014-06-02 | 2014-06-02 - 2015-06-30 | INACTIVE |
| Street Address | 360 STATE ST APT 716 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06510-3603 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Harold Leroy Rahming | 360 State St Apt 716, New Haven, CT 06510-3603 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kirstyn E Brownson | 360 State St Apt 803, New Haven, CT 06510-3603 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gary P Bernardi Jr | Yale New Haven Hospital, New Haven, CT 06510 | Advanced Practice Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Katherine G Kennedy | 65 Trumbull St, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Molly Elizabeth Mcadow | 333 Cedar Street, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Brady Dunkle | 58 Vernon Street, New Haven, CT 06510 | Registered Nurse | ~ |
| Karin Ann Price | 20 York St, New Haven, Ct 06510, New Haven, CT 06510 | Registered Nurse - Temporary | 2020-06-25 ~ 2020-10-23 |
| G C S Constuction LLC | 142 Temple Street, New Haven, CT 06510 | Major Contractor | 2020-07-01 ~ 2021-06-30 |
| Paul L Mccarthy Md · Yale School of Medicine | Dept of Pediatrics, New Haven, CT 06510 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Lauren E Cohn Md | Yale New-haven Hospital, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Bong Francois | 900 Chapel St Apt 901, New Haven, CT 06510 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Pelli Clarke Pelli Architects Inc. | 1056 Chapel St, New Haven, CT 06510 | Architecture Corporation | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06510 | |||
| City | NEW HAVEN |
| Zip Code | 06510 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brian Marcus | 4800 Sand Point Way Ne # Oc7.830, Seattle, WA 98105-3901 | Resident Physician | 2020-07-05 ~ 2021-06-30 |
| Justin Kuether | 139 Treadwell St, Hamden, CT 06517-2342 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Justin Young | 300 George St Ste 901, New Haven, CT 06511-6662 | Resident Physician | 2020-06-11 ~ 2024-06-30 |
| Justin Michael Pacor | 123 York St, New Haven, CT 06511-5655 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Justin Van Minh Nguyen | 100 Temple St Ph 17, New Haven, CT 06510-2711 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Justin Alexander Charles | C/o 20 York St, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Justin Mark Le Blanc | 62 Toledo Ave, Warwick, RI 02888-4133 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Justin Keele Banerdt | 20 York St Rm 226, New Haven, CT 06510-3220 | Resident Physician | 2020-06-11 ~ 2021-06-30 |
| Adam Justin Parker | 300 George St Ste 901, New Haven, CT 06511-6662 | Resident Physician | 2019-06-24 ~ 2021-06-30 |
| Justin Eglseder | 1351 Washington Blvd, Stamford, CT 06902-2419 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
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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).