MARISSA NOVACK (Credential# 1491296) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2015. The license expiration date date is June 30, 2021. The license status is ACTIVE.
MARISSA NOVACK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.059193-RES. The credential type is resident physician. The effective date is July 1, 2015. The expiration date is June 30, 2021. The business address is One Hospital Plaza, Stamford, CT 06904. The current status is active.
Licensee Name | MARISSA NOVACK |
Credential ID | 1491296 |
Credential Number | 1.059193-RES |
Credential Type | Resident Physician |
Credential SubCategory | RES |
Business Address |
One Hospital Plaza Stamford CT 06904 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2015-07-01 |
Effective Date | 2015-07-01 |
Expiration Date | 2021-06-30 |
Refresh Date | 2018-02-13 |
Street Address | One Hospital Plaza |
City | Stamford |
State | CT |
Zip Code | 06904 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Monique Smith | One Hospital Plaza, Stamford, CT 06904 | Notary Public Appointment | 2018-06-29 ~ 2023-06-30 |
Valeria Grijalva | One Hospital Plaza, Stamford, CT 06902 | Resident Physician | 2019-07-01 ~ 2022-06-30 |
Anna Stransky | One Hospital Plaza, Stamford, CT 06902 | Resident Physician | 2019-07-01 ~ 2022-06-30 |
Krista Dionne | One Hospital Plaza, Stamford, CT 06902 | Resident Physician | 2019-07-01 ~ 2022-06-30 |
Mahta Salehi | One Hospital Plaza, Stamford, CT 06902 | Resident Physician | 2019-07-01 ~ 2022-06-30 |
Mariana Chang | One Hospital Plaza, Stamford, CT 06902 | Resident Physician | 2019-07-01 ~ 2022-06-30 |
Lifan Hsu | One Hospital Plaza, Stamford, CT 06904 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
Nneka Nwachukwu | One Hospital Plaza, Stamford, CT 06904 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
Paul D Bobby Md | One Hospital Plaza, Stamford, CT 06902 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Dennis Barbon | One Hospital Plaza, Stamford, CT 06904 | Controlled Substance Registration for Practitioner | 2019-06-11 ~ 2021-02-28 |
Find all Licenses in the same address |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Kwok Ming S Lo | Bennett Cancer Center, Stamford, CT 06904 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Shahrzad Mohammadi Md | The Stamford Hospital, Stamford, CT 06904 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Elaine Colandro | 217 Southfield Ave, Stamford, CT 06904 | Hairdresser/cosmetician | 2020-06-01 ~ 2022-05-31 |
Carla-vanessa Ruiz | 112 Pine Hill Avenue 2, Stamford, CT 06904 | Notary Public Appointment | 2013-08-01 ~ 2018-07-31 |
Gerald L Vincent | P O Box 904, Stamford, CT 06904 | Real Estate Broker | 2019-04-01 ~ 2020-03-31 |
Angelico F Fontaine | P.o. Box 122, Stamford, CT 06904 | Licensed Practical Nurse | 2020-05-01 ~ 2021-04-30 |
Sonia Laureano | 84 Toros Ave, Stamford, CT 06904 | Family Child Care Substitute | ~ |
John F Revay | 100 Maple Tree Avenue Apt C, Stamford, CT 06904 | Certified Public Accountant Certificate | 2020-01-01 ~ 2020-12-31 |
Michael's Fine Painting LLC | P.o Box 196, Stamford, CT 06904 | Home Improvement Contractor | 2019-03-06 ~ 2019-11-30 |
Gustavo Held | Box 10957, Stamford, CT 06904 | Notary Public Appointment | 1987-07-01 ~ 1992-03-31 |
Find all Licenses in zip 06904 |
City | Stamford |
Zip Code | 06904 |
License Type | Resident Physician |
License Type + County | Resident Physician + Stamford |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Michael R Novack · Novack Painting | 100 Putnam St, Bristol, CT 06010 | Home Improvement Contractor | 1996-11-14 ~ 1997-11-30 |
Marissa A Novack | 120 Morgan St Apt 401b, Stamford, CT 06905-5438 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Marissa Sansone | 20 York St, New Haven, CT 06510 | Resident Physician | 2019-07-01 ~ 2021-06-30 |
Marissa Schwartz | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2014-07-01 ~ 2019-06-30 |
Marissa Hobocan | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2019-06-28 ~ 2022-06-30 |
Steven J Novack | 4 Wexford Lane, Savannah, GA 31411 | Physician/surgeon | 2006-09-25 ~ 2007-08-31 |
Tracy Novack | 10 Arbor Drive, Providence, RI 02908 | Physician Assistant | 2007-09-28 ~ 2008-03-31 |
Stuart N Novack | 761 Main Ave Suite 112, Norwalk, CT 06851 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Marissa B Migdol Pa | 83 Newfield Ave Apt 27, Waterbury, CT 06708 | Physician Assistant | 2004-06-16 ~ 2005-03-31 |
Marissa Jacko | 101 Hillcrest Ave, Stratford, CT 06614-3514 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
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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).