MARK WAYNIK MD (Credential# 150259) 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.
MARK WAYNIK MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0011246. 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 22 Winding Way, Trumbull, CT 06611-2945. The current status is active.
| Licensee Name | MARK WAYNIK MD |
| Credential ID | 150259 |
| Credential Number | CSP.0011246 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
22 Winding Way Trumbull CT 06611-2945 |
| 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 | 2019-02-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 544933 | 1.024277 | Physician/Surgeon | 1983-01-04 | 2019-12-01 - 2020-11-30 | ACTIVE |
| Street Address | 22 WINDING WAY |
| City | TRUMBULL |
| State | CT |
| Zip Code | 06611-2945 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jeff P Schultz | 6 Winding Way, Trumbull, CT 06611-2945 | Electrical Unlimited Journeyperson | 2019-10-01 ~ 2020-09-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ashley S Balestriere | 7 Sutton Place, Trumbull, CT 06611 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Filomena L Ferraro · Nicolia | 35 Skating Pond Rd, Trumbull, CT 06611 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Alexis Grace Shaub | 58 Chestnut Hill Road, Trumbull, CT 06611 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
| Maria Bivona | 5302 Main Street, Trumbull, CT 06611 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Gina M Gallo · Liquigli | 20 Red Maple Lane, Trumbull, CT 06611 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Xuehuan Zhang | 31 Asbury Rd, Trumbull, CT 06611 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Antoinette D Senior | 38 Tanager Lane, Trumbull, CT 06611 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Solution Construction LLC | 3 Stonewall Lane, Trumbull, CT 06611 | New Home Construction Contractor | 2020-06-18 ~ 2021-09-30 |
| Gary T Sorge | 63 Limerick Road, Trumbull, CT 06611 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Melodie T Noga | 55 Moose Hill Road, Trumbull, CT 06611 | Real Estate Salesperson | 2020-06-19 ~ 2021-05-31 |
| Find all Licenses in zip 06611 | |||
| City | TRUMBULL |
| Zip Code | 06611 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + TRUMBULL |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Myra Waynik Md | 6448 Main St, Trumbull, CT 06611 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Ilana Y Waynik | 30 Bainbridge Road, West Hartford, CT 06119-1641 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mark P Goldstein Md | 754 E 6th St #5d, New York, NY 10009 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mark R Cullen Md | 22 Lee Way, Madison, CT 06443 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Mark C Lee Md | 282 Washington St, Hartford, CT 06106-3322 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mark F Brady | 115 Dwight St Apt 4, New Haven, CT 06511-4580 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Mark Coyle Pa | 4 Rockwood Rd, Medway, MA 02053 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mark Fotovat | 114 Woodland St, Hartford, CT 06105-1208 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Mark Longobardi Dmd | 169 Valley St, Willimantic, CT 06226 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mark D Rothman | 100 York St #12-n, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
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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).