MARK C RUCHMAN MD (Credential# 151861) 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 C RUCHMAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0009418. 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 1 Reservoir Office Park Ste 203, Southbury, CT 06488-3926. The current status is active.
| Licensee Name | MARK C RUCHMAN MD |
| Credential ID | 151861 |
| Credential Number | CSP.0009418 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
1 Reservoir Office Park Ste 203 Southbury CT 06488-3926 |
| 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 | 2019-01-25 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 543990 | 1.022088 | Physician/Surgeon | 1980-05-19 | 2019-10-01 - 2020-09-30 | ACTIVE |
| Street Address | 1 RESERVOIR OFFICE PARK STE 203 |
| City | SOUTHBURY |
| State | CT |
| Zip Code | 06488-3926 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Daniel E Suarez | 1449 Old Waterbury Rd Ste 307b, Southbury, CT 06488-3926 | Massage Therapist | 2020-05-01 ~ 2022-04-30 |
| Pro-mac Appraisals LLC | 1 Reservoir Office Park Ste 302, Southbury, CT 06488-3926 | Real Estate Appraisal Management Company | 2019-01-01 ~ 2020-12-31 |
| Jeta Zedek Dds | 1 Reservoir Office Park Ste 202, Southbury, CT 06488-3926 | Dentist | 2020-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jillian Jung | 582 Patriot Rd, Southbury, CT 06488 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Mary E Kohler | 201 Old Highway, Southbury, CT 06488 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Theresa K Bobak | 266b Heritage Village, Southbury, CT 06488 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Kelly Watson | 800 Main Street South Suite 102, Southbury, CT 06488 | Medication Administration Certification | 2018-06-27 ~ 2020-06-26 |
| Mcdonald's Rest #2104 | 44 Division St, Derby, CT 06488 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Shirley A Frager | 5 West View Rd, Southbury, CT 06488 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Maureen K Boyd | 77 Shane Drive, Southbury, CT 06488 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
| South Britain Oil LLC | 424 Old Field Rd, Southbury, CT 06488 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Won Ju Lee | 995 Old Field Rd, Southbury, CT 06488 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-01-31 |
| Mcdonald's Rest #27001 | 652 New Haven Ave, Derby, CT 06488 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06488 | |||
| City | SOUTHBURY |
| Zip Code | 06488 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SOUTHBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Southern New Eng Reg Eye Center · Mark C Ruchman Md | Eye Assoc of Waterbury PC, Waterbury, CT 06708 | Controlled Substance Laboratory | 1992-01-24 ~ 1993-01-31 |
| 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 E Pethick Dmd | 532 Chapel St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mark S Schaner | 114 Woodland St, Hartford, CT 06105 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mark P Leondires Md | 761 Main Ave Ste 200, Norwalk, CT 06851-1080 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mark J Trentalange | 530 Whittemore Rd, Middlebury, CT 06762-3112 | Controlled Substance Registration for Practitioner | 2017-03-09 ~ 2019-02-28 |
| Mark B Robel | 28 Greenway Rd, New London, CT 06320-5910 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mark Wood Dds | 162 Croton Ave, Ossining, NY 10562 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
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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).