MARK G WOLF MD (Credential# 159224) 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 G WOLF MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0019158. 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 27 Birch Road, West Hartford, CT 06119. The current status is active.
| Licensee Name | MARK G WOLF MD |
| Credential ID | 159224 |
| Credential Number | CSP.0019158 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
27 Birch Road West Hartford CT 06119 |
| 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 | 2018-12-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 548515 | 1.030531 | Physician/Surgeon | 1990-01-12 | 2019-11-01 - 2020-10-31 | ACTIVE |
| Street Address | 27 Birch Road |
| City | West Hartford |
| State | CT |
| Zip Code | 06119 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brooke Alison Barney | 27 Birch Road, West Hartford, CT 06119 | Master's Level Social Worker - Temporary Permit | 2020-05-25 ~ 2020-09-06 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Danna Rae France | 1148 Boulevard, West Hartford, CT 06119 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-10-31 |
| Rayda R Bouma | 122 Richard St, West Hartford, CT 06119 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Norbert M Spencer | 17 Oakwood Ave., West Hartford, CT 06119 | Professional Counselor | 2020-07-01 ~ 2021-06-30 |
| Diedra A Dietter | 9 Birch Road, West Hartford, CT 06119 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Dahlia I Belnavis-bigenho · Belnavis | 186 Whiting Lane, West Hartford, CT 06119 | Respiratory Care Practitioner | 2020-08-01 ~ 2021-07-31 |
| Stephen R Dewey | 68 Richard St, W Hartford, CT 06119 | Architect | 2020-08-01 ~ 2021-07-31 |
| James E Vance Jr | 9 Plymouth Rd, W Hartford, CT 06119 | Architect | 2020-08-01 ~ 2021-07-31 |
| Mark D Hirsch | 105 Griswold Dr, W Hartford, CT 06119 | Architect | 2020-08-01 ~ 2021-07-31 |
| Judith Briggs | 29 Troy St, West Hartford, CT 06119 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Thulan P Vu | 74 Park Road, West Hartford, CT 06119 | Nail Technician | 2020-06-24 ~ 2022-06-30 |
| Find all Licenses in zip 06119 | |||
| City | West Hartford |
| Zip Code | 06119 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + West Hartford |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Wolf Erlich | 950 Yale Ave Ste 39, Wallingford, CT 06492-1884 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ann E Evers Md | 279 Wolf Harbor Rd, Milford, CT 06461 | Controlled Substance Registration for Practitioner | 2009-03-30 ~ 2011-02-28 |
| Alexander Wolf | 24 Hospital Ave, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2009-09-11 ~ 2011-02-28 |
| David C Wolf Md | 5 Perryridge Rd, Greenwich, CT 06830-4697 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Robert J Wolf | 108 West St, Uxbridge, MA 01569-2005 | Controlled Substance Registration for Practitioner | 1993-05-12 ~ 1995-05-01 |
| Yan Yan Beach | 940 Wolf Hill Rd, Cheshire, CT 06410-2301 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Melissa Danielle Wolf | 50 Old Hawleyville Rd., Bethel, CT 06801 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Frances E Tanner Dvm | 115 Wolf Harbor Rd, Milford, CT 06461-1938 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| H Compton Gift Md | 20 Wolf Hill Rd, Wolcott, CT 06716-2754 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Stephanie A Borjas | 1 Wolf Ridge Gap, Ledyard, CT 06339-1545 | Controlled Substance Registration for Practitioner | 2019-10-03 ~ 2021-02-28 |
Please comment or provide details below to improve the information on MARK G WOLF MD.
| 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).