JENNIFER SUSAN MARK (Credential# 1643311) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 24, 2019. The license expiration date date is July 31, 2020. The license status is ACTIVE.
JENNIFER SUSAN MARK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.064009. The credential type is physician/surgeon. The effective date is July 24, 2019. The expiration date is July 31, 2020. The business address is 33 Garfield Ave., Easthampton, MA 01027. The current status is active.
| Licensee Name | JENNIFER SUSAN MARK |
| Credential ID | 1643311 |
| Credential Number | 1.064009 |
| Credential Type | Physician/Surgeon |
| Business Address |
33 Garfield Ave. Easthampton MA 01027 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-07-24 |
| Effective Date | 2019-07-24 |
| Expiration Date | 2020-07-31 |
| Refresh Date | 2019-07-25 |
| Street Address | 33 Garfield Ave. |
| City | Easthampton |
| State | MA |
| Zip Code | 01027 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Leo I Stemp Md | 16 Pine Hill Road, Easthampton, MA 01027 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| William A Canon | 26 Ashley Circle, Easthampton, MA 01027 | Landscape Architect | 2019-02-05 ~ 2019-07-31 |
| Jo-anne Gaughan-cabral | 5 Wellington Circle, Easthampton, MA 01027 | Licensed Clinical Social Worker | 2020-06-01 ~ 2021-05-31 |
| Zachary J Montoya | 31 Hisgen Ave, East Hampton, MA 01027 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| Kelli Montalvo-greene | 10 Golden Dr, Easthampton, MA 01027 | Licensed Practical Nurse | 2020-05-01 ~ 2021-04-30 |
| Karen A Lavallee-tente | 10 Taft Ave., Easthampton, MA 01027 | Massage Therapist | 2020-03-01 ~ 2022-02-28 |
| Allysson Lee Arcibal | 56 Adams Street, Easthampton, MA 01027 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Maureen J Mcginn | 11 Sandra Road, Easthampton, MA 01027 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| David J Popielarczyk | 5 Chestnut St, Easthampton, MA 01027 | Professional Engineer | 2019-02-10 ~ 2020-01-31 |
| Jennifer R Day | 55 Knipfer Ave, East Hampton, MA 01027 | Hairdresser/cosmetician | 2020-03-01 ~ 2022-02-28 |
| Find all Licenses in zip 01027 | |||
| City | Easthampton |
| Zip Code | 01027 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Easthampton |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Susan M. Dabu-bondoc | 11 Jennifer Dr, North Haven, CT 06473-2039 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Mark M Silverstein | Mark Silverstein,md, Manchester, NJ 08759 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Susan St Jacques Pa · Maiden Name-wiegert | 33 North Mark Drive, Oxford, CT 06478 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Mark Davis | Po Box 222, Abingdon, MD 21009-0222 | Physician/surgeon | ~ |
| Susan Kornacki | Apt 4m, Ny, NY 10014 | Physician/surgeon | 2012-03-01 ~ 2013-02-28 |
| Ron Mark | 6 Annette Way, Jericho, NY 11753 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Mark Dam | 15 Barringer Rd, Darien, CT 06820-2012 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Mark N Lobato | Ms # 11-tub, Hartford, CT 06134 | Physician/surgeon | 2015-12-01 ~ 2016-11-30 |
| Mark L Friedman | Po Box 298, Newbury, NH 03255-0298 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Mark A Sauer | Po Box 97, Pomfret, CT 06258 | Physician/surgeon | 1993-01-25 ~ 1994-01-31 |
Please comment or provide details below to improve the information on JENNIFER SUSAN MARK.
| 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).