MARC WEITZMAN MD (Credential# 164509) 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.
MARC WEITZMAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0022306. 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 2371 Black Rock Tpke, Fairfield, CT 06825. The current status is active.
| Licensee Name | MARC WEITZMAN MD |
| Credential ID | 164509 |
| Credential Number | CSP.0022306 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
2371 Black Rock Tpke Fairfield CT 06825 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-03-29 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-22 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 550756 | 1.033157 | Physician/Surgeon | 1993-07-16 | 2020-01-01 - 2020-12-31 | ACTIVE |
| Street Address | 2371 BLACK ROCK TPKE |
| City | FAIRFIELD |
| State | CT |
| Zip Code | 06825 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ian R Gorovoy | 2371 Black Rock Tpke, Fairfield, CT 06825-3229 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Joanna L. Sarracino | 2371 Black Rock Tpke, Fairfield, CT 06825-3229 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Vinnie P Shah | 2371 Black Rock Tpke, Fairfield, CT 06825-3229 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alexander M Testani | 77 Winoca Rd, Fairfield, CT 06825 | Emergency Medical Technician | 2020-06-26 ~ 2022-03-31 |
| Salome Cleopatra Nail | 2399 Black Rock Turnpike, Fairfield, CT 06825 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Angela M Carmona | 198 Castle Ave, Fairfield, CT 06825 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Maria D Coutinho | 131 Roseville Street, Fairfield, CT 06825 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Jie Che | 1519 Black Rock Tpke, Fairfield, CT 06825 | Esthetician | ~ |
| Eva I Chiamulera | 86 Brookfield Avenue, Fairfield, CT 06825 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Suzanne P Taluy | 558 Villa Ave, Fairfield, CT 06825 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Benjamin Allan Gott | 262 Euclid Avenue, Fairfield, CT 06825 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
| Charles J Applebaum | 841 Stratfield Rd, Fairfield, CT 06825 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Jeri Kriskey | 1179 Merritt Street, Fairfield, CT 06825 | Marital and Family Therapist Associate | 2020-06-24 ~ 2022-06-24 |
| Find all Licenses in zip 06825 | |||
| City | FAIRFIELD |
| Zip Code | 06825 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + FAIRFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carol Weitzman Md | 8 Emerald Lane, Woodbridge, CT 06525 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Hervey A Weitzman Md | 4699 Main St Ste 213, Bridgeport, CT 06606-1830 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Vanessa N Weitzman Md | 84 Belknap Road, West Hartford, CT 06117 | Controlled Substance Registration for Practitioner | 2008-03-26 ~ 2009-02-28 |
| Marc P Kanter | 5 Perryridge Rd, Greenwich, CT 06830 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Marc C Uyekliong | Po Box 321014, Fairfield, CT 06825 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Marc Mishkin | 50 Aiken St Apt 334, Norwalk, CT 06851-2026 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Marc A Pinn | 254 Whippoorwill Rd, Old Lyme, CT 06371-1441 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Marc A Diberardino Dvm | 275 Brooks Rd, Bethany, CT 06524-3605 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Marc B Kaye | 24 Park Pl, Hartford, CT 06106-5008 | Controlled Substance Registration for Practitioner | 2008-03-25 ~ 2009-02-28 |
| Marc D Haber | 78 Quinnehtulz Rd, Longmeadow, MA 01106 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).