MARISA BEALS (Credential# 1652430) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is June 24, 2019. The license expiration date date is June 30, 2023. The license status is ACTIVE.
MARISA BEALS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.062702-RES. The credential type is resident physician. The effective date is June 24, 2019. The expiration date is June 30, 2023. The business address is 267 Grant St, Bridgeport, CT 06610. The current status is active.
Licensee Name | MARISA BEALS |
Credential ID | 1652430 |
Credential Number | 1.062702-RES |
Credential Type | Resident Physician |
Credential SubCategory | RES |
Business Address |
267 Grant St Bridgeport CT 06610 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2019-06-24 |
Effective Date | 2019-06-24 |
Expiration Date | 2023-06-30 |
Refresh Date | 2019-04-29 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1654501 | CSP.0070823 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-05-07 | 2019-05-07 - 2021-02-28 | ACTIVE |
Street Address | 267 GRANT ST |
City | BRIDGEPORT |
State | CT |
Zip Code | 06610 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Lauren Roth | 267 Grant St, Bridgeport, CT 06610-2805 | Resident Physician | 2020-06-22 ~ 2024-06-30 |
Madeline Carmain | 267 Grant St, Bridgeport, CT 06610-2805 | Resident Physician | 2020-06-22 ~ 2024-06-30 |
Aishwariya S Vegunta | 267 Grant St, Bridgeport, CT 06610-2805 | Resident Physician | 2020-07-01 ~ 2024-06-30 |
Rasha T Ismail | 267 Grant St, Bridgeport, CT 06610-2805 | Resident Physician | 2020-07-01 ~ 2024-06-30 |
Mark Steven Mcfarland | 267 Grant St, Bridgeport, CT 06610-2805 | Resident Physician | 2018-07-01 ~ 2023-06-30 |
Benjamin Hans Jeuk | 267 Grant St, Bridgeport, CT 06610 | Resident Physician | 2020-06-22 ~ 2023-06-30 |
Lucia Plichtova | 267 Grant St, Bridgeport, CT 06610-2805 | Resident Physician | 2020-06-22 ~ 2023-06-30 |
Kwabena Sefah Nketiah Sarpong | 267 Grant St, Bridgeport, CT 06610-2805 | Resident Physician | 2020-06-22 ~ 2023-06-30 |
Prajna D'silva | 267 Grant St, Bridgeport, CT 06610-2805 | Resident Physician | 2020-06-22 ~ 2023-06-30 |
Fabricio Malaguez Webber | 267 Grant St, Bridgeport, CT 06610-2805 | Resident Physician | 2020-06-22 ~ 2023-06-30 |
Find all Licenses in the same address |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Nilca Janice Cardenales | 66 Rose St, Bridgeport, CT 06610 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Kiara Lizbeth Corporan | 10 Sturtevant Pl, Bridgeport, CT 06610 | Eyelash Technician | ~ |
Alisha Garcia | 65 Berkeley Place, Bridgeport, CT 06610 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
Pauline Parkes | 96 Virginia Avenue, Bridgeport, CT 06610 | Licensed Clinical Social Worker | ~ |
Denise Reyes | 1125 Huntington Turnpike, Bridgeport, CT 06610 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Avery M Rilley | 80 Granfield Avenue, Bridgeport, CT 06610 | Pharmacy Technician | 2020-06-25 ~ 2021-03-31 |
Bozena K. Malyszko | Bridgeport Hospital, Bridgeport, CT 06610 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Amy Espinosa | 146 Court D, Bridgeport, CT 06610 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
Wilhelmina Jackson · Thomas | 172 Court D, Bridgeport, CT 06610 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Emma Agyeiwaa Vaczek | P.o Box 5223, Bridgeport, CT 06610 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06610 |
City | BRIDGEPORT |
Zip Code | 06610 |
License Type | Resident Physician |
License Type + County | Resident Physician + BRIDGEPORT |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Colin Beals-reid | 18 W Meadow Rd, Setauket, NY 11733-2265 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
Thomas L Beals · Beals & Sons Inc | 247d West Main Street, Northborough, MA 01532-1018 | Non-water Supply Contractor | 2019-05-01 ~ 2020-04-30 |
Beals and Thomas Inc | 144 Turnpike Rd, Southborough, MA 01772-2121 | Landscape Architecture Corporation | 2020-08-01 ~ 2021-07-31 |
Doherty Beals & Banks PC | 187 Williams Street, New London, CT 06320 | Certified Public Accountant Firm Permit | 2020-01-01 ~ 2020-12-31 |
Veena Kumar Md | 19f Beals Cove Road, Hingham, MA 02043 | Physician/surgeon | 1997-03-03 ~ 1998-04-30 |
Chan R Beals | 671 E Solana Circle, Solana Beach, CA 92075 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Marisa Varallo | 159 Madison Ave Apt 7j, New York, NY 10016-5436 | Physician/surgeon | 2019-07-01 ~ 2020-06-30 |
Marisa L Shaker Pa | 873 South St, Middlebury, CT 06762 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
Marisa's Ristorante LLC | 6540 Main St, Trumbull, CT 06611 | Bakery | 2013-07-01 ~ 2014-06-30 |
Alaia Marisa | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2015-05-22 ~ 2018-05-21 |
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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).