MARC D EISEN MD (Credential# 463008) 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 D EISEN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0041123. 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 40 Stanford Drive, Farmington, CT 06032. The current status is active.
| Licensee Name | MARC D EISEN MD |
| Credential ID | 463008 |
| Credential Number | CSP.0041123 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
40 Stanford Drive Farmington CT 06032 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2007-02-15 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2018-12-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 562636 | 1.045054 | Physician/Surgeon | 2007-01-22 | 2020-01-01 - 2020-12-31 | ACTIVE |
| Street Address | 40 Stanford Drive |
| City | Farmington |
| State | CT |
| Zip Code | 06032 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kyeongsuk Lee Lee | 11- A1 Lakeshore Dr, Farmington, CT 06032 | Nail Technician | ~ |
| Lynne M Ramer · Sobowicz | 13 Wentworth Park, Farmington, CT 06032 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Scott's Townline Mobil LLC | 435 Main St, Farmington, CT 06032 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Glenna E Voytovich · Mietz | 47 Carriage Dr, Farmington, CT 06032 | Marital and Family Therapist | 2020-09-01 ~ 2021-08-31 |
| Munsons Chocolates | 463 Westfarms Mall, Farmington, CT 06032 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Kimberly A. Caprio | Hartford Healthcare Medical Group, Farmington, CT 06032 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Stephanie A. Fink | 22 Kent Lane, Farmington, CT 06032 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Farmington Donuts LLC · Dunkins Donuts | 348 Colt Hwy, Farmington, CT 06032 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Angham Zakko | 2 Stratford Rd., Farmington, CT 06032 | Architect | 2020-08-01 ~ 2021-07-31 |
| Thomas N Taylor | 222 Main St # 264, Farmington, CT 06032 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06032 | |||
| City | Farmington |
| Zip Code | 06032 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Farmington |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Thomas D Eisen | 136 Sherman Ave, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sharon J Eisen | 14 Merwin Brook Rd, Brookfield, CT 06804-3016 | Controlled Substance Registration for Practitioner | 2019-07-22 ~ 2021-02-28 |
| Steven L Eisen Md | 1211 West Main St, Waterbury, CT 06708 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Marc B Kaye | 24 Park Pl, Hartford, CT 06106-5008 | Controlled Substance Registration for Practitioner | 2008-03-25 ~ 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 G Rappaport Do | 95 Locust Ave, Danbury, CT 06810-6148 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| 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 D Aronson Md | 192 S Main St, Middletown, CT 06457-3727 | 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).