MARY BETH HARMAN (Credential# 537989) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
MARY BETH HARMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.000238-DO. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 5520 Park Ave., Trumbull, CT 06611. The current status is active.
| Licensee Name | MARY BETH HARMAN |
| Credential ID | 537989 |
| Credential Number | 1.000238-DO |
| Credential Type | Physician/Surgeon |
| Credential SubCategory | DO |
| Business Address |
5520 Park Ave. Trumbull CT 06611 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1987-07-01 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-02-10 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 155667 | CSP.0015330 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 5520 PARK AVE. |
| City | TRUMBULL |
| State | CT |
| Zip Code | 06611 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stephen J Moses | 5520 Park Ave., Trumbull, CT 06611 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Leslie M Goldstone-orly | 5520 Park Ave., Trumbull, CT 06611 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ashley S Balestriere | 7 Sutton Place, Trumbull, CT 06611 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Filomena L Ferraro · Nicolia | 35 Skating Pond Rd, Trumbull, CT 06611 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Alexis Grace Shaub | 58 Chestnut Hill Road, Trumbull, CT 06611 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
| Maria Bivona | 5302 Main Street, Trumbull, CT 06611 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Gina M Gallo · Liquigli | 20 Red Maple Lane, Trumbull, CT 06611 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Xuehuan Zhang | 31 Asbury Rd, Trumbull, CT 06611 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Antoinette D Senior | 38 Tanager Lane, Trumbull, CT 06611 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Solution Construction LLC | 3 Stonewall Lane, Trumbull, CT 06611 | New Home Construction Contractor | 2020-06-18 ~ 2021-09-30 |
| Gary T Sorge | 63 Limerick Road, Trumbull, CT 06611 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Melodie T Noga | 55 Moose Hill Road, Trumbull, CT 06611 | Real Estate Salesperson | 2020-06-19 ~ 2021-05-31 |
| Find all Licenses in zip 06611 | |||
| City | TRUMBULL |
| Zip Code | 06611 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + TRUMBULL |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mary Beth Van Siclen | 180 Barbara Rd, Middletown, CT 06457-2404 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Mary Beth Friel | 799 Bloomfield Ave, Suite 201, Verona, NJ 07044 | Physician/surgeon | ~ |
| Mary Beth Janicki Md | 52 Orchard Rd, West Hartford, CT 06117 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Mary Beth C Ellison | 11 Wildwood Medical Center, Essex, CT 06426 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Mary Beth Spillane · Mary Beth Abram | 145 Carriage Way, Windsor, CT 06095 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Mary Beth Chinsky · Mary Beth's Home Day Care | 15 Sunrise Ln, South Windsor, CT 06074-2060 | Family Child Care Home | 2018-02-01 ~ 2022-01-31 |
| Beth Prinz | 79 South End Rd. | Physician/surgeon | 2002-04-08 ~ 2003-04-30 |
| Beth Duncan | 509 Falkirk Rd, Wilmington, DE 19803 | Physician/surgeon | ~ |
| Beth A Leeman Markowski | Apt 523, Washington, DC 20016 | Physician/surgeon | ~ |
| Beth E. Miller | 1300 Chinquapin Rd, Churchville, PA 18966-4610 | Physician/surgeon | ~ |
Please comment or provide details below to improve the information on MARY BETH HARMAN.
| 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).