MARK A VARALLO (Credential# 550732) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 5, 1996. The license expiration date date is July 31, 1997. The license status is INACTIVE.
MARK A VARALLO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.033133. The credential type is physician/surgeon. The effective date is August 5, 1996. The expiration date is July 31, 1997. The business address is 670 Davidson Rd, Lockport, NY 14094. The current status is inactive.
Licensee Name | MARK A VARALLO |
Credential ID | 550732 |
Credential Number | 1.033133 |
Credential Type | Physician/Surgeon |
Business Address |
670 Davidson Rd Lockport NY 14094 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1993-07-09 |
Effective Date | 1996-08-05 |
Expiration Date | 1997-07-31 |
Refresh Date | 2009-07-08 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
163780 | CSP.0021257 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1995-04-27 - 1996-02-28 | INACTIVE |
Street Address | 670 DAVIDSON RD |
City | LOCKPORT |
State | NY |
Zip Code | 14094 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Christina Francesca Bordieri | 380 Walnut St, Lockport, NY 14094 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
James L Klino | 5788 Stone Rd, Lockport, NY 14094 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Elizabeth Linda Ricketts | 7008 Arrowhead Drive, Lockport, NY 14094 | Registered Nurse | 2018-10-01 ~ 2019-09-30 |
Brian D Shiah | 6972 Lockwood Ct, Lockport, NY 14094 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Wayne J Giambrone | 4822 Upper Mountain Rd, Lockport, NY 14094 | Professional Engineer | ~ |
James Costanzo | 6942 Lockwood Lane, Lockport, NY 14094 | Home Improvement Salesperson | 2007-03-02 ~ 2007-11-30 |
Mitchel Swan | 5809 Constock Rd., Lockport, NY 14094 | Hoisting Equipment Operator | 2004-04-02 ~ 2006-04-01 |
Bbx Inc · Boston Buffalo | 7310 Chestnut Ridge Road, Lockport, NY 14094 | Transporter Liquor | 2015-03-06 ~ 2016-03-05 |
Edward M Schiller | 5860 Dunnigan Rd, Lockport, NY 14094 | Professional Engineer | 1995-01-18 ~ 1996-01-31 |
Charles A Dahlke | 6701 S Transit Rd, Lockport, NY 14094 | Architect | 2013-02-25 ~ 2013-07-31 |
Find all Licenses in zip 14094 |
City | LOCKPORT |
Zip Code | 14094 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + LOCKPORT |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Marisa Varallo | 159 Madison Ave Apt 7j, New York, NY 10016-5436 | Physician/surgeon | 2019-07-01 ~ 2020-06-30 |
Mark M Silverstein | Mark Silverstein,md, Manchester, NJ 08759 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
Mark Davis | Po Box 222, Abingdon, MD 21009-0222 | Physician/surgeon | ~ |
Mark A Sauer | Po Box 97, Pomfret, CT 06258 | Physician/surgeon | 1993-01-25 ~ 1994-01-31 |
Mark L Friedman | Po Box 298, Newbury, NH 03255-0298 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Mark N Lobato | Ms # 11-tub, Hartford, CT 06134 | Physician/surgeon | 2015-12-01 ~ 2016-11-30 |
Mark I Robbins | 211 Grove Rd, Rye, NH 03870-2508 | Physician/surgeon | 2018-07-01 ~ 2019-06-30 |
Mark Dam | 15 Barringer Rd, Darien, CT 06820-2012 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Mark Snyder | 120 Terrace Ln, Hannibal, MO 63401-2768 | Physician/surgeon | ~ |
Mark Levin | 6 Gel Ct, Monsey, NY 10952-1956 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Please comment or provide details below to improve the information on MARK A VARALLO.
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).