MARK S DISTEFANO (Credential# 555023) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2019. The license expiration date date is May 31, 2020. The license status is ACTIVE.
MARK S DISTEFANO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.037433. The credential type is physician/surgeon. The effective date is June 1, 2019. The expiration date is May 31, 2020. The business address is 292 Lincoln Street, Worcester, MA 01605. The current status is active.
| Licensee Name | MARK S DISTEFANO |
| Credential ID | 555023 |
| Credential Number | 1.037433 |
| Credential Type | Physician/Surgeon |
| Business Address |
292 Lincoln Street Worcester MA 01605 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1998-12-11 |
| Effective Date | 2019-06-01 |
| Expiration Date | 2020-05-31 |
| Refresh Date | 2019-03-10 |
| Street Address | 292 Lincoln Street |
| City | WORCESTER |
| State | MA |
| Zip Code | 01605 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gertrude Mensah | 3 Henry Terrace, Worcester, MA 01605 | Licensed Practical Nurse | ~ |
| Azadeh Emam | 509 Plantation St Apt 412, Worcester, MA 01605 | Dentist | 2020-04-01 ~ 2021-03-31 |
| Barbera Associates Real Estate LLC | 451 Grove St, Worcester, MA 01605 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Christopher Marshall | 48 White Ave, Worcester, MA 01605 | Physical Therapist Assistant | 2020-03-01 ~ 2021-02-28 |
| Jacob Robert Bledsoe | 1 Innovation Drive, Biotech 3 Bldg., Room 230, Worcester, MA 01605 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Michael R Barbera | 2 Terrance Dr, Worcester, MA 01605 | Real Estate Broker | ~ |
| Supriya K. Atianand | 16 Cadorna Road, Worcester, MA 01605 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Pankaj A. Ksheersagar Md | 119 Belmont Street, Worcester, MA 01605 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Golden Group Construction Corp. | 20 Tattan Farm Road, Worcester, MA 01605 | Home Improvement Contractor | 2015-05-22 ~ 2015-11-30 |
| Scott C Boulette | 112 Paine St, Worcester, MA 01605 | Repairer of Weighing & Measuring Devices | 1996-01-01 ~ 1996-12-31 |
| Find all Licenses in zip 01605 | |||
| City | WORCESTER |
| Zip Code | 01605 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WORCESTER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Edward Distefano · Ed Distefano & Son | 529 Middlebury Rd, Watertown, CT 06795 | Home Improvement Contractor | 1995-06-17 ~ 1995-11-30 |
| Leo J Distefano Md | 970 Farmington Ave, West Hartford, CT 06107 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Arcangelo A. Distefano | 3180 Main Street, Bridgeport, CT 06606 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Thomas L Distefano Jr · Distefano and Sons | 48 Barton Hill, E Hampton, CT 06424 | Home Improvement Contractor | ~ 1995-06-01 |
| Michael D Distefano · Distefano Electric | 60 Swain Johnson Trl, Haddam, CT 06438-1060 | Electrical Unlimited Contractor | 2019-10-01 ~ 2020-09-30 |
| Distefano Builders LLC | 22 Christianna Dr, Monroe, CT 06468 | New Home Construction Contractor | 2019-10-01 ~ 2021-09-30 |
| 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 Snyder | 120 Terrace Ln, Hannibal, MO 63401-2768 | Physician/surgeon | ~ |
| Mark I Robbins | 211 Grove Rd, Rye, NH 03870-2508 | Physician/surgeon | 2018-07-01 ~ 2019-06-30 |
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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).