MARK E LEVINE MD (Credential# 555163) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 15, 1999. The license expiration date date is July 31, 2000. The license status is INACTIVE.
MARK E LEVINE MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.037573. The credential type is physician/surgeon. The effective date is July 15, 1999. The expiration date is July 31, 2000. The business address is 526 High Street, Middletown, CT 06457. The current status is inactive.
Licensee Name | MARK E LEVINE MD |
Credential ID | 555163 |
Credential Number | 1.037573 |
Credential Type | Physician/Surgeon |
Business Address |
526 High Street Middletown CT 06457 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1999-03-12 |
Effective Date | 1999-07-15 |
Expiration Date | 2000-07-31 |
Refresh Date | 2009-07-11 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
217416 | CSP.0028622 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-08-03 - 2000-02-28 | INACTIVE |
Street Address | 526 HIGH STREET |
City | MIDDLETOWN |
State | CT |
Zip Code | 06457 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Elizabeth M Mailhot | 177 Timber Ridge Rd, Middletown, CT 06457 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
Rebecca S Fennessy | 22 Keefe Ln, Middletown, CT 06457 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
Eloise M Gagnon | 538 Bow Lane, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
Salvatore Dimauro | 245 Dekoven Dr, Middletown, CT 06457 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
Frank L Wright | 261 Spencer Dr, Middletown, CT 06457 | Barber | 2020-08-01 ~ 2022-07-31 |
Gino A Cardella | 50 Sonoma Lane, Middletown, CT 06457 | Real Estate Salesperson | ~ |
Shannon Lee Mcquillan | 5 Forest Glen Circle, Middletown, CT 06457 | Registered Nurse | 2020-06-26 ~ 2020-09-30 |
Lori Dimauro · Carta | 244 Chamberlain Hill Road, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
Gail A Corrow | 85 Dora Dr, Middletown, CT 06457 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Mariter V Perez | 8 Moss Glen, Middletown, CT 06457 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06457 |
City | MIDDLETOWN |
Zip Code | 06457 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + MIDDLETOWN |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Alyson Levine | 9 Ann Lane, Rye, NY 10580 | Physician/surgeon | 2019-07-01 ~ 2020-06-30 |
Eli S Levine Md | 224 Gleneagles Cir, Broussard, LA 70518 | Physician/surgeon | 2016-01-01 ~ 2016-12-31 |
Jonathan L Levine Md | 4 Shaws Cv Ste 204, New London, CT 06320-4956 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Daniel W Levine | 19 Meadowlark Rd Fl 3, Rye Brook, NY 10573-1209 | Physician/surgeon | 2016-01-27 ~ 2016-07-31 |
Jedd F Levine Md | 84 Prospect St, Litchfield, CT 06759 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Amir Levine Md | 993 Amsterdam Ave., New York, NY 10025 | Physician/surgeon | 2010-04-01 ~ 2011-03-31 |
Abraham I Levine | 26 Wilson Ave, Rowayton, CT 06853 | Physician/surgeon | 1996-10-01 ~ 1997-10-31 |
Julius E Levine | 125 Kohary Dr, New Haven, CT 06515 | Physician/surgeon | 1989-12-19 ~ 1990-08-28 |
Herbert Levine Md | 32 Washington St, Middletown, CT 06457 | Physician/surgeon | 1998-09-28 ~ 1999-09-30 |
Levine & Levine Co Inc | 120 Lebanon Ave, Colchester, CT 06415 | Closing Out Sale | 1996-08-22 ~ 1996-11-22 |
Please comment or provide details below to improve the information on MARK E LEVINE MD.
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).