MONICA A. MARTIN (Credential# 556787) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2016. The license expiration date date is August 31, 2017. The license status is INACTIVE.
MONICA A. MARTIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.039201. The credential type is physician/surgeon. The effective date is September 1, 2016. The expiration date is August 31, 2017. The business address is 301 E 79th St Apt 35p, New York, NY 10075-0950. The current status is inactive.
Licensee Name | MONICA A. MARTIN |
Credential ID | 556787 |
Credential Number | 1.039201 |
Credential Type | Physician/Surgeon |
Business Address |
301 E 79th St Apt 35p New York NY 10075-0950 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2000-12-27 |
Effective Date | 2016-09-01 |
Expiration Date | 2017-08-31 |
Refresh Date | 2017-12-04 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1182426 | CSP.0056029 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-08-30 | 2015-03-01 - 2017-02-28 | INACTIVE |
Street Address | 301 E 79TH ST APT 35P |
City | NEW YORK |
State | NY |
Zip Code | 10075-0950 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
I Rand Rodgers Md | 229 East 79th St, New York City, NY 10075 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Li C Pei | 151 East 79th St, New York, NY 10075 | Architect | 2020-05-07 ~ 2020-07-31 |
Laure C Aubuchon | 325 East 79th Street, New York, NY 10075 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Alexandra Zavin | 539 E 78th St #6i, New York, NY 10075 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Timothy Godaire | 509 E 77th Street Apt 6m, New York, NY 10075 | Home Improvement Salesperson | 2020-03-09 ~ 2020-11-30 |
Emil K Heringer | 511 East 80th St, New York, NY 10075 | Optometrist | 2020-01-01 ~ 2020-12-31 |
Norman Maurice Rowe | 71 East 77th Street, Suite 1a, New York, NY 10075 | Physician/surgeon | 2020-02-29 ~ 2021-02-28 |
Wendee K Schildhaus | 124 East 79th Street, New York, NY 10075 | Marital and Family Therapist | 2020-04-01 ~ 2021-03-31 |
Chien C Pei | 225 East 79th St, New York, NY 10075 | Architect | 2020-01-28 ~ 2018-07-31 |
David R Ortiz | 445 East 77th Street, New York, NY 10075 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Find all Licenses in zip 10075 |
City | NEW YORK |
Zip Code | 10075 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + NEW YORK |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Mark B Faries Md | 2200 Santa Monica Blvd, Santa Monica, CA 90404-2302 | Physician/surgeon | 2014-07-01 ~ 2015-06-30 |
Kim N Nguyen | 2461 Santa Monica Blvd Ste 108, Santa Monica, CA 90404-2138 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Monica Froicu | 90 Livingston St, New Haven, CT 06511-2480 | Physician/surgeon | 2014-10-01 ~ 2015-09-30 |
Monica David | 99-60 64th Ave Apt 6y, Rego Park, NY 11374 | Physician/surgeon | ~ |
Monica S Theiss | 222 Silvermine Ave, Norwalk, CT 06850 | Physician/surgeon | 2004-03-26 ~ 2005-03-31 |
Katrina S Firlik Md | 455 21st Pl, Santa Monica, CA 90402-3115 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Paul M Tsou | 526 Adelaide Dr, Santa Monica, CA 90402 | Physician/surgeon | 1981-01-01 ~ 1993-11-30 |
Stephen B Meisel | Suite 900, Santa Monica, CA 90403 | Physician/surgeon | 2015-12-01 ~ 2016-11-30 |
Lloyd D Wagner | 223 24th St, Santa Monica, CA 90402-2515 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
Monica Prem Sharma | 60 Hanson Lane, New Rochelle, NY 10804 | Physician/surgeon | ~ |
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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).