MARK L KSZYWANOS
Radiographer


Address: 63 White Tail Ln, Wallingford, CT 06492-5351

MARK L KSZYWANOS (Credential# 752671) is licensed (Radiographer) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2019. The license expiration date date is August 31, 2020. The license status is ACTIVE.

Business Overview

MARK L KSZYWANOS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #28.001880. The credential type is radiographer. The effective date is September 1, 2019. The expiration date is August 31, 2020. The business address is 63 White Tail Ln, Wallingford, CT 06492-5351. The current status is active.

Basic Information

Licensee Name MARK L KSZYWANOS
Credential ID 752671
Credential Number 28.001880
Credential Type Radiographer
Business Address 63 White Tail Ln
Wallingford
CT 06492-5351
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 1994-11-04
Effective Date 2019-09-01
Expiration Date 2020-08-31
Refresh Date 2019-07-01

Office Location

Street Address 63 WHITE TAIL LN
City WALLINGFORD
State CT
Zip Code 06492-5351

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Natalie M Berardesca 61 White Tail Ln, Wallingford, CT 06492-5351 Advanced Practice Registered Nurse 2020-08-01 ~ 2021-07-31
Christopher A Oksanen 60 White Tail Ln, Yalesville, CT 06492-5351 Physical Therapist 2019-11-01 ~ 2020-10-31
Selvaraj Rayan 56 White Tail Ln, Wallingford, CT 06492-5351 Engineer-in-training ~

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Michele Ruggiero 26 Leigus Road, Wallingford, CT 06492 Radiographer 2020-07-01 ~ 2021-06-30
Dianna K Ball 104 Simpson Ave, Wallingford, CT 06492 Speech and Language Pathologist 2020-08-01 ~ 2021-07-31
Ann Marie Richardson 20 Mohawk Drive, Wallingford, CT 06492 Registered Nurse 2020-07-01 ~ 2021-06-30
Joann Hummel 60 Deer Run Road, Wallingford, CT 06492 Medication Administration Certification 2018-08-21 ~ 2020-08-20
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Competitor

Search similar business entities

City WALLINGFORD
Zip Code 06492
License Type Radiographer
License Type + County Radiographer + WALLINGFORD

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Dataset Information

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).

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