MARK O. OKUSA
Physician/surgeon


Address: 2250 Cornwall Rd, Charlottesville, VA 22901-7708

MARK O. OKUSA (Credential# 927006) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 12, 1985. The license expiration date date is July 31, 1991. The license status is INACTIVE.

Business Overview

MARK O. OKUSA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.026605. The credential type is physician/surgeon. The effective date is July 12, 1985. The expiration date is July 31, 1991. The business address is 2250 Cornwall Rd, Charlottesville, VA 22901-7708. The current status is inactive.

Basic Information

Licensee Name MARK O. OKUSA
Credential ID 927006
Credential Number 1.026605
Credential Type Physician/Surgeon
Business Address 2250 Cornwall Rd
Charlottesville
VA 22901-7708
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1985-07-12
Effective Date 1985-07-12
Expiration Date 1991-07-31
Refresh Date 2010-05-03

Office Location

Street Address 2250 CORNWALL RD
City CHARLOTTESVILLE
State VA
Zip Code 22901-7708

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Joseph W Lavernoich 1103 Amber Ridge Rd, Charlottesville, VA 22901 Registered Nurse 2019-01-01 ~ 2019-12-31
Brooke Elizabeth Rolfe 1003 Saint Charles Avenue, Charlottesville, VA 22901 Registered Nurse 2019-04-18 ~ 2019-12-31
Anna E Fontaine 3501 Glenaire Dr., Charlottesville, VA 22901 Professional Engineer 2019-02-01 ~ 2020-01-31
Marge J Haskins · Weichert Inc (ny) 300 Fourth St S E Apt 36, Charlottesville, VA 22901 Real Estate Salesperson 2007-05-31 ~ 2008-05-31
Melanie Morris 918 Marshall Street, Charlottesville, VA 22901 Advanced Practice Registered Nurse 2012-11-01 ~ 2013-10-31
James P Morris 1520 Shadow Oaks Place, Charlottesville, VA 22901 Architect 2002-08-01 ~ 2003-07-31
Kathryn Gamble Rt 12 Box 83, Charlottesville, VA 22901 Physical Therapist 1993-06-24 ~ 1994-05-31
David E Rosenman P.o. Box 5851, Charlotesville, VA 22901 Physician/surgeon 1971-08-27 ~ 1980-07-31
Cheryl A Walker 2968 Cove Trace, Charlottesville, VA 22901 Electrologist 1992-06-25 ~ 1993-06-30
Karen L Hendrickson 776 Merion Greene, Charlottesville, VA 22901 Registered Nurse 2002-04-15 ~ 2003-05-31
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Competitor

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City CHARLOTTESVILLE
Zip Code 22901
License Type Physician/Surgeon
License Type + County Physician/Surgeon + CHARLOTTESVILLE

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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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