MARNIN A FORMAN (Credential# 974292) is licensed (Veterinarian) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2020. The license expiration date date is July 31, 2021. The license status is ACTIVE.
MARNIN A FORMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #47.003574. The credential type is veterinarian. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is 10 Halliwell Dr, Stamford, CT 06902-2014. The current status is active.
| Licensee Name | MARNIN A FORMAN |
| Credential ID | 974292 |
| Credential Number | 47.003574 |
| Credential Type | Veterinarian |
| Business Address |
10 Halliwell Dr Stamford CT 06902-2014 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2011-01-06 |
| Effective Date | 2020-08-01 |
| Expiration Date | 2021-07-31 |
| Refresh Date | 2020-06-01 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 983892 | CSP.0049607 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2011-02-08 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 10 HALLIWELL DR |
| City | STAMFORD |
| State | CT |
| Zip Code | 06902-2014 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Shannon Evelyn Matthews | 70 Halliwell Dr, Stamford, CT 06902-2014 | Behavior Analyst | 2019-10-01 ~ 2020-09-30 |
| Martin R Kavicky IIi | 70 Halliwell Dr, Stamford, CT 06902-2014 | Real Estate Salesperson | 2007-06-01 ~ 2008-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jeris Maydeli Flores | 153 Fairfield Av, Stamford, CT 06902 | Nail Technician | ~ |
| Reynaldo De La Cruz | 64 Brookside Drive, Stamford, CT 06902 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Darren J Petillo | 5 Hundley Court, Stamford, CT 06902 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Antonios Restaurant | 405 West Main St, Stamford, CT 06902 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Edward Smith | 184 Fairfield Ave., Stamford, CT 06902 | Home Improvement Contractor | ~ |
| Margaret A Dorrance | 24c Hamilton Court, Stamford, CT 06902 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Carolyn Maguire | 48 Nelson St, Stamford, CT 06902 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Evelyne Joassin | 17 George St., Stamford, CT 06902 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Andrea Bynoe | 34 Melrose Pl, Stamford, CT 06902 | Notary Public Appointment | 1994-04-06 ~ 1999-04-30 |
| Ravi K Ahuja | 296 Westover Rd, Stamford, CT 06902 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06902 | |||
| City | STAMFORD |
| Zip Code | 06902 |
| License Type | Veterinarian |
| License Type + County | Veterinarian + STAMFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Richard Forman · Forman Vineyard | 1501 Big Rock Rd, Saint Helena, CA 94574-9613 | Out of State Winery | 2015-04-01 ~ 2016-03-31 |
| Ce Forman T V & Applian · Forman T V & Appliance | E Liberty St, Chester, CT 06412 | Tv & Radio Service Dealer | ~ |
| The Forman School Inc · Peirce Dining Hall | 12 Norfolk Rd, Litchfield, CT 06759-2537 | Frozen Dessert Retailer | 2020-01-01 ~ 2020-12-31 |
| Forman Industries Inc · F I Companies | 3150 Bordentown Ave, Old Bridge, NJ 08857-9703 | Major Contractor | 2017-05-09 ~ 2017-06-30 |
| Sandi Richards Forman | 31 Milwaukee Avenue, Bethel, CT 06801 | Certified Public Accountant Firm Permit | 1990-02-22 ~ 1990-12-31 |
| Forman School | Norfolk Road, Litchfield, CT 06759 | Public Charity-exempt From Financial Requirements | ~ |
| Brown-forman Corporation · Sonoma-cutrer Vineyards | 850 Dixie Hwy, Louisville, KY 40210-1038 | Out of State Winery | ~ |
| Brown-forman Corp | 850 Dixie Hwy, Louisville, KY 40210-1038 | Out of State Shipper Beer | 2020-06-04 ~ 2021-06-03 |
| Vicki N Marnin | 411 Durham Rd, Madison, CT 06443 | Licensed Nurse Midwife | 2020-08-01 ~ 2021-07-31 |
| Forman Estate Chardonnay | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2014-12-09 ~ 2017-12-08 |
Please comment or provide details below to improve the information on MARNIN A FORMAN.
| 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).