MALLORY C. POYNTER (Credential# 1177042) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2014. The license expiration date date is April 30, 2015. The license status is INACTIVE.
MALLORY C. POYNTER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002969. The credential type is physician assistant. The effective date is May 1, 2014. The expiration date is April 30, 2015. The business address is 40 Prospect Street Building 1 Apt 1-h, Norwalk, CT 06856. The current status is inactive.
| Licensee Name | MALLORY C. POYNTER |
| Credential ID | 1177042 |
| Credential Number | 23.002969 |
| Credential Type | Physician Assistant |
| Business Address |
40 Prospect Street Building 1 Apt 1-h Norwalk CT 06856 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2013-09-09 |
| Effective Date | 2014-05-01 |
| Expiration Date | 2015-04-30 |
| Refresh Date | 2015-08-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1179697 | CSP.0055910 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-09-10 | 2013-09-10 - 2015-02-28 | INACTIVE |
| Street Address | 40 PROSPECT STREET BUILDING 1 APT 1-H |
| City | NORWALK |
| State | CT |
| Zip Code | 06856 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carla Stevenson | P.o. Box 1402, Norwalk, CT 06856 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Kathleen A Lavorgna | 30 Stevens Street, Suite D, Norwalk, CT 06856 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Richard L Maiberger | Norwalk Hosp, Norwalk, CT 06856 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| David J Lomnitz | Western Ct Medical Group, Norwalk, CT 06856 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Igor E Krichevsky Md | Anesthesia Assoc of So Ct, Norwalk, CT 06856 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Gabriela Ashe Hayes | 34 Maple Street, Norwalk, CT 06856 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Jonathan M Fine Md | Norwalk Hospital/maple Street, Norwalk, CT 06856 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Michael Smith Md | Department 0f Anesthesia, Norwalk, CT 06856 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Leonard L Marshall | 5 Marvin St, East Norwalk, CT 06856 | Notary Public Appointment | 1988-04-01 ~ 1993-03-31 |
| Carl Morales Jr | 22 Oak St P.o.b 735, South Norwalk, CT 06856 | Notary Public Appointment | 1986-05-01 ~ 1991-03-31 |
| Find all Licenses in zip 06856 | |||
| City | NORWALK |
| Zip Code | 06856 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + NORWALK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Daniel Mallory Stephens | Po Box 896, Brewster, NY 10509-0896 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Poynter Institute for Media Studies Inc. | 801 Third Street South, St. Petersburg, FL 33701 | Public Charity-exempt From Financial Requirements | ~ |
| Robert Mallory · Robert Mallory-builders | 70 Town Hill Rd, New Hartford, CT 06057 | Home Improvement Contractor | 2008-12-01 ~ 2009-11-30 |
| Mallory Costabile · Miss Mallory's | 73 West Shore Drive, Enfield, CT 06082 | Real Estate Salesperson | ~ |
| Mallory Brothers Construction | 39 Elmore Rd, Norfolk, CT 06058 | Home Improvement Contractor | 1999-12-01 ~ 2000-11-30 |
| Stephen Mallory Contractor Inc | 1616 Post Rd Ste 7742, Fairfield, CT 06430 | Home Improvement Contractor | 1999-12-01 ~ 2000-11-30 |
| Mallory Rose Zodda | 2207 Mill Pond Dr, South Windsor, CT 06074-3557 | Family Child Care Assistant | 2016-07-11 ~ 2018-07-31 |
| Marshall P Mallory | P.o. Box 320757, Los Gatos, CA 95032 | Physician/surgeon | 2018-10-01 ~ 2019-09-30 |
| Mallory Square LLC | 45 Codfish Hill Rd, Bethel, CT 06801 | New Home Construction Contractor | 2007-10-01 ~ 2009-09-30 |
| Mallory H Chien | 65 Maple Avenue, Centerville, MA 02632 | Physician/surgeon | ~ 1999-05-31 |
Please comment or provide details below to improve the information on MALLORY C. POYNTER.
| 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).