MARC OTTEN (Credential# 1222993) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
MARC OTTEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.053127. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 710 West 168th Street, New York, NY 10032. The current status is active.
Licensee Name | MARC OTTEN |
Credential ID | 1222993 |
Credential Number | 1.053127 |
Credential Type | Physician/Surgeon |
Business Address |
710 West 168th Street New York NY 10032 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2014-06-09 |
Effective Date | 2020-05-01 |
Expiration Date | 2021-04-30 |
Refresh Date | 2020-02-27 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1228140 | CSP.0057320 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-06-18 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 710 West 168th Street |
City | New York |
State | NY |
Zip Code | 10032 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Rebecca H C Yeh | 835 Riverside Drive, New York, NY 10032 | Real Estate Salesperson | 2017-06-01 ~ 2018-05-31 |
Olga M Brown | 621 W 169 Street, New York City, NY 10032 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
J Howard Williams | 835 Riverside Dr Apt #1-d, New York, NY 10032 | Landscape Architect | 2018-08-01 ~ 2019-07-31 |
Andrea M Powell | 552 West 165th St., New York, NY 10032 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
Mitchell S Elkind | 710 W. 168th Street, New York, NY 10032 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Emily Chug | 100 Haven Ave, New York, NY 10032 | Physical Therapist | ~ |
Rainer N Mittl | 635 West 165th Street, New York, NY 10032 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Tristan Timothy Sands | 180 Fort Washington Ave, 5th Floor, New York, NY 10032 | Physician/surgeon | ~ |
Thread Connects, Inc. · Thread | 611 W 163rd St, New York, NY 10032 | Public Charity | 2020-03-24 ~ 2020-11-30 |
Mitchell Wade Dillon | 565 West 169th Street, New York, NY 10032 | Genetic Counselor | 2020-06-01 ~ 2021-05-31 |
Find all Licenses in zip 10032 |
City | New York |
Zip Code | 10032 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + New York |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Nicholas Christian Otten | 10400 75th St, Kenosha, WI 53142 | Physician/surgeon | 2019-10-30 ~ 2020-07-31 |
Marc J Parnes | 893 Central Ave, Woodmere, NY 11598-2146 | Physician/surgeon | ~ |
Marc J Taylor | P.o. Box 814, Southbury, CT 06488 | Physician/surgeon | 2012-05-01 ~ 2013-04-30 |
Marc J Shapiro | 464 Congress Ave Ste 260, New Haven, CT 06519-1362 | Physician/surgeon | 2018-05-01 ~ 2019-04-30 |
Marc E Grossman | 105 Mamaroneck Rd, Scarsdale, NY 10583-4532 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Marc J Bayer | 10 Wyndemere, Avon, CT 06001-3959 | Physician/surgeon | 2016-05-01 ~ 2017-04-30 |
Marc P Ramirez Md | 300 Kensington Ave, New Britain, CT 06051 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Marc E Koch Md | 450 Mamaroneck Ave Ste 201, Harrison, NY 10528 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Weston Jon-marc | 544 W Umpqua St Ste 203, Roseburg, OR 97471-2964 | Physician/surgeon | 1988-03-11 ~ 1988-06-30 |
Birgit Kovacs | 19 Marc Rd, Danbury, CT 06810 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
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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).