LACEY J MARKS (Credential# 1300361) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
LACEY J MARKS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0061012. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 421 N Main St, Leeds, MA 01053. The current status is active.
| Licensee Name | LACEY J MARKS |
| Credential ID | 1300361 |
| Credential Number | CSP.0061012 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
421 N Main St Leeds MA 01053 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-07-18 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-14 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1083665 | 3.002867 | Optometrist | 2012-08-21 | 2019-09-01 - 2020-08-31 | ACTIVE |
| Street Address | 421 N MAIN ST |
| City | LEEDS |
| State | MA |
| Zip Code | 01053 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kristie Jandris | 421 N Main St, Leeds, MA 01053-9764 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Johanna Mae Kasidi | 414 Fairway Village, Leeds, MA 01053 | Registered Nurse | 2020-04-01 ~ 2021-01-31 |
| Mitchel J Bolotin | 347 Audubon Rd, Leeds, MA 01053 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Christopher Bartlett | 282 Spring St #3, Florence, MA 01053 | Home Improvement Salesperson | 2005-08-26 ~ 2005-11-30 |
| Molly H. Senn-mcnally Md | 46 Chestnut Ave, Leeds, MA 01053 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Karen J Conley | 707 Fariway Village, Leeds, MA 01053 | Certified Public Accountant Certificate | ~ |
| Paul G Kelliher | 520 Audubon Road, Leeds, MA 01053 | Certified Public Accountant License | 2005-01-01 ~ 2005-12-31 |
| Kimberly M Madden | 50 Chestnut Avenue Ext, Leeds, MA 01053 | Registered Nurse - Temporary | 2011-08-04 ~ 2011-12-02 |
| Michelle K Leary | 7 Upland Rd, Leeds, MA 01053 | Pharmacist | 1998-02-01 ~ 1999-01-31 |
| William E Hall | Vamc Quarters 21a, Leeds, MA 01053 | Psychologist | 1997-11-18 ~ 1998-09-30 |
| George B O'leary | 179 Audubon Rd, Leeds, MA 01053 | Pharmacist | 1800-12-27 ~ 1989-03-31 |
| Find all Licenses in zip 01053 | |||
| City | LEEDS |
| Zip Code | 01053 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + LEEDS |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jay M Marks | 93 West St, Danbury, CT 06810-6525 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Christopher M Marks | 114 Morgan St., Stamford, CT 06905 | Controlled Substance Registration for Practitioner | 2019-01-23 ~ 2021-02-28 |
| Jeremy D Marks | 29 Johnsons Pt Rd, Branford, CT 06405 | Controlled Substance Registration for Practitioner | 1993-12-20 ~ 1996-01-01 |
| Eugene M Marks Md | 22 Grand Place, Newtown, CT 06470 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Asher M. Marks | 21 Hemlock Hollow Rd., Woodbridge, CT 06525 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michael Marks Md | 24 Marine Avenue, Westport, CT 06880 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Tamta Chkhikvadze | 127 Saint Marks Pl, Apt 1, Brooklyn, NY 11217 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Stephen Irrera | 11 Marks Dr, West Haven, CT 06516-5527 | Controlled Substance Registration for Practitioner | 2019-04-16 ~ 2021-02-28 |
| Peter A Marks Md | 2880 Old Dixwell Ave., Hamden, CT 06518 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Laura Marks | Willows Pediatric Group, Westport, CT 06880 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on LACEY J MARKS.
| 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).