MARIEL EMILY POOLE (Credential# 1388449) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
MARIEL EMILY POOLE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.055945. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 22d Cross Highway, Westport, CT 06880. The current status is active.
Licensee Name | MARIEL EMILY POOLE |
Credential ID | 1388449 |
Credential Number | 1.055945 |
Credential Type | Physician/Surgeon |
Business Address |
22d Cross Highway Westport CT 06880 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2016-11-28 |
Effective Date | 2020-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2020-01-21 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1391196 | CSP.0064406 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-11-29 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 22D Cross Highway |
City | Westport |
State | CT |
Zip Code | 06880 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Toni L Bucker | 4 Wild Rose Rd, Westport, CT 06880 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Jee Hyun Kim | 1 Allen Lane, Westport, CT 06880 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2021-07-31 |
Donna Vaccarella | 15 Keyser Rd, Westport, CT 06880 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
Sandra Gibson | 12 Bayberry Ln, Westport, CT 06880 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Adil Salam Md | 44 Crawford Rd, Westport, CT 06880 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Joanne C Sosnoski | 24 Hawatha Lane, Westport, CT 06880 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
Rachel Lynn | 495 Post Rd East, Westport, CT 06880 | Eyelash Technician | ~ |
Beginnings: An Infant/toddler Program | 71 Hillandale Road, Westport, CT 06880 | Group Child Care Home | 2018-01-01 ~ 2021-12-31 |
Shelley S Ross | 28 Old Hill Farms Rd, Westport, CT 06880 | Dietitian/nutritionist | 2020-08-01 ~ 2021-07-31 |
Robert W Van Summern | 279 Wilton Rd, Westport, CT 06880 | Architect | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06880 |
City | Westport |
Zip Code | 06880 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + Westport |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Mariel S Castillo | 5607 Mt. Burnside Way, Burke, VA 22015 | Physician/surgeon | 2005-09-20 ~ 2005-12-31 |
Robert M Poole | 200 W Highland Dr Unit 303, Seattle, WA 98119-3507 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
Edward C Poole | 5200 Windward Way, Edmond, OK 73013 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Conrad Wittram | 8 Stevenson Crescent, Poole Dorset, BH14 9NU | Physician/surgeon | 2014-05-01 ~ 2015-04-30 |
Wayne F Poole | 2774 Cady Way, Winter Park, FL 32792 | Physician/surgeon | 2000-05-03 ~ 2001-06-30 |
Emily R. Concepcion | 137 Barlow Dr S, Brooklyn, NY 11234-6721 | Physician/surgeon | 2010-05-24 ~ 2010-12-31 |
Emily Harrison | 345 Whitney Ave, New Haven, CT 06511 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
Emily A Fine | 60 Washington Ave, Hamden, CT 06518 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Emily S Foster | Po Box 21935, Charleston, SC 29413 | Physician/surgeon | 2009-01-05 ~ 2009-09-30 |
Emily J Chen Md | 5 Perryridge Rd, Greenwich, CT 06830 | Physician/surgeon | 2008-09-22 ~ 2009-11-30 |
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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).