MARINA DAVITIANI (Credential# 1393449) 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.
MARINA DAVITIANI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.055994. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 1kennedy Avenue, Apt, 1219, Danbury, CT 06810. The current status is active.
Licensee Name | MARINA DAVITIANI |
Credential ID | 1393449 |
Credential Number | 1.055994 |
Credential Type | Physician/Surgeon |
Business Address |
1kennedy Avenue, Apt, 1219 Danbury CT 06810 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2016-12-12 |
Effective Date | 2020-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2020-01-27 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1393576 | CSP.0064468 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-12-13 | 2019-03-01 - 2021-02-28 | ACTIVE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Marina Davitiani | 1 Kennedy Ave, Apt 1219, Danbury, CT 06810 | Physician/surgeon | ~ |
Street Address | 1Kennedy Avenue, Apt, 1219 |
City | Danbury |
State | CT |
Zip Code | 06810 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Eastern College Athletic Conference Inc | Matrix Corp Ctr 39 Old Ridgebury Rd, Danbury, CT 06810 | Public Charity | 2019-06-01 ~ 2020-05-31 |
Subway #36533 | 67 Newtown Rd, Danbury, CT 06810 | Bakery | 2020-07-01 ~ 2021-06-30 |
Natali Salome Teran | 27 Balmforth Ave 2, Danbury, CT 06810 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-06-30 |
Kristin Danielle Mehta | 33 Country View Road, Danbury, CT 06810 | Advanced Practice Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Zhane Gabrielle Cardenas | 40 Westville Avenue Apt 1, Danbury, CT 06810 | Nail Technician | 2020-06-27 ~ 2021-09-30 |
Zhane E Willikinson | 30 Germantown Road Suite 117, Danbury, CT 06810 | Nail Technician | 2020-06-27 ~ 2022-03-31 |
Michelle Dahlgren | 8 Stable Drive, Danbury, CT 06810 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Asheree P Griffin | 14 New Town Road, Danbury, CT 06810 | Real Estate Salesperson | ~ |
Tania Isabel Salazar | 20 Highland Avenue, Danbury, CT 06810 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-05-31 |
Gregory C Banks | Gregory Banks Counseling, LLC, Danbury, CT 06810 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06810 |
City | Danbury |
Zip Code | 06810 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + Danbury |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Stephen A Hillman | 4335 Marina City Dr, Marina Del Rey, CA 90292 | Physician/surgeon | 1992-05-27 ~ 1993-01-31 |
Marina Kurian | 530 1st Ave Ste 10-s, New York, NY 10016-6402 | Physician/surgeon | ~ |
Marina Gerber | 17 Glimpsewood Ln, Morristown, NJ 07960-3767 | Physician/surgeon | ~ |
Marina T Vengalil | 25 Acorn Ave, Farmingville, NY 11738 | Physician/surgeon | 1999-08-03 ~ 2000-05-31 |
Marina B Yakubova | 138-27 82 Drive, Briarwood, NY 11435 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Marina Epelman | 311 Horton Hwy, Mineola, NY 11501-1417 | Physician/surgeon | 2016-09-01 ~ 2017-08-31 |
Marina Arena Md | 5 Pinnacle Dr, Newtown, CT 06470 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Edward T Mcdonough IIi | 227 Marina Dr, Lewes, DE 19958-3778 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
Marina S. L. Colombo | 603 Horizon Way, Manchester, CT 06042 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Marina E Giurescu | 955 Mix Avenue, Hamden, CT 06514 | Physician/surgeon | ~ 1997-03-31 |
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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).