MARK C MORRIS (Credential# 1433009) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
MARK C MORRIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003903. The credential type is physician assistant. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 13 Forest Glen Circle, Middletown, CT 06457. The current status is active.
| Licensee Name | MARK C MORRIS |
| Credential ID | 1433009 |
| Credential Number | 23.003903 |
| Credential Type | Physician Assistant |
| Business Address |
13 Forest Glen Circle Middletown CT 06457 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-07-27 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-03-09 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1439756 | CSP.0066426 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-07-29 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 897718 | 70.011729 | Emergency Medical Technician | 2010-01-14 | 2017-06-07 - 2020-03-31 | ACTIVE IN RENEWAL |
| 1240362 | 73.001549 | Emergency Medical Service Instructor | 2014-08-21 | 2017-06-07 - 2020-03-31 | ACTIVE |
| Street Address | 13 FOREST GLEN CIRCLE |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alexander S Deraps | 13 Forest Glen Circle, Middletown, CT 06457 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Alison Regan | 13 Forest Glen Circle, Middletown, CT 06457 | Behavior Analyst | 2020-07-01 ~ 2021-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth M Mailhot | 177 Timber Ridge Rd, Middletown, CT 06457 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Rebecca S Fennessy | 22 Keefe Ln, Middletown, CT 06457 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Eloise M Gagnon | 538 Bow Lane, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Salvatore Dimauro | 245 Dekoven Dr, Middletown, CT 06457 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Frank L Wright | 261 Spencer Dr, Middletown, CT 06457 | Barber | 2020-08-01 ~ 2022-07-31 |
| Gino A Cardella | 50 Sonoma Lane, Middletown, CT 06457 | Real Estate Salesperson | ~ |
| Shannon Lee Mcquillan | 5 Forest Glen Circle, Middletown, CT 06457 | Registered Nurse | 2020-06-26 ~ 2020-09-30 |
| Lori Dimauro · Carta | 244 Chamberlain Hill Road, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Gail A Corrow | 85 Dora Dr, Middletown, CT 06457 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Mariter V Perez | 8 Moss Glen, Middletown, CT 06457 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06457 | |||
| City | MIDDLETOWN |
| Zip Code | 06457 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + MIDDLETOWN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Glenell L Morris | 6 Berkshire Dr, New Hartford, CT 06057-4107 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Kellen L Kreger | 2316 Route 287, Morris, PA 16938-9407 | Physician Assistant | 2016-03-02 ~ 2017-03-31 |
| Annette Pope-morris | 227 Randall Ave, Freeport, NY 11520-2644 | Physician Assistant | 2014-07-01 ~ 2015-06-30 |
| Jessica D Morris | 120 E 34th St Street-apartment 20-0, New York, NY 10016-4609 | Physician Assistant | 2004-07-14 ~ 2005-04-30 |
| Katie Lynn Tichenor | 2 Ross Passway, Morris, CT 06763-1300 | Physician Assistant | 2016-11-01 ~ 2017-10-31 |
| Mark Alan Tuckfelt | 1300 Morris Plain Ave, Bronx, NY | Physician/surgeon | 1975-01-27 ~ 1978-02-28 |
| Mark Crabe · Legendworks Custom | 121 W Morris Rd, Morris, CT 06763-1010 | Home Improvement Contractor | 2010-12-01 ~ 2011-11-30 |
| Mark F Halloran | 98 West Morris Road, Morris, CT 06763 | Notary Public Appointment | 1991-05-01 ~ 1996-04-30 |
| Mark E Taafel | 41 Edgehill Ave, Waterbury, CT 06704-1825 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Mark Schulthess | 67 Stevens Rd, Hudson, MA 01749-2874 | Physician Assistant | 2016-07-01 ~ 2017-06-30 |
Please comment or provide details below to improve the information on MARK C MORRIS.
| 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).