MARC-DAVID MUNK (Credential# 1456238) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2018. The license expiration date date is May 31, 2019. The license status is INACTIVE.
MARC-DAVID MUNK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.057240. The credential type is physician/surgeon. The effective date is June 1, 2018. The expiration date is May 31, 2019. The business address is 136 Brookline Ave, Boston, MA 02215. The current status is inactive.
| Licensee Name | MARC-DAVID MUNK |
| Credential ID | 1456238 |
| Credential Number | 1.057240 |
| Credential Type | Physician/Surgeon |
| Business Address |
136 Brookline Ave Boston MA 02215 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2017-12-06 |
| Effective Date | 2018-06-01 |
| Expiration Date | 2019-05-31 |
| Refresh Date | 2019-09-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1464867 | CSP.0067195 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-12-07 | 2017-12-07 - 2019-02-28 | LAPSED |
| Street Address | 136 Brookline Ave |
| City | Boston |
| State | MA |
| Zip Code | 02215 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Providence Strategic Growth Europe, Lp | Landmark Center, Boston, MA 02215 | Securities - Exemptions | ~ |
| Dana-farber Cancer Institute Inc | 450 Brookline Ave, Boston, MA 02215 | Nonresident Pharmacy | ~ |
| Kelly Zhang | 400 Brookline Ave, Boston, MA 02215 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Red Sox Foundation | 4 Jersey Street, Boston, MA 02215 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| James V Hennessey | Beth Israel Deaconness Mc, Boston, MA 02215 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Walgreens #10996 | 429 Brookline Ave., Boston, MA 02215 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
| Inga-marie Schaefer | 19 Queensberry Street, Boston, MA 02215 | Physician/surgeon | 2018-02-01 ~ 2019-02-28 |
| Bhaskar Roy | 111 Park Drive, Boston, MA 02215 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| David E Denny | 51 Park Dr #2, Boston, MA 02215 | Professional Engineer | 2012-03-12 ~ 2013-01-31 |
| E Kevin Schopfer · Ahearn-schopfer & Associates PC | 400 Commonwealth Ave, Boston, MA 02215 | Architect | 2015-08-01 ~ 2016-07-31 |
| Find all Licenses in zip 02215 | |||
| City | Boston |
| Zip Code | 02215 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Boston |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| 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 E Newberg | 46 Sherwood Ave, Greenwich, CT 06831 | Physician/surgeon | 2012-11-01 ~ 2013-10-31 |
| Marc E Lippman | 333 Cedar St., New Haven, CT 06510 | Physician/surgeon | 1973-09-21 ~ 1982-01-31 |
| Marc J Shapiro | 464 Congress Ave Ste 260, New Haven, CT 06519-1362 | Physician/surgeon | 2018-05-01 ~ 2019-04-30 |
| Marc Schwartz Do | 555 Kappock St Apt 2r, Riverdale, NY 10463 | Physician/surgeon | 2007-02-23 ~ 2008-04-30 |
| Weston Jon-marc | 544 W Umpqua St Ste 203, Roseburg, OR 97471-2964 | Physician/surgeon | 1988-03-11 ~ 1988-06-30 |
| Marc S. Berenzweig | 31 Old Route 7, New Milford, CT 06776 | Physician/surgeon | 2012-12-24 ~ 2013-12-31 |
| Marc P Ramirez Md | 300 Kensington Ave, New Britain, CT 06051 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Marc A Hurzeler | 24 Mt Sanford Rd, Cheshire, CT 06410 | Physician/surgeon | 2010-11-01 ~ 2011-10-31 |
Please comment or provide details below to improve the information on MARC-DAVID MUNK.
| 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).