JEAN P MARACHI MD (Credential# 147594) 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.
JEAN P MARACHI MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0009546. 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 167 Old Post Rd, Southport, CT 06890-1395. The current status is active.
| Licensee Name | JEAN P MARACHI MD |
| Credential ID | 147594 |
| Credential Number | CSP.0009546 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
167 Old Post Rd Southport CT 06890-1395 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-03-01 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-22 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 543367 | 1.020539 | Physician/Surgeon | 1978-07-06 | 2019-11-01 - 2020-10-31 | ACTIVE |
| Street Address | 167 OLD POST RD |
| City | SOUTHPORT |
| State | CT |
| Zip Code | 06890-1395 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alexander Esposito | 312 High Meadow Rd, Southport, CT 06890 | Architect | 2020-08-01 ~ 2021-07-31 |
| Christina Muller | 243 Sturbridge Lane, Southport, CT 06890 | Licensed Clinical Social Worker | ~ |
| Carmen R Weber | 45 Split Rock Road, Southport, CT 06890 | Dietitian/nutritionist | 2020-09-01 ~ 2021-08-31 |
| Cher A Anderson | 10 Anvil Road, Southport, CT 06890 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Christal L T Rodenhiser | 193 Osborne Ln, Southport, CT 06890 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| David S Parker | P.o. Box 491, Southport, CT 06890 | Architect | 2020-08-01 ~ 2021-07-31 |
| Peter H Ventriglia | 60 Chester Pl, Southport, CT 06890 | Real Estate Salesperson | 2020-06-16 ~ 2021-05-31 |
| Jennifer Adell Efstathiou | 237 Woodrow Avenue, Southport, CT 06890 | Esthetician | ~ |
| Brenda L Vanfleet | 160 Range Rd, Southport, CT 06890 | Dental Hygienist | 2020-06-01 ~ 2021-05-31 |
| John S Brice | 71 Old Post Rd, Southport, CT 06890 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06890 | |||
| City | SOUTHPORT |
| Zip Code | 06890 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SOUTHPORT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jean Sun | 333 Cedar St, New Haven, CT 06510-3206 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jean Y Lin | 123 York St Apt 10k, New Haven, CT 06511-5626 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Jean Sun | 1551 Minor Ave. Apt 511, Seattle, WA 98101 | Controlled Substance Registration for Practitioner | 2019-12-13 ~ 2021-02-28 |
| Jean W Lee | 1 Hospital Plaza, Stamford, CT 06902-3628 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Men-jean Lee | 5 East 98th Street, Ny, NY 10029 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Jean D Vulte | 63 Grove St, Branford, CT 06405 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Elizabeth Jean Fedorko | Po Box 599, Brookfield, CT 06804-0599 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jean Stadalnik Md | 38 Marshall Ave, Guilford, CT 06437-3516 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Jean Amara | 582 Westchester Rd, Colchester, CT 06415-2223 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jean M Betkowski | 675 Brewster St, Coventry, CT 06238 | Controlled Substance Registration for Practitioner | 1994-06-17 ~ 1996-07-01 |
Please comment or provide details below to improve the information on JEAN P MARACHI MD.
| 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).