MARK D'AGOSTINO (Credential# 1489627) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
MARK D'AGOSTINO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.060333. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 208 Valley Rd, New Canaan, CT 06840-3812. The current status is active.
| Licensee Name | MARK D'AGOSTINO |
| Credential ID | 1489627 |
| Credential Number | 1.060333 |
| Credential Type | Physician/Surgeon |
| Business Address |
208 Valley Rd New Canaan CT 06840-3812 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-04-13 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-03-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1505184 | CSP.0067782 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-04-17 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 208 VALLEY RD |
| City | NEW CANAAN |
| State | CT |
| Zip Code | 06840-3812 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Silver Hill Hospital Inc. · Silver Hill Hospital, Inc. | 208 Valley Rd, New Canaan, CT 06840-3812 | Hospitals for Mentally Ill Persons | 2019-07-01 ~ 2021-06-30 |
| Andrew James Gerber | 208 Valley Rd, New Canaan, CT 06840-3812 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Amir Garakani Md | 208 Valley Rd, New Canaan, CT 06840-3812 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Petra Marie Anne Pilgrim | 208 Valley Rd, New Canaan, CT 06840-3812 | Controlled Substance Registration for Practitioner | 2019-11-06 ~ 2021-02-28 |
| Ashley Lara Valencia | 208 Valley Rd, New Canaan, CT 06840-3812 | Controlled Substance Registration for Practitioner | 2020-04-03 ~ 2021-02-28 |
| Kathryn Kristine Myer | 208 Valley Rd, New Canaan, CT 06840-3812 | Controlled Substance Registration for Practitioner | 2019-07-22 ~ 2021-02-28 |
| Mary Weathers Case | 208 Valley Rd, New Canaan, CT 06840-3812 | Controlled Substance Registration for Practitioner | 2019-03-12 ~ 2021-02-28 |
| Silver Hill Hospital Inc | 208 Valley Rd, New Canaan, CT 06840-3812 | Controlled Substance Registration for Hospitals | 2019-03-01 ~ 2021-02-28 |
| Marie Antionette Handler Md | 208 Valley Rd, New Canaan, CT 06840-3812 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michael D Groat | 208 Valley Rd, New Canaan, CT 06840-3812 | Psychologist | 2019-12-02 ~ 2020-12-31 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Megan E Campbell | 286 Valley Rd, New Canaan, CT 06840-3812 | Paramedic | 2019-12-01 ~ 2020-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| 49 Midwood LLC | 97 Dans Hwy, New Canaan, CT 06840 | New Home Construction Contractor | 2020-06-26 ~ 2021-09-30 |
| Hyun Park | 15 Locust Ave, New Canaan, CT 06840 | Esthetician | 2020-06-26 ~ 2022-04-30 |
| Guy R Mazzola | 1484 Oenoke Ridge, New Canaan, CT 06840 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Mairin E Mara | 184 Lukes Wood Rd, New Canaan, CT 06840 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Hannah Simpson | 33 Sleepy Hollow Road, New Canaan, CT 06840 | Esthetician | ~ |
| Susan Mcclellan Valk | 301 Oenoke Ridge Road, New Canaan, CT 06840 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| New Canaan Gulf · Haviland Ent Ltd Dba | 36 South Ave, New Canaan, CT 06840 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Claire Cheng | 226 Buttery Road, New Canaan, CT 06840 | Marital and Family Therapist Associate | 2020-06-24 ~ 2022-06-24 |
| Joes Pizza | 23 Locust Avenue, New Canaan, CT 06840 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Kathleen Mary Berchelmann | 711 Silvermine Rd, New Canaan, Ct, CT 06840 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06840 | |||
| City | NEW CANAAN |
| Zip Code | 06840 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEW CANAAN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Richard S D'agostino | Division of Cardiothoracic Surgery, Burlington, MA 01805 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Agostino Natale | 1103 So Branch Pkwy, Springfield, MA 01118 | Physician/surgeon | 1993-06-24 ~ 1994-06-30 |
| Darrin C D'agostino Do | 6836 Trinity Landing Dr. N., Fort Worth, TX 76132 | Physician/surgeon | 2015-06-01 ~ 2016-05-31 |
| Michael Agostino · Agostino Construction | 30 Ralsey Rd So, Stamford, CT 06902 | Home Improvement Contractor | 1995-07-03 ~ 1995-11-30 |
| D'agostino Construction Inc | 24 Meadow St, Hartford, CT 06114 | Home Improvement Contractor | 2002-05-29 ~ 2002-11-30 |
| Brunie Agostino | 89 Bible St, Cos Cob, CT 06807 | Home Improvement Contractor | ~ 1993-06-01 |
| Mark A D'agostino | 69 Lazy Lane, Southington, CT 06489 | Emergency Medical Responder | 2003-07-07 ~ 2005-10-01 |
| Mark M Silverstein | Mark Silverstein,md, Manchester, NJ 08759 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Mark A D'agostino | 1 Long Wharf Dr Ste 302, New Haven, CT 06511-5593 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mario D'agostino · D'agostino Construction | 33 Williams Ave, Oakville, CT 06779 | Sub-surface Sewage Installer | 2015-03-01 ~ 2016-02-29 |
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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).