MARLON MUNIAN (Credential# 1628239) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 18, 2019. The license expiration date date is September 30, 2019. The license status is INACTIVE.
MARLON MUNIAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.062461. The credential type is physician/surgeon. The effective date is March 18, 2019. The expiration date is September 30, 2019. The business address is 156 Lynette Dr, Fort Lee, NJ 07024-2174. The current status is inactive.
| Licensee Name | MARLON MUNIAN |
| Credential ID | 1628239 |
| Credential Number | 1.062461 |
| Credential Type | Physician/Surgeon |
| Business Address |
156 Lynette Dr Fort Lee NJ 07024-2174 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2019-03-18 |
| Effective Date | 2019-03-18 |
| Expiration Date | 2019-09-30 |
| Refresh Date | 2020-01-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 742936 | 23.001187 | Physician Assistant | 2002-04-08 | 2003-09-19 - 2004-09-30 | INACTIVE |
| Street Address | 156 LYNETTE DR |
| City | FORT LEE |
| State | NJ |
| Zip Code | 07024-2174 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eun Kim | 1263a Inwood Terrace, Fort Lee, NJ 07024 | Pharmacist | ~ |
| Stephen C Leventis | 2125 Center Ave Ste 301, Fort Lee, NJ 07024 | Architect | 2020-08-01 ~ 2021-07-31 |
| Taeik Kim | 2029 Lemoine Ave. Suite 302, Fort Lee, NJ 07024 | Architect | 2020-08-01 ~ 2021-07-31 |
| Catalina A Grigorescu | 270 Bluff Road, Fort Lee, NJ 07024 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Shaina Rodrigues | 2461 8th Street, Fort Lee, NJ 07024 | Resident Physician | 2020-06-28 ~ 2021-06-30 |
| Daniel William Livshin | 3406 Crest Ln, Fort Lee, NJ 07024 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Robert Abraham | 296 Harmon Ave., Fort Lee, NJ 07024 | Radiographer | 2020-06-01 ~ 2021-05-31 |
| Marge Teilhaber | 555 North Avenue 6 T, Fort Lee, NJ 07024 | Notary Public Appointment | 2015-04-01 ~ 2020-03-31 |
| Andrew J Merin | 4 Ascot Way, Fort Lee, NJ 07024 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Seungjin Kim | 2050 Central Road Apt 718, Fort Lee, NJ 07024 | Dentist | 2020-02-20 ~ 2021-02-28 |
| Find all Licenses in zip 07024 | |||
| City | FORT LEE |
| Zip Code | 07024 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + FORT LEE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marlon M Pabon | 305 Ridgefield St, Hartford, CT 06112-1539 | Barber | 2020-01-01 ~ 2021-12-31 |
| Marlon L Teves | 581 Gurdon St, Bridgeport, CT 06606-4327 | Registered Nurse | ~ |
| Marlon R Avila | 255 Seabreeze Drive, Stratford, CT 06614 | Barber | 2017-01-01 ~ 2018-12-31 |
| Marlon C Cunningham | 360 Federal Rd, Brookfield, CT 06804 | Engineer-in-training | ~ |
| Marlon Corpuz | 87 Cobbelstone Ln, Meriden, CT 06450 | Registered Nurse | 2008-05-27 ~ 2009-05-31 |
| Marlon C Chichester | 47 Patchen Ave, Brooklyn, NY 11221 | Engineer-in-training | ~ |
| Marlon Lopez | 12 Treat Ave, Stamford, CT 06906-1937 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
Please comment or provide details below to improve the information on MARLON MUNIAN.
| 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).