DAVID LAWRENCE MASLAK (Credential# 1633229) 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.
DAVID LAWRENCE MASLAK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.062720. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 53 Maple Drive, Brewster, NY 10509. The current status is active.
| Licensee Name | DAVID LAWRENCE MASLAK |
| Credential ID | 1633229 |
| Credential Number | 1.062720 |
| Credential Type | Physician/Surgeon |
| Business Address |
53 Maple Drive Brewster NY 10509 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-04-30 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-04-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1653289 | CSP.0070735 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-05-01 | 2019-05-01 - 2021-02-28 | ACTIVE |
| 1359717 | CSP.0063084 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-06-15 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 1489098 | 1.058396-RES | Resident Physician | 2016-06-20 | 2016-06-20 - 2019-06-30 | INACTIVE |
| Street Address | 53 Maple Drive |
| City | Brewster |
| State | NY |
| Zip Code | 10509 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Wendy Darleny Vasquez Ramirez | 2567 Carmel Ave, Brewster, NY 10509 | Nail Technician | ~ |
| Scott Reed Dakin | 3 Salmons Hollow Road, Brewster, NY 10509 | Architect | 2020-08-01 ~ 2021-07-31 |
| Nicola Shelbourne | 153 Farm To Market Road, Brewster, NY 10509 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Taylor Jendras | 391 Gage Road, Brewster, NY 10509 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Caroline Margaret Bedard | 601 Seven Field Lane, Brewster, NY 10509 | Esthetician | ~ |
| Lorraine Salavec | 22 Windswept Circle, Brewster, NY 10509 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Katelyn M Healy | 2 Wilson Road, Brewster, NY 10509 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Mary Ann Stabe | 105 Bentley Ct, Brewster, NY 10509 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Paul Wasserman | 88 Lakeview Drive, Brewster, NY 10509 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
| Rosemarie C Butti | 21 Peach Brook Lane, Brewster, NY 10509 | Speech and Language Pathologist | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 10509 | |||
| City | Brewster |
| Zip Code | 10509 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Brewster |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| David T Lawrence Md | 60 South Broad St#2e, Milford, CT 06462 | Physician/surgeon | 2007-10-03 ~ 2008-07-31 |
| David R Lawrence | 1701 Tumbleweed Cir, West Bend, WI 53095-8548 | Physician/surgeon | 2018-12-01 ~ 2019-11-30 |
| David C Maslak | 3 Leslie St, Terryville, CT 06786 | Barber | 2018-12-01 ~ 2020-11-30 |
| Yuk M Law | 253 Lawrence St, New Haven, CT 06511 | Physician/surgeon | 1993-11-30 ~ 1994-12-31 |
| Erik Goluboff | 31 Lawrence Rd, Scarsdale, NY 10583 | Physician/surgeon | ~ |
| Lawrence M Brass Md | 33 Fox Den Way, Woodbridge, CT 06525 | Physician/surgeon | 2005-03-14 ~ 2006-04-30 |
| Ole Vielemeyer | 70 Lawrence Ave Apt #8, New Haven, CT 06511 | Physician/surgeon | 2003-06-03 ~ 2004-05-31 |
| Lawrence G Lareau | 900 4th Ave, Warren, PA 16365-1888 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Lawrence N Deweil Do | 38 3rd St, Brooklyn, NY 11231-4852 | Physician/surgeon | 2008-11-17 ~ 2009-09-30 |
| Lawrence Reed | 45 E 85 St, New York, NY 10028 | Physician/surgeon | 1999-02-18 ~ 2000-03-31 |
Please comment or provide details below to improve the information on DAVID LAWRENCE MASLAK.
| 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).