MARK N RUBIN (Credential# 1674837) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 11, 2019. The license expiration date date is October 31, 2020. The license status is ACTIVE.
MARK N RUBIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.064423. The credential type is physician/surgeon. The effective date is October 11, 2019. The expiration date is October 31, 2020. The business address is 5220 Jimmy Lee Smith Parkway, Hiram, GA 30141. The current status is active.
| Licensee Name | MARK N RUBIN |
| Credential ID | 1674837 |
| Credential Number | 1.064423 |
| Credential Type | Physician/Surgeon |
| Business Address |
5220 Jimmy Lee Smith Parkway Hiram GA 30141 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-10-11 |
| Effective Date | 2019-10-11 |
| Expiration Date | 2020-10-31 |
| Refresh Date | 2019-10-11 |
| Street Address | 5220 Jimmy Lee Smith Parkway |
| City | Hiram |
| State | GA |
| Zip Code | 30141 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Bryan J Moore | 5220 Jimmy Lee Smith Parkway, Hiram, GA 30141 | Physician/surgeon | 2019-09-23 ~ 2020-07-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lilian Moragwa Nyareru | 114 High Point Way, Hiram, GA 30141 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Roy Armand Poblete | 5220 Jimmy Lee Smith Pkwy, Hiram, GA 30141 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Rolanda Jefferson | 79 Kennedy Ct, Hiram, GA 30141 | Registered Nurse - Temporary | 2017-06-28 ~ 2017-10-25 |
| Yolanda J Dillon | 5220 Jimmy Lee Smith Pkwy Suite#104-249, Hiram, GA 30141 | Real Estate Broker | 2012-04-01 ~ 2013-03-31 |
| Patricia M Brooks · Mayer | 5102 Heritage Oaks Ln Sw, Hiram, GA 30141 | Licensed Practical Nurse | 2011-07-01 ~ 2012-06-30 |
| Sarah A Atha | 94 Wisteria Drive, Hiram, GA 30141 | Registered Nurse | 2009-05-28 ~ 2010-07-31 |
| David J Craven | 160 Pooles Bend Ct, Hiram, GA 30141 | Electrical Unlimited Journeyperson | 1996-10-01 ~ 1997-09-30 |
| Preet Martand Varade | 5220 Jimmy Lee Smith Pkwy, Hiram, GA 30141 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Michael Katsnelson | 5220 Jimmy Lee Smith Pkwy, Hiram, GA 30141 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Sebina Bulic | 5220 Jimmy Lee Smith Pkwy, Hiram, GA 30141 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Find all Licenses in zip 30141 | |||
| City | Hiram |
| Zip Code | 30141 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Hiram |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lee E Rubin | 800 Howard Ave, New Haven, CT 06519-1369 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Jonathon A Rubin Md | 19 Cabriolet Ln, Melville, NY 11747-1920 | Physician/surgeon | 2018-02-01 ~ 2019-01-31 |
| Martin L Rubin | 935 Main St, Manchester, CT 06040 | Physician/surgeon | 1993-04-23 ~ 1994-04-30 |
| Theodore Rubin | 175 East 62 St, New York, NY 10021 | Physician/surgeon | 2009-03-05 ~ 2010-04-30 |
| Sara Rubin Md | 290 Great Oak Rd, Orange, CT 06477-2012 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Tamar N Rubin | 20 York St Tmp 209, New Haven, CT 06510-3220 | Physician/surgeon | 2019-02-01 ~ 2020-01-31 |
| David Rubin | 618 West Avenue, Norwalk, CT 06850 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| David E Rubin | 53 Captain Courtois, Attleboro, MA 02703 | Physician/surgeon | ~ 1998-05-31 |
| Trudy Rubin | 2600 Netherland Ave, Riverdale, NY 10463 | Physician/surgeon | 2006-01-26 ~ 2007-01-31 |
| Allan B Rubin | 21 Seymour Drive, New City, NY 10956 | Physician/surgeon | 1996-07-23 ~ 1997-07-31 |
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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).