MARK COLEMAN (Credential# 1789340) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
MARK COLEMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.064602. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 67 Sand Pit Rd Ste 308, Danbury, CT 06810-4032. The current status is active.
| Licensee Name | MARK COLEMAN |
| Credential ID | 1789340 |
| Credential Number | 1.064602 |
| Credential Type | Physician/Surgeon |
| Business Address |
67 Sand Pit Rd Ste 308 Danbury CT 06810-4032 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-11-26 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-04-17 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1988653 | CSP.0072848 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-12-02 | 2019-12-02 - 2021-02-28 | ACTIVE |
| Street Address | 67 SAND PIT RD STE 308 |
| City | DANBURY |
| State | CT |
| Zip Code | 06810-4032 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ayesha Khan | 67 Sand Pit Rd Ste 308, Danbury, CT 06810-4032 | Controlled Substance Registration for Practitioner | 2020-02-20 ~ 2021-02-28 |
| Anish Patel | 67 Sand Pit Rd Ste 308, Danbury, CT 06810-4032 | Controlled Substance Registration for Practitioner | 2020-01-31 ~ 2021-02-28 |
| Kristoffer Ryan A. De Lara | 67 Sand Pit Rd Ste 308, Danbury, CT 06810-4032 | Controlled Substance Registration for Practitioner | 2020-01-13 ~ 2021-02-28 |
| Douglas William Wisor | 67 Sand Pit Rd Ste 308, Danbury, CT 06810-4032 | Controlled Substance Registration for Practitioner | 2019-11-18 ~ 2021-02-28 |
| Cathy He | 67 Sand Pit Rd Ste 308, Danbury, CT 06810-4032 | Controlled Substance Registration for Practitioner | 2019-11-18 ~ 2021-02-28 |
| Ali El-mohandes | 67 Sand Pit Rd Ste 308, Danbury, CT 06810-4032 | Controlled Substance Registration for Practitioner | 2019-11-18 ~ 2021-02-28 |
| Sandra Anderson | 67 Sand Pit Rd Ste 308, Danbury, CT 06810-4032 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Bernard G Fish | 67 Sand Pit Rd Ste 204, Danbury, CT 06810-4032 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eastern College Athletic Conference Inc | Matrix Corp Ctr 39 Old Ridgebury Rd, Danbury, CT 06810 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Subway #36533 | 67 Newtown Rd, Danbury, CT 06810 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Natali Salome Teran | 27 Balmforth Ave 2, Danbury, CT 06810 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-06-30 |
| Kristin Danielle Mehta | 33 Country View Road, Danbury, CT 06810 | Advanced Practice Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Zhane Gabrielle Cardenas | 40 Westville Avenue Apt 1, Danbury, CT 06810 | Nail Technician | 2020-06-27 ~ 2021-09-30 |
| Zhane E Willikinson | 30 Germantown Road Suite 117, Danbury, CT 06810 | Nail Technician | 2020-06-27 ~ 2022-03-31 |
| Michelle Dahlgren | 8 Stable Drive, Danbury, CT 06810 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Asheree P Griffin | 14 New Town Road, Danbury, CT 06810 | Real Estate Salesperson | ~ |
| Tania Isabel Salazar | 20 Highland Avenue, Danbury, CT 06810 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-05-31 |
| Gregory C Banks | Gregory Banks Counseling, LLC, Danbury, CT 06810 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06810 | |||
| City | DANBURY |
| Zip Code | 06810 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + DANBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Zia U Din | 125 Coleman St #a-5, West Haven, CT 06516 | Physician/surgeon | 1992-04-24 ~ 1993-04-30 |
| Paul J Coleman Md | 11 Lindencrest Dr, Danbury, CT 06811 | Physician/surgeon | 2012-04-01 ~ 2013-03-31 |
| Lawrence S Coleman | 290 U.S.highway 202, Rindge, NH 03461-7108 | Physician/surgeon | 2007-07-11 ~ 2008-07-31 |
| Jules V Coleman Md | 255 Bradley St, New Haven, CT 06510 | Physician/surgeon | 1997-12-22 ~ 1998-11-30 |
| Terrence J Callinan Md | 696 Coleman Rd, Middletown, CT 06457-6109 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| David Coleman Md | 316 Ogden St, New Haven, CT 06511 | Physician/surgeon | 2006-07-17 ~ 2007-08-31 |
| Donald G Arnault | 423 Coleman Road, Middletown, CT 06457 | Physician/surgeon | 1998-02-27 ~ 1999-04-30 |
| Leslie R Coleman | 144 Morgan Street, Stamford, CT 06905 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Joseph A Flanagan Md | 365 Coleman Road, Middletown, CT 06457 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Patrick B Coleman | 415 South St #3003, Honolulu, HI 96813 | Physician/surgeon | 2005-01-14 ~ 2006-02-28 |
Please comment or provide details below to improve the information on MARK COLEMAN.
| 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).