MARK SLAGA MD (Credential# 181836) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is February 29, 2004. The license expiration date date is February 28, 2005. The license status is INACTIVE.
MARK SLAGA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0025488. The credential type is controlled substance registration for practitioner. The effective date is February 29, 2004. The expiration date is February 28, 2005. The business address is Birdie Drive Apt 7b, Queensbury, NY 12804. The current status is inactive.
| Licensee Name | MARK SLAGA MD |
| Business Name | WHITNEY COMMONS |
| Credential ID | 181836 |
| Credential Number | CSP.0025488 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
Birdie Drive Apt 7b Queensbury NY 12804 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 2004-02-29 |
| Expiration Date | 2005-02-28 |
| Refresh Date | 2009-01-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 553739 | 1.036147 | Physician/Surgeon | 1997-06-27 | 2003-11-06 - 2004-12-31 | INACTIVE |
| Street Address | BIRDIE DRIVE APT 7B |
| City | QUEENSBURY |
| State | NY |
| Zip Code | 12804 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sarah Anne Dunbar | 25 Brookfield Run, Queensbury, NY 12804 | Emergency Medical Technician | ~ |
| Shana Olson-laake | 48 Twin Channels Road, Queensbury, NY 12804 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Rachele C Herrington | 48 Maple Drive, Queensbury, NY 12804 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Jane B. Gardner | 10 Queens Lane, Queensbury, NY 12804 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
| Barbara W Beaulac | 7 Wayne Court, Queensbury, NY 12804 | Physical Therapist | 2018-06-01 ~ 2019-05-31 |
| Lyndsay M Schaefer | 19 Pinion Pine Lane, Queensbury, NY 12804 | Pharmacist | ~ |
| Mary C Kennedy | 42a Hunter Brook Lane, Queensbury, NY 12804 | Registered Nurse | 2019-08-01 ~ 2020-07-31 |
| Dennis J Macelroy | 112 Sunset Trail, Queensbury, NY 12804 | Professional Engineer | 2017-02-08 ~ 2018-01-31 |
| Thomas W Nace | 30 Owen Ave, Queensbury, NY 12804 | Professional Engineer | 2012-02-01 ~ 2013-01-31 |
| Joseph F Depace · Seeyle Stevsn Value&knecht,inc | 154b Dixon Rd, Queensbury, NY 12804 | Professional Engineer | 1989-02-03 ~ 1990-01-31 |
| Find all Licenses in zip 12804 | |||
| City | QUEENSBURY |
| Zip Code | 12804 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + QUEENSBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mark A Rubenstein | 2447 Whitney Ave, Hamden, CT 06518 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Katharine S Cox Md | 250 Arbor Commons Cir Apt 208, Memphis, TN 38120-2696 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Amy P Gandhi | 201 Commons Park S, Stamford, CT 06902 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| David F Bounds | 144 Staffordshire Commons Dr, Wallingford, CT 06492-1753 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Muhammed U Khan | 967 Elm Commons Dr Apt 305, Rocky Hill, CT 06067-1817 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Alexia T Koudellou Md | 6 Fieldstone Commons, Tolland, CT 06084 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Pooja Palaksha | 201 Commons Parks Apt. 511, Stamford, CT 06902 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Maryalyce A Harmon Pa | 26 Staffordshire Commons Rd, Wallingford, CT 06492-1743 | Controlled Substance Registration for Practitioner | 1998-03-01 ~ 1999-02-28 |
| Karen D Sheares | 201 Commons Park S, Stamford, CT 06902-7064 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| John G D'alessio | 8 Henley Commons, Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).