MARK COYLE PA (Credential# 335450) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
MARK COYLE PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0033309. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 4 Rockwood Rd, Medway, MA 02053. The current status is active.
| Licensee Name | MARK COYLE PA |
| Credential ID | 335450 |
| Credential Number | CSP.0033309 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
4 Rockwood Rd Medway MA 02053 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2003-03-18 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2018-12-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 742432 | 23.000683 | Physician Assistant | 1997-10-17 | 2019-10-01 - 2020-09-30 | ACTIVE |
| 865780 | 70.939998 | Emergency Medical Technician | 1993-10-20 | - 1994-09-30 | INACTIVE |
| Street Address | 4 ROCKWOOD RD |
| City | MEDWAY |
| State | MA |
| Zip Code | 02053 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brianna Markow | 379b Village Street, Medway, MA 02053 | Registered Nurse | ~ |
| William R Wright | 2 Memory Ln, Medway, MA 02053 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Susan Milliken Holden | 2 Pine Ridge Dr Unit 1, Medway, MA 02053 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| John J Amato | 3 Pine Needle Dr, Medway, MA 02053 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Samantha Heim | 207 Main Street, Medway, MA 02053 | Registered Nurse | 2019-01-10 ~ 2019-09-30 |
| Thomas E Parece | 2 Autumn Rd, Medway, MA 02053 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Jacque D Mihovk | 1 Indian Creek Rd, Medway, MA 02053 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
| Jamie Parece | 2 Autumn Road, Medway, MA 02053 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| John M Foehl | 6 Pine Needle Dr, Medway, MA 02053 | Professional Engineer | 2017-02-01 ~ 2018-01-31 |
| Gregory P Matheson | 6 Appleton Way, Medway, MA 02053 | Heating, Piping & Cooling Limited Journeyperson | 2016-09-01 ~ 2017-08-31 |
| Find all Licenses in zip 02053 | |||
| City | MEDWAY |
| Zip Code | 02053 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MEDWAY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brian W Coyle Md | 280 State Street, North Haven, CT 06473 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Debra I Coyle Aprn | 85 Huckleberry Lane, Southington, CT 06489 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Timothy Coyle | 263 Farmington Ave # Mc-1321, Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Mark R Cullen Md | 22 Lee Way, Madison, CT 06443 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Mark P Goldstein Md | 754 E 6th St #5d, New York, NY 10009 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mark C Lee Md | 282 Washington St, Hartford, CT 06106-3322 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mark A Volpe | 10 Croft Dr, Manchester, CT 06042-1620 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mark Bianchi Md | 333 Cedar St, New Haven, CT 06520-8041 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mark E Bufelini Dmd | 47 Avonwood Rd #31j, Avon, CT 06001 | Controlled Substance Registration for Practitioner | 2006-06-19 ~ 2007-02-28 |
| Mark S Dewaele | 208 South Ave, New Canaan, CT 06840 | Controlled Substance Registration for Practitioner | 2019-04-23 ~ 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).