ANNE S MAUK PA (Credential# 385471) 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.
ANNE S MAUK PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0036563. 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 68 Cove Ave, Norwalk, CT 06855. The current status is active.
| Licensee Name | ANNE S MAUK PA |
| Credential ID | 385471 |
| Credential Number | CSP.0036563 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
68 Cove Ave Norwalk CT 06855 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2004-10-04 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-20 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 742024 | 23.000275 | Physician Assistant | 1993-10-29 | 2019-11-01 - 2020-10-31 | ACTIVE |
| Street Address | 68 Cove Ave |
| City | Norwalk |
| State | CT |
| Zip Code | 06855 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cynthia D Gardella | 5 Spar Road, East Norwalk, CT 06855 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Sharon Palmisano | 7 Poplar St, East Norwalk, CT 06855 | Hairdresser/cosmetician | 2020-05-01 ~ 2022-04-30 |
| Dunkin Donuts | 196 East Ave, Norwalk, CT 06855 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Linda R Gray | 15 Elliott St, East Norwalk, CT 06855 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Linda A Cappello | 199 Gregory Boulevard #a3, Norwalk, CT 06855 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Kory Celine Tobias | 22 Emerson St, Norwalk, CT 06855 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Steven L Orban | 5 Calf Pasture Beach Rd., Norwalk, CT 06855 | Architect | 2020-08-01 ~ 2021-07-31 |
| Elizabeth A Lyons | 5 Raymond Lane, Norwalk, CT 06855 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Meghan Mulvehill | 5 Pine Hill Ave, Norwalk, CT 06855 | Professional Counselor Associate | 2020-06-13 ~ 2021-05-31 |
| Tasheaka Campbell | 32 Triangle Street, Norwalk, CT 06855 | Licensed Practical Nurse | ~ |
| Find all Licenses in zip 06855 | |||
| City | Norwalk |
| Zip Code | 06855 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Norwalk |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Anne Marie E Arvidson | 1823 Queen Anne Ave N Ste 102, Seattle, WA 98109-2877 | Controlled Substance Registration for Practitioner | 2013-02-27 ~ 2015-02-28 |
| Anne F Liu | 22 N Lake Dr Apt A1, Hamden, CT 06517-2417 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Anne M Hyson | 26 Dandy Dr, Cos Cob, CT 06807-2203 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Anne M Baggley | 3 Roslyn Ln, New City, NY 10956-3615 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Anne Fine Lnm | 18 Sumner Ave, Florence, MA 01062 | Controlled Substance Registration for Practitioner | 2003-03-01 ~ 2004-02-28 |
| Anne E. Villari-lee | 5 Mercy St, Danbury, CT 06810-5175 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Anne M Mcdermott | 27 Topstone Rd, Ridgefield, CT 06877-3410 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Anne K Nagler | 238 Wooster St Apt 3, New Haven, CT 06511-5702 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Anne E Mauks | 10 Sunnyside Ln, New Fairfield, CT 06812-3121 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Michael-anne Dias | New Haven, CT 06513 | Controlled Substance Registration for Practitioner | 2005-09-26 ~ 2006-02-28 |
Please comment or provide details below to improve the information on ANNE S MAUK PA.
| 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).