JILLIAN L MAROUSEK MD (Credential# 479293) 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.
JILLIAN L MAROUSEK MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0042232. 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 36 Lake Dr, Darien, CT 06820-3121. The current status is active.
| Licensee Name | JILLIAN L MAROUSEK MD |
| Credential ID | 479293 |
| Credential Number | CSP.0042232 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
36 Lake Dr Darien CT 06820-3121 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2007-09-28 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 562653 | 1.045071 | Physician/Surgeon | 2007-01-29 | 2019-11-01 - 2020-10-31 | ACTIVE |
| Street Address | 36 LAKE DR |
| City | DARIEN |
| State | CT |
| Zip Code | 06820-3121 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Henry J Goyette Jr · Hg Design | 18 Lake Dr, Darien, CT 06820-3121 | Home Improvement Contractor | 2014-12-01 ~ 2015-11-30 |
| Melissa L Michels | 34 Lake Dr, Darien, CT 06820-3121 | Advanced Emergency Medical Technician | 2009-07-28 ~ 2011-04-01 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lisbeth Alexandra Gutierrez | 13 Casper Street, Danbury, CT 06820 | Nail Technician | 2020-06-27 ~ 2022-04-30 |
| Sonia L Morales | Po Box 2351, Darien, CT 06820 | Master's Level Social Worker | ~ |
| Belle Stobbie | 1 Salt Box Lane, Darien, CT 06820 | Registered Nurse | 2020-06-26 ~ 2021-02-28 |
| Jessica Stygares | 110 Hecker Avenue, Darien, CT 06820 | Speech and Language Pathologist | ~ |
| John M Neary | 31 Hoyt St, Darien, CT 06820 | Architect | 2020-08-01 ~ 2021-07-31 |
| Kevin D Gray | 5 Old Stone Rd, Darien, CT 06820 | Architect | 2020-08-01 ~ 2021-07-31 |
| Lindsay G Westbrook | 11 Oakshade Ave, Darien, CT 06820 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Darien Two Inc | 967 Post Rd, Darien, CT 06820 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Darien Seafood Mkt Inc · Frate & Burt Seafood | 1941 Post Rd, Darien, CT 06820 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Bertucci's | 54 Boston Post Rd, Darien, CT 06820 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06820 | |||
| City | DARIEN |
| Zip Code | 06820 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + DARIEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jillian M Kalinchak | 159 David Rd, Durham, CT 06422-2601 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jillian K Ross | 926 Greenway Rd, Woodbridge, CT 06525-2413 | Controlled Substance Registration for Practitioner | 2020-04-24 ~ 2021-02-28 |
| Jillian Leclair Md | Mc 2941, Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Jillian R Hevey Pa | 100 Trilby Ave, Chicopee, MA 01020-1037 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Jillian M Difazio | 225 E 95th St Apt 22b, New York, NY 10128-4007 | Controlled Substance Registration for Practitioner | 2014-12-12 ~ 2017-02-28 |
| Jillian N Gormley | 282 Washington St, Hartford, CT 06106-3322 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Jillian K Joseph | 112 Uncatena Ave, Worcester, MA 01606-1814 | Controlled Substance Registration for Practitioner | 2013-03-25 ~ 2015-02-28 |
| Jillian M Grant | 15 Corporate Dr, Trumbull, CT 06611-1351 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jillian A Perez | 205 Main St, East Haven, CT 06512-3003 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jillian Dumeer | 203 Sterling Drive, Newington, CT 06111 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Please comment or provide details below to improve the information on JILLIAN L MAROUSEK MD.
| 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).