MARSHALL EDELSON MD (Credential# 539589) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 31, 2004. The license expiration date date is May 31, 2005. The license status is INACTIVE.
MARSHALL EDELSON MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.009974. The credential type is physician/surgeon. The effective date is March 31, 2004. The expiration date is May 31, 2005. The business address is 33 Mulberry Road, Woodbridge, CT 06525. The current status is inactive.
Licensee Name | MARSHALL EDELSON MD |
Credential ID | 539589 |
Credential Number | 1.009974 |
Credential Type | Physician/Surgeon |
Business Address |
33 Mulberry Road Woodbridge CT 06525 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1960-09-15 |
Effective Date | 2004-03-31 |
Expiration Date | 2005-05-31 |
Refresh Date | 2009-07-11 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
148843 | CSP.0004340 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2003-03-01 - 2004-02-28 | INACTIVE |
Street Address | 33 MULBERRY ROAD |
City | WOODBRIDGE |
State | CT |
Zip Code | 06525 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Hyue Kyung Choi | 11 Rock Hill Road, Woodbridge, CT 06525 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Jewish Cemetery Association of Greater New Haven | 360 Amity Road, Woodbridge, CT 06525 | Public Charity | 2020-07-01 ~ 2021-06-30 |
Nancy Bradstreet | 146 Northrop Rd., Woodbridge, CT 06525 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
Robert I Tucker | 15 Research Drive, Woodbridge, CT 06525 | Architect | 2020-08-01 ~ 2021-07-31 |
Amity Brick Oven Pizza Inc · Joseph R Sarno | 142 Amity Rd, New Haven, CT 06525 | Bakery | 2020-07-01 ~ 2021-06-30 |
Linda A Starace-colabella | 895 Baldwin Rd, Woodbridge, CT 06525 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Patricia A Kenyon · Leskow | 8 Maple Terrace, Woodbridge, CT 06525 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Marianne L Dexter | 37 Acorn Hill Rd, Woodbridge, CT 06525 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Debra G Wayne | 94 Maple Vale Drive, Woodbridge, CT 06525 | Psychologist | 2020-09-01 ~ 2021-08-31 |
Timothy Michael Carney | 1119 Racebrook Road, Woodbridge, CT 06525 | Emergency Medical Technician | 2016-08-19 ~ 2020-03-31 |
Find all Licenses in zip 06525 |
City | WOODBRIDGE |
Zip Code | 06525 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + WOODBRIDGE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Joseph H. Edelson | 25 Seminole Circle, West Hartford, CT 06117 | Certified Public Accountant Firm Permit | 1998-01-01 ~ 1998-12-31 |
Marshall E. Bein | 910 Wellesley Ave, Los Angeles, CA 90049-5823 | Physician/surgeon | 1975-06-13 ~ 2019-01-29 |
Peter N Bowers Md | 27 Marshall Ave, Guilford, CT 06437-3516 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Marshall P Mallory | P.o. Box 320757, Los Gatos, CA 95032 | Physician/surgeon | 2018-10-01 ~ 2019-09-30 |
Marshall D Kramer | 10 Kenilworth Lane, Rye, NY 10580 | Physician/surgeon | 2001-06-18 ~ 2002-03-31 |
Chetan Vaid | 11 Marshall St, Old Greenwich, CT 06870-1218 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Lee J Steingisser | 5 Marshall Terrace, Wayland, MA 01778 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
Don A Marshall Jr | 3769 Wales Dr, Dayton, OH 45405 | Physician/surgeon | 1981-01-01 ~ 1988-09-16 |
Marshall Wold Md | 355 Thayer St, Providence, RI 02906 | Physician/surgeon | 2006-01-30 ~ 2007-03-31 |
Justin Marshall | 200 Retreat Ave, Hartford, CT 06106-3309 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
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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).