NEIL F MARA (Credential# 540012) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 29, 2004. The license expiration date date is May 31, 2005. The license status is INACTIVE.
NEIL F MARA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.011486. The credential type is physician/surgeon. The effective date is April 29, 2004. The expiration date is May 31, 2005. The business address is P.o.box 3168, Groton Long Point, CT 06340. The current status is inactive.
Licensee Name | NEIL F MARA |
Credential ID | 540012 |
Credential Number | 1.011486 |
Credential Type | Physician/Surgeon |
Business Address |
P.o.box 3168 Groton Long Point CT 06340 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1963-08-19 |
Effective Date | 2004-04-29 |
Expiration Date | 2005-05-31 |
Refresh Date | 2009-07-08 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
147591 | CSP.0000417 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1993-12-06 - 1996-01-01 | INACTIVE |
Street Address | P.O.BOX 3168 |
City | Groton Long Point |
State | CT |
Zip Code | 06340 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Swatiben R. Patel | 81 Charlton Lane, Groton, CT 06340 | Pharmacy Technician | 2020-06-26 ~ 2021-03-31 |
Susan E Mammone | 39 Chestnut Hill Sq, Groton, CT 06340 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
Jennifer L Lundie | 302b Meridian Street, Groton, CT 06340 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Jennifer Gauthier | 55 Fieldside Drive # B, Groton, CT 06340 | Master's Level Social Worker - Temporary Permit | ~ |
Anthony Di Lullo Md | Thameside Ob/gyn Centre, Groton, CT 06340 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Carrien Williams | 186 Mirra Dr, Groton, CT 06340 | Nail Technician | ~ |
Mustapha Kemal Md | 61 Leeward Lane, Groton, CT 06340 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Subway #309 | 967 Poquonnock Rd, Groton, CT 06340 | Bakery | 2020-07-01 ~ 2021-06-30 |
Kathlene M Hunt | 75 Pleasant Street, Groton, CT 06340 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
Paul A Morosky | 2 Cross Street, Groton, CT 06340 | Distribution System Operator - Class I | 2020-04-01 ~ 2023-03-31 |
Find all Licenses in zip 06340 |
City | Groton Long Point |
Zip Code | 06340 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + Groton Long Point |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Sean T O'mara | 161 Fort Evans Rd Ne Ste 255, Leesburg, VA 20176-3376 | Physician/surgeon | 2012-06-01 ~ 2013-05-31 |
Mara S Goldstein | 555 Davisville Avenue, Toronto, Ontario, M4S 1J2 | Physician/surgeon | 2002-05-16 ~ 2003-05-31 |
John J Mara | 1111 Cromwell Ave Bldg 4 #404, Rocky Hill, CT 06067 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Neil Zilberg | 131 Ave B Apt 5b, New York, NY 10009 | Physician/surgeon | 2006-01-09 ~ 2007-01-31 |
Neil J Scollan | Po Box 58, Amston, CT 06231-0058 | Physician/surgeon | 2018-09-01 ~ 2019-08-31 |
Neil Moynihan Md | 112 Dog Ln, Storrs, CT 06268-2220 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Neil Jain | 267 Grant St, Bridgeport, CT 06610-2805 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Neil H Wasserman | 300 Kensington Ave, New Britain, CT 06051 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Neil P Dreyer | 51 Schuyler Ave, Stamford, CT 06902 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Neil J Macy | 4 Laurel La, Pleasantville, NY 10570 | Physician/surgeon | 1997-04-28 ~ 1998-04-30 |
Please comment or provide details below to improve the information on NEIL F MARA.
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).