MARC P KAWALICK (Credential# 543984) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
MARC P KAWALICK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.022079. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 3 Pheasant Hill, Farmington, CT 06032. The current status is active.
| Licensee Name | MARC P KAWALICK |
| Credential ID | 543984 |
| Credential Number | 1.022079 |
| Credential Type | Physician/Surgeon |
| Business Address |
3 Pheasant Hill Farmington CT 06032 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1980-06-09 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-02-10 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 144707 | CSP.0009423 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 3 Pheasant Hill |
| City | Farmington |
| State | CT |
| Zip Code | 06032 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kyeongsuk Lee Lee | 11- A1 Lakeshore Dr, Farmington, CT 06032 | Nail Technician | ~ |
| Lynne M Ramer · Sobowicz | 13 Wentworth Park, Farmington, CT 06032 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Scott's Townline Mobil LLC | 435 Main St, Farmington, CT 06032 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Glenna E Voytovich · Mietz | 47 Carriage Dr, Farmington, CT 06032 | Marital and Family Therapist | 2020-09-01 ~ 2021-08-31 |
| Munsons Chocolates | 463 Westfarms Mall, Farmington, CT 06032 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Kimberly A. Caprio | Hartford Healthcare Medical Group, Farmington, CT 06032 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Stephanie A. Fink | 22 Kent Lane, Farmington, CT 06032 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Farmington Donuts LLC · Dunkins Donuts | 348 Colt Hwy, Farmington, CT 06032 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Angham Zakko | 2 Stratford Rd., Farmington, CT 06032 | Architect | 2020-08-01 ~ 2021-07-31 |
| Thomas N Taylor | 222 Main St # 264, Farmington, CT 06032 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06032 | |||
| City | Farmington |
| Zip Code | 06032 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Farmington |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marc J Parnes | 893 Central Ave, Woodmere, NY 11598-2146 | Physician/surgeon | ~ |
| Marc J Taylor | P.o. Box 814, Southbury, CT 06488 | Physician/surgeon | 2012-05-01 ~ 2013-04-30 |
| Birgit Kovacs | 19 Marc Rd, Danbury, CT 06810 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Marc P Ramirez Md | 300 Kensington Ave, New Britain, CT 06051 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Marc Moreau | 14 Cambridge Rd, Amarillo, TX 79124 | Physician/surgeon | 2017-02-01 ~ 2018-01-31 |
| Marc A Borenstein | 21 Cardinal Pl., Mt. Kisco, NY 10549 | Physician/surgeon | 2012-11-01 ~ 2013-10-31 |
| Marc Goldberg Md | 605 West Ave, Norwalk, CT 06850 | Physician/surgeon | 1996-05-24 ~ 1997-05-31 |
| Marc Schwartz Do | 555 Kappock St Apt 2r, Riverdale, NY 10463 | Physician/surgeon | 2007-02-23 ~ 2008-04-30 |
| Marc J Shapiro | 464 Congress Ave Ste 260, New Haven, CT 06519-1362 | Physician/surgeon | 2018-05-01 ~ 2019-04-30 |
| Marc J Bayer | 10 Wyndemere, Avon, CT 06001-3959 | Physician/surgeon | 2016-05-01 ~ 2017-04-30 |
Please comment or provide details below to improve the information on MARC P KAWALICK.
| 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).