MICHAEL F MARVIN MD (Credential# 545456) 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.
MICHAEL F MARVIN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.025422. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 93 Blueberry Hill Reserve, Killingworth, CT 06419. The current status is active.
| Licensee Name | MICHAEL F MARVIN MD |
| Credential ID | 545456 |
| Credential Number | 1.025422 |
| Credential Type | Physician/Surgeon |
| Business Address |
93 Blueberry Hill Reserve Killingworth CT 06419 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1984-08-15 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-02-25 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 148036 | CSP.0012793 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 93 BLUEBERRY HILL RESERVE |
| City | KILLINGWORTH |
| State | CT |
| Zip Code | 06419 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rajendra K Bobba | 39 Buell Hill Rd, Killingworth, CT 06419 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Deborah M Cabral | 61 Little Cty Rd, Killingworth, CT 06419 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Cheryl Dickson Toman | 16 Cedar Drive, Killingworth, CT 06419 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Nanci S Coleman | 9 Buell Hill Rd., Killingworth, CT 06419 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Sondra D Arbona | 21 Robin Ln, Killingworth, CT 06419 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Lisa R Barbour | 32 Boulder Trail, Killingworth, CT 06419 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Barbara K Irzyk | 12 Warwickshire Dr., Killingworth, CT 06419 | Speech and Language Pathologist | 2020-09-01 ~ 2021-08-31 |
| Diane Shauk Shuir | 184 Route 81 Bldg2, Killingworth, CT 06419 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-20 ~ 2022-05-31 |
| Yvonne Bradley | 42 Fawn Hill Road, Killingworth, CT 06419 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Staci L Petroskey | 140 Little City Road, Killingworth, CT 06419 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06419 | |||
| City | KILLINGWORTH |
| Zip Code | 06419 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + KILLINGWORTH |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marvin A Mcmillen | P.o.box 382, Harwinton, CT 06791 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Marvin L Sears | P.o. Box 551, Westbrook, CT 06498-0551 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Marvin W Slatkin | 101 So Cambridge Av, Ventnor, NJ 08406 | Physician/surgeon | 1999-07-28 ~ 2000-09-30 |
| Marvin Mogil Md | 185 Stevenson Rd, New Haven, CT 06515-2468 | Physician/surgeon | 2002-01-22 ~ 2003-03-31 |
| Marvin C Ehrlich | 85 Dog Lane, Storrs, CT 06268 | Physician/surgeon | 1993-08-25 ~ 1994-10-31 |
| Marvin Saltzman Md | 28 Cleveland St, Plainville, CT 06062 | Physician/surgeon | 2003-09-08 ~ 2004-09-30 |
| Marvin I Fox | 5144 Lochwood Ct, Naples, FL 33962 | Physician/surgeon | 1994-03-28 ~ 1995-05-31 |
| Marvin H Lerner | 333 E 30th St, New York, NY 10016 | Physician/surgeon | 2000-07-24 ~ 2001-09-30 |
| Marvin Levenstein | 325 Mansfield St C8, New Haven, CT 06511 | Physician/surgeon | 1990-01-24 ~ 1990-09-18 |
| Marvin Garrell Md | 645 Springer Rd, Fairfield, CT 06824 | Physician/surgeon | 2005-07-13 ~ 2006-07-31 |
Please comment or provide details below to improve the information on MICHAEL F MARVIN 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).