DAVID R MARKS
Physician/surgeon


Address: 111 Wakelee Ave., Ansonia, CT 06401

DAVID R MARKS (Credential# 550511) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

DAVID R MARKS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.032912. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 111 Wakelee Ave., Ansonia, CT 06401. The current status is active.

Basic Information

Licensee Name DAVID R MARKS
Credential ID 550511
Credential Number 1.032912
Credential Type Physician/Surgeon
Business Address 111 Wakelee Ave.
Ansonia
CT 06401
Business Type INDIVIDUAL
Status ACTIVE - ON PROBATION
Active 1
Issue Date 1993-04-30
Effective Date 2020-03-01
Expiration Date 2021-02-28
Refresh Date 2020-02-12

Other licenses

ID Credential Code Credential Type Issue Term Status
164497 CSP.0021457 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1999-03-23 2019-03-01 - 2021-02-28 ACTIVE
1121678 CSP.0053671 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2012-09-11 2012-09-11 - 2013-02-28 INACTIVE
1121846 CSP.0053682 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2012-09-13 2012-10-24 - 2013-02-28 INACTIVE
162849 CSP.0021023 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1993-06-14 - 1995-01-01 INACTIVE
1128892 CSP.0053919 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2012-10-24 - INACTIVE

Office Location

Street Address 111 Wakelee Ave.
City Ansonia
State CT
Zip Code 06401

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Maureen E Witzmann 68 Granite Terrace, Ansonia, CT 06401 Registered Nurse 2020-07-01 ~ 2021-06-30
Anthony Wayne Md 20 Westfield Avenue, Ansonia, CT 06401 Physician/surgeon 2020-09-01 ~ 2021-08-31
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Competitor

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City Ansonia
Zip Code 06401
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Ansonia

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Eugene M Marks 22 Grand Place, Newtown, CT 06470 Physician/surgeon 2009-05-20 ~ 2010-07-31
Allan Steven Marks 650 5th Street, Suite 311, San Francisco, CA 94017 Physician/surgeon 2020-04-01 ~ 2021-03-31
Donald A Marks 3935 Blackstone Avenue, 4h, Bronx, NY 10471 Physician/surgeon 1984-10-26 ~ 1989-09-30
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David L Oldham 116 St Marks Ave, Brooklyn, NY 11217 Architect ~ 1998-07-31

Improve Information

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Dataset Information

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).

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