MARK L WASSERMAN MD (Credential# 553815) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
MARK L WASSERMAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.036223. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 2822 Sturges Hwy, Westport, CT 06880-1733. The current status is active.
| Licensee Name | MARK L WASSERMAN MD |
| Business Name | PRIMARY CARE PHYSICIANS GROUP |
| Credential ID | 553815 |
| Credential Number | 1.036223 |
| Credential Type | Physician/Surgeon |
| Business Address |
2822 Sturges Hwy Westport CT 06880-1733 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - PRIOR DISCIPLINE |
| Active | 1 |
| Issue Date | 1997-07-18 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-02-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 183097 | CSP.0025686 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 2822 STURGES HWY |
| City | WESTPORT |
| State | CT |
| Zip Code | 06880-1733 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Toni L Bucker | 4 Wild Rose Rd, Westport, CT 06880 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jee Hyun Kim | 1 Allen Lane, Westport, CT 06880 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2021-07-31 |
| Donna Vaccarella | 15 Keyser Rd, Westport, CT 06880 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Sandra Gibson | 12 Bayberry Ln, Westport, CT 06880 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Adil Salam Md | 44 Crawford Rd, Westport, CT 06880 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Joanne C Sosnoski | 24 Hawatha Lane, Westport, CT 06880 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Rachel Lynn | 495 Post Rd East, Westport, CT 06880 | Eyelash Technician | ~ |
| Beginnings: An Infant/toddler Program | 71 Hillandale Road, Westport, CT 06880 | Group Child Care Home | 2018-01-01 ~ 2021-12-31 |
| Shelley S Ross | 28 Old Hill Farms Rd, Westport, CT 06880 | Dietitian/nutritionist | 2020-08-01 ~ 2021-07-31 |
| Robert W Van Summern | 279 Wilton Rd, Westport, CT 06880 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06880 | |||
| City | WESTPORT |
| Zip Code | 06880 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WESTPORT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| David A Lane | Primary Care Group, San Diego, CA 92133-1536 | Physician/surgeon | 1995-06-05 ~ 1996-06-30 |
| Marta Kroo Md · Mhs Primary Care Incorporated | Mhs Primary Care Inc, Cromwell, CT 06416 | Physician/surgeon | 2009-09-01 ~ 2010-08-31 |
| Ann H Williams | Stamford Health Medical Group, Primary Care, Stamford, CT 06902 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Hhc Physicians Care Inc · Hartford Healthcare Medical Group | 80 Seymour St, Hartford, CT 06102-8000 | Public Charity | 2013-11-21 ~ 2015-08-31 |
| Wasserman Media Group LLC | 10960 Wilshire Blvd Ste 2200, Los Angeles, CA 90024-3702 | Student Athlete Agent | 2011-04-04 ~ 2011-12-31 |
| Larry B Levine | Mhs Primary Care Inc, Middletown, CT 06457 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Robert J Schreiber | Primary Care Center, Danbury, CT 06810 | Physician/surgeon | 1995-07-12 ~ 1996-08-31 |
| Elizabeth K Allard | Northeast Primary Care, Waterford, CT 06385 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Yogesh K Katechia | Healthcall Primary Care, Norwich, CT 06360 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Mary Cummings Satti | Primary Care for Women, Old Lyme, CT 06371 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on MARK L WASSERMAN 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).