MARK H VINCENT MD (Credential# 554686) 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 H VINCENT MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.037096. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is Black Rock Pediatrics, Fairfield, CT 06825. The current status is active.
| Licensee Name | MARK H VINCENT MD |
| Credential ID | 554686 |
| Credential Number | 1.037096 |
| Credential Type | Physician/Surgeon |
| Business Address |
Black Rock Pediatrics Fairfield CT 06825 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1998-07-17 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-03-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 154500 | CSP.0027371 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | Black Rock Pediatrics |
| City | Fairfield |
| State | CT |
| Zip Code | 06825 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alexander M Testani | 77 Winoca Rd, Fairfield, CT 06825 | Emergency Medical Technician | 2020-06-26 ~ 2022-03-31 |
| Salome Cleopatra Nail | 2399 Black Rock Turnpike, Fairfield, CT 06825 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Angela M Carmona | 198 Castle Ave, Fairfield, CT 06825 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Maria D Coutinho | 131 Roseville Street, Fairfield, CT 06825 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Jie Che | 1519 Black Rock Tpke, Fairfield, CT 06825 | Esthetician | ~ |
| Eva I Chiamulera | 86 Brookfield Avenue, Fairfield, CT 06825 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Suzanne P Taluy | 558 Villa Ave, Fairfield, CT 06825 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Benjamin Allan Gott | 262 Euclid Avenue, Fairfield, CT 06825 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
| Charles J Applebaum | 841 Stratfield Rd, Fairfield, CT 06825 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Jeri Kriskey | 1179 Merritt Street, Fairfield, CT 06825 | Marital and Family Therapist Associate | 2020-06-24 ~ 2022-06-24 |
| Find all Licenses in zip 06825 | |||
| City | Fairfield |
| Zip Code | 06825 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Fairfield |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mark Vincent Yakavonis | Orthopaedic & Neurosurgery Specialists, Greenwich, CT 06831-5151 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Ann Vincent | 1258 17m Ave Nw #2, Rochester, MN 55901 | Physician/surgeon | 1998-04-20 ~ 1999-04-30 |
| Vincent T Marchesi Md | 179 Prospect Ave, Guilford, CT 06437-3100 | Physician/surgeon | 2016-10-01 ~ 2017-09-30 |
| Kevin Vincent Kelly | 11 E 87th St Ste 1b, New York, NY 10128-0528 | Physician/surgeon | ~ |
| Vincent A Decesaris | 38 Hamlet Ave, Woonsocket, RI 02895 | Physician/surgeon | 2015-09-01 ~ 2016-08-31 |
| Tricia A Machinski | 6 Vincent Ave, Old Saybrook, CT 06475-1925 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Vincent A Montemarano | 27 East Ave, Westerly, RI 02891 | Physician/surgeon | 2006-01-09 ~ 2006-12-31 |
| Vincent A Rella | 95 Locust Ave, Danbury, CT 06810 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Vincent Tumminello Md | 90 Morgan St, Stamford, CT 06905 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Vincent T Codispoti | 31 Seymour Ste, Hartford, CT 06106 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Please comment or provide details below to improve the information on MARK H VINCENT 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).