MARK J SOMERS MD (Credential# 557025) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
MARK J SOMERS MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.039440. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 196 Parkway S Ste 103, Waterford, CT 06385-1234. The current status is active.
| Licensee Name | MARK J SOMERS MD |
| Credential ID | 557025 |
| Credential Number | 1.039440 |
| Credential Type | Physician/Surgeon |
| Business Address |
196 Parkway S Ste 103 Waterford CT 06385-1234 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2001-04-23 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-13 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 278770 | CSP.0030856 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2001-05-04 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 196 PARKWAY S STE 103 |
| City | WATERFORD |
| State | CT |
| Zip Code | 06385-1234 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kimberly M Chemacki | 196 Parkway S Ste 103, Waterford, CT 06385-1234 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Richard P Fazio | 196 Parkway S Ste 103, Waterford, CT 06385-1234 | Physician/surgeon | 2015-01-01 ~ 2015-12-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Edward W Coss Jr | 196 Parkway S Ste 201, Waterford, CT 06385-1234 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Thomas Sena | 196 Parkway S Ste 101, Waterford, CT 06385-1234 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Hartford Healthcare Cancer Institute At Backus Hospital | 196 Parkway South Ste 303, Waterford, CT 06385-1234 | Controlled Substance Registration for Practitioner | 2019-03-05 ~ 2021-02-28 |
| Gabrielle E Pierce | 196 Parkway S Ste 201b, Waterford, CT 06385-1234 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Rosalind Van Stolk Md | 196 Waterford Pkwy S Ste 306, Waterford, CT 06385-1234 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Peter J Gates | 196 Waterford Pkwy S Ste 201b, Waterford, CT 06385-1234 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Youval Katz Md | 196 Parkway S Ste 303, Waterford, CT 06385-1234 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Backus Family Health Center At Crossroads | 196 Parkway S Ste 201b, Waterford, CT 06385-1234 | Outpatient Clinic | 2014-08-06 ~ 2018-06-30 |
| Sarah R Donahue | 196 Parkway South, Waterford, CT 06385-1234 | Registered Nurse | 2016-10-01 ~ 2017-09-30 |
| Harlan C Taliaferro Md | 196 Parkway S Ste 201, Waterford, CT 06385-1234 | Physician/surgeon | 2013-12-01 ~ 2014-11-30 |
| Find all Licenses in zip 06385-1234 | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Howard Christopher Rosas | 40 Ridgewood Ave, Waterford, CT 06385 | Chiropractor | 2020-07-01 ~ 2021-06-30 |
| Vincent F Donato | 26 Wild Rose Avenue, Waterford, CT 06385 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Mark A Herter | 51 Quarry Rd, Waterford, CT 06385 | Architect | 2020-08-01 ~ 2021-07-31 |
| Pamela A Manke | 54 Rope Ferry Rd., Waterford, CT 06385 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
| Carol Winslow | 18 Myrock Ave, Waterford, CT 06385 | Marital and Family Therapist | 2020-09-01 ~ 2021-08-31 |
| Donna M Rivero · Knupp | 3 Ridgewood Ave, Waterford, CT 06385 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Margaret A Goldschneider · Chapman | 3 High Ridge Drive, Waterford, CT 06385 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Frank R Dellacono Md | 201 Boston Post Road, Waterford, CT 06385 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mathew H Tellier | 25 Locust Ct., Waterford, CT 06385 | Backflow Prevention Device Tester | 2020-06-18 ~ 2023-03-31 |
| Renata Kamburi | 16 Marilyn Road, Waterford, CT 06385 | Esthetician | 2020-06-20 ~ 2021-12-31 |
| Find all Licenses in zip 06385 | |||
| City | WATERFORD |
| Zip Code | 06385 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WATERFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mark S. Skalski | 10 Manse Hill Rd, Somers, CT 06071-1544 | Physician/surgeon | 2015-04-01 ~ 2016-03-31 |
| James H Pope Md | 42 Carriage Dr, Somers, CT 06071-1106 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Donna L O'shea | 93 Brittany Ln, Somers, CT 06071-1137 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Richard M Mcguane Md | 29 Parson Rd, Somers, CT 06071 | Physician/surgeon | 1997-12-08 ~ 1999-02-28 |
| Nancy Schantz Md | 434 Heritage Hls # A, Somers, NY 10589-1919 | Physician/surgeon | 2011-12-01 ~ 2012-11-30 |
| Paul L Medrek | 38 Hangdog Ln, Somers, CT 06071-1322 | Physician/surgeon | 2011-03-01 ~ 2012-02-29 |
| Khalida Moghul Md | 110 Longhill Dr, Somers, CT 06071 | Physician/surgeon | 2005-01-28 ~ 2005-12-31 |
| Flordeliza J Palazzolo | 39 Pinney Rd, Somers, CT 06071 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Timothy R Silvis | 24 Battle St, Somers, CT 06071-1629 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Paul C Nowak Md | 12 Susan Dr, Somers, NY 10589 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
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| 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).