MARJORIE KANYUSIK MD (Credential# 557509) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
MARJORIE KANYUSIK MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.039926. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 4 Grove Hill Rd, Woodbridge, CT 06525. The current status is active.
| Licensee Name | MARJORIE KANYUSIK MD |
| Credential ID | 557509 |
| Credential Number | 1.039926 |
| Credential Type | Physician/Surgeon |
| Business Address |
4 Grove Hill Rd Woodbridge CT 06525 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2001-10-10 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-06-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 292574 | CSP.0031643 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2001-11-29 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 4 Grove Hill Rd |
| City | woodbridge |
| State | CT |
| Zip Code | 06525 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hyue Kyung Choi | 11 Rock Hill Road, Woodbridge, CT 06525 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Jewish Cemetery Association of Greater New Haven | 360 Amity Road, Woodbridge, CT 06525 | Public Charity | 2020-07-01 ~ 2021-06-30 |
| Nancy Bradstreet | 146 Northrop Rd., Woodbridge, CT 06525 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Robert I Tucker | 15 Research Drive, Woodbridge, CT 06525 | Architect | 2020-08-01 ~ 2021-07-31 |
| Amity Brick Oven Pizza Inc · Joseph R Sarno | 142 Amity Rd, New Haven, CT 06525 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Linda A Starace-colabella | 895 Baldwin Rd, Woodbridge, CT 06525 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Patricia A Kenyon · Leskow | 8 Maple Terrace, Woodbridge, CT 06525 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Marianne L Dexter | 37 Acorn Hill Rd, Woodbridge, CT 06525 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Debra G Wayne | 94 Maple Vale Drive, Woodbridge, CT 06525 | Psychologist | 2020-09-01 ~ 2021-08-31 |
| Timothy Michael Carney | 1119 Racebrook Road, Woodbridge, CT 06525 | Emergency Medical Technician | 2016-08-19 ~ 2020-03-31 |
| Find all Licenses in zip 06525 | |||
| City | woodbridge |
| Zip Code | 06525 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + woodbridge |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nasifa Nur | 8 Marjorie St, Attleboro, MA 02703-4904 | Physician/surgeon | 2019-09-30 ~ 2020-07-31 |
| Marjorie L. Barnett | 5 Nottingham Ter, Buffalo, NY 14216-3619 | Physician/surgeon | 2017-03-01 ~ 2018-02-28 |
| Marjorie K Stock | P.o. Box 1104, Dover, NH 03820 | Physician/surgeon | 1995-11-13 ~ 1996-12-31 |
| Marjorie S Siebert | 371 Broadway #115, Brooklyn, NY 11211 | Physician/surgeon | 1997-10-09 ~ 1998-10-31 |
| Marjorie S Rosenthal Md | 333 Cedar St, New Haven, CT 06510-8088 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Marjorie D Newport Md | 21 Wetherbee St, Acton, MA 01720 | Physician/surgeon | ~ 1997-08-31 |
| Marjorie J Smith | Silverhill Foundation, New Canaan, CT 06840 | Physician/surgeon | 1981-01-01 ~ 1982-07-31 |
| Marjorie A Smith | 1150 Union St Apt 404, San Francisco, CA 94109-2023 | Physician/surgeon | 2017-04-01 ~ 2018-03-31 |
| Kristen Marjorie Dall-winther | 701 5th Ave Ste 2300, Seattle, WA 98104-7041 | Physician/surgeon | ~ |
| Marjorie A Garrett | 945 Main Street, Ste 102, Manchester, CT 06040 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
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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).