MARK W SCANLAN MD (Credential# 561033) 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 W SCANLAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.043451. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 2408 Whitney Ave, Hamden, CT 06518. The current status is active.
| Licensee Name | MARK W SCANLAN MD |
| Credential ID | 561033 |
| Credential Number | 1.043451 |
| Credential Type | Physician/Surgeon |
| Business Address |
2408 Whitney Ave Hamden CT 06518 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - PRIOR DISCIPLINE |
| Active | 1 |
| Issue Date | 2005-05-25 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-01-15 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 410639 | CSP.0037796 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-07-15 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 2408 WHITNEY AVE |
| City | HAMDEN |
| State | CT |
| Zip Code | 06518 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hubert B Bradburn | 2408 Whitney Ave, Hamden, CT 06518 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Norman R Kaplan | 2408 Whitney Ave, Hamden, CT 06518 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Glenn Scott Russo | 2408 Whitney Ave, Hamden, CT 06518 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Stephen Nelson | 2408 Whitney Ave, Hamden, CT 06518 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| John M Aversa | 2408 Whitney Ave, Hamden, CT 06518 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jeeten Singha | 2408 Whitney Ave, Hamden, CT 06518-3209 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Philip A Minotti Md | 2408 Whitney Ave, Hamden, CT 06518 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kenneth M Kramer | 2408 Whitney Ave, Hamden, CT 06518-3209 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jeffrey M Delott Dpm | 2408 Whitney Ave, Hamden, CT 06518-3209 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Richard Diana | 2408 Whitney Ave, Hamden, CT 06518 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Barbara Esposito Aprn | 209 Todd St, Hamden, CT 06518 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Sorrentos Brick Oven Pizzeria | 244 Skiff St, Hamden, CT 06518 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Jenna Bump | 61 Cannon St, Hamden, CT 06518 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jennifer E Pohl | 70 Norwood Avenue, Hamden, CT 06518 | Speech and Language Pathologist | 2020-07-01 ~ 2021-06-30 |
| Nicole O Miller-tyson | 648 Evergreen Ave, Hamden, CT 06518 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Nancy D Anderson | 399 Hillfield Road, Hamden, CT 06518 | Speech and Language Pathologist | 2020-08-01 ~ 2021-07-31 |
| Flowers From The Farm | 1035 Shepard Avenue, Hamden, CT 06518 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Lynda Burke | 68 Linden Avenue, Hamden, CT 06518 | Notary Public Appointment | 2011-12-08 ~ 2016-12-31 |
| Kelly Lynn Huppert | 1334 Town Walk Dr, Hamden, CT 06518 | Master's Level Social Worker | ~ |
| Robert L Engengro | 365 Forest Street, Hamden, CT 06518 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Find all Licenses in zip 06518 | |||
| City | HAMDEN |
| Zip Code | 06518 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + HAMDEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jennifer Scanlan-mullen · Scanlan | 341 Wellsville Ave, New Milford, CT 06776 | Hairdresser/cosmetician | 2018-10-01 ~ 2020-09-30 |
| Sean Scanlan · Scanlan Plumbing | 6 Archers Ln, New Milford, CT 06776-2602 | Plumbing & Piping Unlimited Contractor | 2019-11-01 ~ 2020-10-31 |
| Holly Scanlan Foundation (the) | Po Box 1459, Burlington, CT 06013-0459 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| Mark M Silverstein | Mark Silverstein,md, Manchester, NJ 08759 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Mark Davis | Po Box 222, Abingdon, MD 21009-0222 | Physician/surgeon | ~ |
| Mark Levin | 6 Gel Ct, Monsey, NY 10952-1956 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Mark A Sauer | Po Box 97, Pomfret, CT 06258 | Physician/surgeon | 1993-01-25 ~ 1994-01-31 |
| Mark N Lobato | Ms # 11-tub, Hartford, CT 06134 | Physician/surgeon | 2015-12-01 ~ 2016-11-30 |
| Ron Mark | 6 Annette Way, Jericho, NY 11753 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Mark L Fox | 145 Huguenot St Ste 610, New Rochelle, NY 10801-5200 | Physician/surgeon | 2017-12-01 ~ 2018-11-30 |
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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).