MARC G BODMAN MD (Credential# 564071) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2016. The license expiration date date is May 31, 2017. The license status is INACTIVE.
MARC G BODMAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.046489. The credential type is physician/surgeon. The effective date is June 1, 2016. The expiration date is May 31, 2017. The business address is 725 South Hualapai Way #1046, Las Vegas, NV 89145. The current status is inactive.
| Licensee Name | MARC G BODMAN MD |
| Credential ID | 564071 |
| Credential Number | 1.046489 |
| Credential Type | Physician/Surgeon |
| Business Address |
725 South Hualapai Way #1046 Las Vegas NV 89145 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2008-05-05 |
| Effective Date | 2016-06-01 |
| Expiration Date | 2017-05-31 |
| Refresh Date | 2017-09-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 495345 | CSP.0043134 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2008-05-07 | 2015-03-01 - 2017-02-28 | INACTIVE |
| Street Address | 725 South Hualapai Way #1046 |
| City | Las Vegas |
| State | NV |
| Zip Code | 89145 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Julia F Ong | 9611 Orient Express Ct, Las Vegas, NV 89145 | Pharmacist | 2018-02-01 ~ 2020-01-31 |
| Catherine Nick | 337 Tobler Drive, Las Vegas, NV 89145 | Home Improvement Salesperson | 2018-04-26 ~ 2018-11-30 |
| Eunell B Geraci | 912 Sun Wood Dr, Las Vegas, NV 89145 | Registered Nurse | 2009-11-01 ~ 2010-10-31 |
| Kelly A Depiero | 129 Escada Lane, Las Vegas, NV 89145 | Pharmacist | 2004-02-01 ~ 2005-01-31 |
| Blake Guinn | 8024 Mount Royal Ct, Las Vegas, NV 89145-4569 | Home Improvement Salesperson | 2016-12-01 ~ 2017-11-30 |
| Rosario T Rondael | 312 Vista Glen St, Las Vegas, NV 89145-4836 | Registered Nurse | 2017-09-01 ~ 2018-08-31 |
| Logan Huskie | 7308 Blizzard Ct # 89145, Las Vegas, NV 89145-5106 | Home Improvement Salesperson | 2016-03-15 ~ 2016-11-30 |
| Annamarie Coopersmith | 217 Yellow Sky St, Las Vegas, NV 89145-5153 | Home Improvement Salesperson | 2017-12-01 ~ 2018-11-30 |
| Frank Cavaiani | 6936 Alta Dr, Las Vegas, NV 89145-5311 | Home Improvement Salesperson | 2016-03-11 ~ 2016-11-30 |
| Nikita Zavertyayev | 464 Europa Way, Las Vegas, NV 89145-5437 | Home Improvement Salesperson | 2019-12-01 ~ 2020-11-30 |
| Find all Licenses in zip 89145 | |||
| City | Las Vegas |
| Zip Code | 89145 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Las Vegas |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marc J Taylor | P.o. Box 814, Southbury, CT 06488 | Physician/surgeon | 2012-05-01 ~ 2013-04-30 |
| Marc J Parnes | 893 Central Ave, Woodmere, NY 11598-2146 | Physician/surgeon | ~ |
| Marc P Ramirez Md | 300 Kensington Ave, New Britain, CT 06051 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Marc E Doura | 472 Stafford Ave, Bristol, CT 06010 | Physician/surgeon | 1996-02-21 ~ 1997-04-30 |
| Marc Goldberg Md | 605 West Ave, Norwalk, CT 06850 | Physician/surgeon | 1996-05-24 ~ 1997-05-31 |
| Marc A Hurzeler | 24 Mt Sanford Rd, Cheshire, CT 06410 | Physician/surgeon | 2010-11-01 ~ 2011-10-31 |
| Marc Schwartz Do | 555 Kappock St Apt 2r, Riverdale, NY 10463 | Physician/surgeon | 2007-02-23 ~ 2008-04-30 |
| Marc S. Berenzweig | 31 Old Route 7, New Milford, CT 06776 | Physician/surgeon | 2012-12-24 ~ 2013-12-31 |
| Marc J Shapiro | 464 Congress Ave Ste 260, New Haven, CT 06519-1362 | Physician/surgeon | 2018-05-01 ~ 2019-04-30 |
| Marc B Cerrone | 320 Pomfret St, Putnam, CT 06260 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
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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).