MARK COMAN PA (Credential# 741981) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2020. The license expiration date date is July 31, 2021. The license status is ACTIVE.
MARK COMAN PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000232. The credential type is physician assistant. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is Middlesex Hospital 28 Crescent St, Middletown, CT 06457. The current status is active.
| Licensee Name | MARK COMAN PA |
| Credential ID | 741981 |
| Credential Number | 23.000232 |
| Credential Type | Physician Assistant |
| Business Address |
Middlesex Hospital 28 Crescent St Middletown CT 06457 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1993-10-22 |
| Effective Date | 2020-08-01 |
| Expiration Date | 2021-07-31 |
| Refresh Date | 2020-06-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 178135 | CSP.0024505 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | MIDDLESEX HOSPITAL 28 CRESCENT ST |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth M Mailhot | 177 Timber Ridge Rd, Middletown, CT 06457 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Rebecca S Fennessy | 22 Keefe Ln, Middletown, CT 06457 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Eloise M Gagnon | 538 Bow Lane, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Salvatore Dimauro | 245 Dekoven Dr, Middletown, CT 06457 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Frank L Wright | 261 Spencer Dr, Middletown, CT 06457 | Barber | 2020-08-01 ~ 2022-07-31 |
| Gino A Cardella | 50 Sonoma Lane, Middletown, CT 06457 | Real Estate Salesperson | ~ |
| Shannon Lee Mcquillan | 5 Forest Glen Circle, Middletown, CT 06457 | Registered Nurse | 2020-06-26 ~ 2020-09-30 |
| Lori Dimauro · Carta | 244 Chamberlain Hill Road, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Gail A Corrow | 85 Dora Dr, Middletown, CT 06457 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Mariter V Perez | 8 Moss Glen, Middletown, CT 06457 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06457 | |||
| City | MIDDLETOWN |
| Zip Code | 06457 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + MIDDLETOWN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eddy Coman · Coman Builders | 110 Rhode Island Line Road, Putnam, CT 06260 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Mark E Taafel | 41 Edgehill Ave, Waterbury, CT 06704-1825 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Mark Decora | 47 Beechwood Rd, Oakdale, CT 06370 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Mark Schulthess | 67 Stevens Rd, Hudson, MA 01749-2874 | Physician Assistant | 2016-07-01 ~ 2017-06-30 |
| Mark E Lund | 530 South 2nd St, Philadelphia, PA 19147 | Physician Assistant | 1994-06-21 ~ 1995-06-30 |
| Mark Eldridge | 71 Dorrance Street, Hamden, CT 06518 | Physician Assistant | 1994-09-12 ~ 1995-10-31 |
| Mark Gregory Elsesser | 75 Chelsea Dr, Mount Sinai, NY 11766-2711 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Mark C Morris | 13 Forest Glen Circle, Middletown, CT 06457 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Susan St Jacques Pa · Maiden Name-wiegert | 33 North Mark Drive, Oxford, CT 06478 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Physician Assistant Foundation of The American Academy of Physician Assistants | 2318 Mill Rd Ste 1300, Alexandria, VA 22314-6868 | Public Charity | 2019-12-01 ~ 2020-11-30 |
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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).