NATALIA POLYAKOVA (Credential# 1001058) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2016. The license expiration date date is April 30, 2017. The license status is INACTIVE.
NATALIA POLYAKOVA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.050133. The credential type is physician/surgeon. The effective date is May 1, 2016. The expiration date is April 30, 2017. The business address is 761 Main Ave Ste 201, Norwalk, CT 06851-1080. The current status is inactive.
| Licensee Name | NATALIA POLYAKOVA |
| Credential ID | 1001058 |
| Credential Number | 1.050133 |
| Credential Type | Physician/Surgeon |
| Business Address |
761 Main Ave Ste 201 Norwalk CT 06851-1080 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2011-07-14 |
| Effective Date | 2016-05-01 |
| Expiration Date | 2017-04-30 |
| Refresh Date | 2017-08-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1224548 | CSP.0057222 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-05-24 | 2015-03-01 - 2017-02-28 | INACTIVE |
| Street Address | 761 MAIN AVE STE 201 |
| City | NORWALK |
| State | CT |
| Zip Code | 06851-1080 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Powlimi N Soni | 761 Main Ave Ste 201, Norwalk, CT 06851-1080 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Timothy Bookas Do | 761 Main Ave Ste 201, Norwalk, CT 06851-1005 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Stephanie Chawla | 761 Main Ave Ste 201, Norwalk, CT 06851-1080 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Frank Sammarco Md | 761 Main Ave Ste 201, Norwalk, CT 06851-1005 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Xiaofei Wei | 761 Main Ave Ste 201, Norwalk, CT 06851-1080 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Paul R Kelly D.o. | 761 Main Ave Ste 201, Norwalk, CT 06851-1005 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Harvey L Riback Md | 761 Main Ave Ste 201, Norwalk, CT 06851-1005 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Debra H Schussheim Md | 761 Main Ave Ste 201, Norwalk, CT 06851-1005 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Vidhya Varadarajan Rukmani Md | 761 Main Ave Ste 201, Norwalk, CT 06851-1005 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Glenn M Siegel Md | 761 Main Ave Ste 201, Norwalk, CT 06851-1005 | 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 |
|---|---|---|---|
| Carolina Giraldo | 761 Main Ave Ste 111, Norwalk, CT 06851-1080 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Hand Therapy Associates Inc. | 761 Main Ave Ste 113, Norwalk, CT 06851-1080 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Sheldon B Greenberg | 761 Main Ave Ste 101, Norwalk, CT 06851-1080 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Spencer S Richlin Md | 761 Main Ave Ste 200, Norwalk, CT 06851-1080 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Sang H Kim | 761 Main Ave Ste 102, Norwalk, CT 06851-1080 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Karen J Salzarulo Rattan · Rattan | 761 Main Ave Ste 104, Norwalk, CT 06851-1080 | Licensed Clinical Social Worker | 2020-05-01 ~ 2021-04-30 |
| Michael M Lynch | 761 Main Ave Ste 115, Norwalk, CT 06851-1080 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Spector Eye Care | 761 Main Ave Ste 107, Norwalk, CT 06851-1080 | Optical Selling Permit | 2019-09-01 ~ 2020-08-31 |
| Reproductive Medicine Associates of Connecticut, PC | 761 Main Avenue, Suite 200, Norwalk, CT 06851-1080 | Out-patient Surgical Facility | 2019-01-01 ~ 2020-12-31 |
| Nhc/vna Foundation Inc | 761 Main Ave Ste 114, Norwalk, CT 06851-1080 | Public Charity | 2010-12-01 ~ 2011-05-03 |
| Find all Licenses in zip 06851-1080 | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Louis A Diberardino | 5 Merrill Rd, Norwalk, CT 06851 | Architect | 2020-08-01 ~ 2021-07-31 |
| William N Andriopoulos | 21 Maurice St, Norwalk, CT 06851 | Architect | 2020-08-01 ~ 2021-07-31 |
| Donald D Overton | 5 Honey Hill Road, Norwalk, CT 06851 | Real Estate Salesperson | 2020-06-27 ~ 2021-05-31 |
| A & J Shoe Corporation · Hawley Lane Shoes | 499 Westport Ave, Norwalk, CT 06851 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Michael T Coppolo | 21 Morgan Avenue, Norwalk, CT 06851 | Real Estate Salesperson | ~ |
| Catherine Mills | 27c Aiken Street, Norwalk, CT 06851 | Real Estate Salesperson | 2020-06-24 ~ 2021-05-31 |
| Theresa B Ross-whitaker · Ross | 7 Disesa Court, Norwalk, CT 06851 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Michelle P Vincoli | 136 Newtown Ave, Norwalk, CT 06851 | Professional Counselor | 2020-07-01 ~ 2021-06-30 |
| Dunkin Donuts | 195 Main Street, Norwalk, CT 06851 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Jungsoo Kim | 430 Main Ave R8, Norwalk, CT 06851 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-23 ~ 2022-05-31 |
| Find all Licenses in zip 06851 | |||
| City | NORWALK |
| Zip Code | 06851 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NORWALK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Natalia Dolin | 528 Terhune St, Teaneck, NJ 07666-1644 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Natalia Manevich Md | 4 Crawford Terrace, Riverside, CT 06878 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Natalia Y Cherepnina | 120 French Street, Apt.#1, Bangor, ME 04401 | Physician/surgeon | 2007-03-05 ~ 2008-04-30 |
| Natalia Skachkova | 3816 Waldo Ave Apt 6b, Bronx, NY 10463-2108 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Natalia Buza | 5 Melwood Lane, Westport, CT 06880-4901 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Natalia M Rosenbeg | 27 Revere Drive #1, Bloomfield, CT 06002 | Physician/surgeon | ~ 1996-03-31 |
| Natalia D Yurkovetsky Md | Norwalk Medical Group, Norwalk, CT 06851 | Physician/surgeon | 2008-02-28 ~ 2009-03-31 |
| Yelena Polyakova | 243 Canterbury Rd., White Plains, NY 10607 | Chiropractor | 2004-11-24 ~ 2005-11-30 |
| Olga Polyakova | 103 Neck Rd, Old Lyme, CT 06371-1121 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Natalia P. Buksa | 50 Bridalpath Lane, Glastonbury, CT 06033 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
Please comment or provide details below to improve the information on NATALIA POLYAKOVA.
| 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).