PAUL R SKOLNIK MD (Credential# 1005328) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2020. The license expiration date date is January 31, 2021. The license status is ACTIVE.
PAUL R SKOLNIK MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.050101. The credential type is physician/surgeon. The effective date is February 1, 2020. The expiration date is January 31, 2021. The business address is 1309 Winston Dr, Salem, VA 24153-7739. The current status is active.
Licensee Name | PAUL R SKOLNIK MD |
Credential ID | 1005328 |
Credential Number | 1.050101 |
Credential Type | Physician/Surgeon |
Business Address |
1309 Winston Dr Salem VA 24153-7739 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2011-07-12 |
Effective Date | 2020-02-01 |
Expiration Date | 2021-01-31 |
Refresh Date | 2019-12-17 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1025419 | CSP.0051041 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2011-07-27 | 2015-03-01 - 2017-01-24 | INACTIVE |
Street Address | 1309 WINSTON DR |
City | SALEM |
State | VA |
Zip Code | 24153-7739 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Hpsrx Enterprises Inc | 1640 Roanoke Blvd, Salem, VA 24153 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
Carl W Pugh Jr | 701 Carrollton Ave, Salem, VA 24153 | Professional Engineer | 2014-02-01 ~ 2015-01-31 |
Kelsey Redding | 937 Harrison Ave, Salem, VA 24153 | Dental Hygienist | 2019-12-01 ~ 2020-11-30 |
Christi D Scott | 915 Camelot Drive Unit 36, Salem, VA 24153 | Physical Therapist | 2013-03-01 ~ 2014-02-28 |
Krystal R Kelley | 315 North Bruffey Street, Salem, VA 24153 | Hairdresser/cosmetician | 2009-05-29 ~ 2011-05-31 |
Telebrands | 359 Kessler Mill Rd, Salem, VA 24153 | Manufacturer of Bedding & Upholstered Furniture | 1997-07-01 ~ 1998-04-30 |
Valley Apothecary Wholesale | 1802 Braeburn Dr, Salem, VA 24153 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2007-01-04 ~ 2007-06-30 |
National Diabetic Pharmacies | 2157 Apperson Drive, Salem, VA 24153 | Nonresident Pharmacy | 2006-09-01 ~ 2007-11-01 |
Rowe Furniture Corporation | 239 Rowan St, Salem, VA 24153 | Manufacturer of Bedding & Upholstered Furniture | 1999-05-01 ~ 2000-04-30 |
Francis A Shane | 201 W Main St, Salem, VA 24153 | Architect | 2006-08-01 ~ 2007-07-31 |
Find all Licenses in zip 24153 |
City | SALEM |
Zip Code | 24153 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + SALEM |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Ted D Cox | 166 4th St E, Saint Paul, MN 55101-1421 | Physician/surgeon | 2009-09-01 ~ 2010-08-31 |
Paul R Feldman | CT | Physician/surgeon | 1978-05-03 ~ 1984-12-31 |
Tyler A Skolnik | 101 Harlan St, Manchester, CT 06042-3122 | Emergency Medical Technician | 2020-06-01 ~ 2022-03-31 |
Paul J Beauvais | Ste 300, Waterbury, CT 06708 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
Paul James Laveau | CT | Physician/surgeon | 1988-04-15 ~ 1990-06-30 |
Paul F Haley | 22 Stonebridge Way, Lee, MA 01238-9290 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Paul F Nee Md | 33 Germantown Rd Ste 2, Danbury, CT 06810-5039 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Hongwei Ma | 114 St Paul St #5, Brookline, MA 02146 | Physician/surgeon | 1981-01-01 ~ 1993-05-31 |
Paul L Dalbec Md | Po Box 797, Brooklyn, CT 06234 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
John S Misa | 178 9th St E Ste 300, St. Paul, MN 55101 | Physician/surgeon | 2018-07-01 ~ 2019-06-30 |
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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).