MICHAEL A KAZAKOFF (Credential# 144901) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
MICHAEL A KAZAKOFF is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0012002. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 90 South Main St, Middletown, CT 06457. The current status is active.
| Licensee Name | MICHAEL A KAZAKOFF |
| Credential ID | 144901 |
| Credential Number | CSP.0012002 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
90 South Main St Middletown CT 06457 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-03-01 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-23 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 544966 | 1.024323 | Physician/Surgeon | 1983-03-02 | 2019-02-01 - 2020-01-31 | ACTIVE |
| Street Address | 90 SOUTH MAIN ST |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Aysegul Ozbek | 90 South Main St, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Beverly A Byrd Md | 90 South Main St, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Urooj Ather | 90 South Main St, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2013-03-18 ~ 2015-02-28 |
| Navid Mahooti Md | 90 South Main St, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Regino P Palermo | 90 South Main St, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2007-08-16 ~ 2008-02-29 |
| Gregory M Price Md | 90 South Main St, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2005-06-06 ~ 2006-02-28 |
| 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 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MIDDLETOWN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stacey C Michael Dmd | Michael Dental of Clinton, LLC, Clilnton, CT 06413 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michael K Hwang Dmd | Michael K Hwang, Dmd, LLC, East Hartford, CT 06108 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michael Ono | 140 Huyshope Ave, Apt 514, Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michael X Lee | 64 Robbins St, Waterbury, CT 06708 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Michael J Lee Md | 1 Cooper Plz, Camden, NJ 08103-1461 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Michael Ring Md | Hartford, CT 06105 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Michael M Caruso | Po Box 988, Torrington, CT 06790 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michael B. Tom | 286 Overlook Dr, Greenwich, CT 06830-6720 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michael B Schwartz | 30 Pin Oak Cir, Stamford, CT 06903-2828 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michael Lao | 195 Hartford Rd Apt C32, New Britain, CT 06053-1519 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Please comment or provide details below to improve the information on MICHAEL A KAZAKOFF.
| 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).