EVGENY SHKOLNIK (Credential# 1489313) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2019. The license expiration date date is June 30, 2022. The license status is ACTIVE.
EVGENY SHKOLNIK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.058543-RES. The credential type is resident physician. The effective date is July 1, 2019. The expiration date is June 30, 2022. The business address is Bridgeport Hospital - 267 Grant St, Bridgeport, CT 06610. The current status is active.
| Licensee Name | EVGENY SHKOLNIK |
| Credential ID | 1489313 |
| Credential Number | 1.058543-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
Bridgeport Hospital - 267 Grant St Bridgeport CT 06610 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-07-01 |
| Effective Date | 2019-07-01 |
| Expiration Date | 2022-06-30 |
| Refresh Date | 2019-03-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1669115 | 1.064281 | Physician/Surgeon | 2019-09-23 | 2020-07-01 - 2021-06-30 | ACTIVE |
| 1365412 | CSP.0063466 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-07-14 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | Bridgeport Hospital - 267 Grant St |
| City | Bridgeport |
| State | CT |
| Zip Code | 06610 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rami Sulaiman | Bridgeport Hospital - 267 Grant St, Bridgeport, CT 06610 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Rodrigo Fernandez | Bridgeport Hospital - 267 Grant St, Bridgeport, CT 06610 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
| Gunjan Garg | Bridgeport Hospital - 267 Grant St, Bridgeport, CT 06610 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
| Muhammad Umer Afzaal | Bridgeport Hospital - 267 Grant St, Bridgeport, CT 06610 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
| Joel Messom | Bridgeport Hospital - 267 Grant St, Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ainsley Mcfadgen | Bridgeport Hospital - 267 Grant St, Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Pranav Sharma | Bridgeport Hospital - 267 Grant St, Bridgeport, CT 06610 | Resident Physician | 2018-07-01 ~ 2020-06-30 |
| Bilal Bangash | Bridgeport Hospital - 267 Grant St, Bridgeport, CT 06610 | Resident Physician | 2018-07-01 ~ 2020-06-30 |
| Puneet Kochar | Bridgeport Hospital - 267 Grant St, Bridgeport, CT 06610 | Resident Physician | 2018-07-01 ~ 2020-06-30 |
| Ahmadreza Ghasemiesfe | Bridgeport Hospital - 267 Grant St, Bridgeport, CT 06610 | Resident Physician | 2018-07-01 ~ 2020-06-30 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nilca Janice Cardenales | 66 Rose St, Bridgeport, CT 06610 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Kiara Lizbeth Corporan | 10 Sturtevant Pl, Bridgeport, CT 06610 | Eyelash Technician | ~ |
| Alisha Garcia | 65 Berkeley Place, Bridgeport, CT 06610 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
| Pauline Parkes | 96 Virginia Avenue, Bridgeport, CT 06610 | Licensed Clinical Social Worker | ~ |
| Denise Reyes | 1125 Huntington Turnpike, Bridgeport, CT 06610 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Avery M Rilley | 80 Granfield Avenue, Bridgeport, CT 06610 | Pharmacy Technician | 2020-06-25 ~ 2021-03-31 |
| Bozena K. Malyszko | Bridgeport Hospital, Bridgeport, CT 06610 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Amy Espinosa | 146 Court D, Bridgeport, CT 06610 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Wilhelmina Jackson · Thomas | 172 Court D, Bridgeport, CT 06610 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Emma Agyeiwaa Vaczek | P.o Box 5223, Bridgeport, CT 06610 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06610 | |||
| City | Bridgeport |
| Zip Code | 06610 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + Bridgeport |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Evgeny Olenko | 105-37 64th Ave, Forest Hills, NY 11375-1645 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Gloria Shkolnik | 1335 Avalon Square, Glen Cove., NY 11542 | Pharmacist | 2018-02-08 ~ 2020-01-31 |
| Evgeny Hvastovich | 12 West St, Stamford, CT 06902 | Home Improvement Contractor | 2007-05-01 ~ 2007-11-30 |
| Evgeny Hvastovich · Fjord Catering | 432 Fairfield Ave, Stamford, CT 06902-7535 | Caterer | 2010-05-18 ~ 2011-05-17 |
| Evgeny Grishin | 45 Jefferson Rd Unit 3-6, Branford, CT 06405-4133 | Home Improvement Contractor | 2018-03-06 ~ 2018-11-30 |
| Evgeny Kirsanov | Department of Medicine, Waterbury, CT 06706-1253 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Evgeny P Listrovoy | 1150 Brighton Beach Ave., Apt. 2u, Brooklyn, NY 11235 | Asbestos Abatement Worker | 2008-08-18 ~ 2009-10-31 |
| Gin Yi Lee | 24 Hospital Ave, Danbury, CT 06810-6099 | Resident Physician | 2019-06-20 ~ 2022-06-30 |
| Jin Woo Yoo | 44 Orange St Apt 317, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Yan Zhu | 27 Brainerd Rd # B, Branford, CT 06405-6302 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
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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).