ZACHARY WILLIAM MIRSKY (Credential# 1491913) 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, 2020. The license status is ACTIVE.
ZACHARY WILLIAM MIRSKY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.059648-RES. The credential type is resident physician. The effective date is July 1, 2019. The expiration date is June 30, 2020. The business address is 53 Sherman Ln, Hamden, CT 06514-1326. The current status is active.
| Licensee Name | ZACHARY WILLIAM MIRSKY |
| Credential ID | 1491913 |
| Credential Number | 1.059648-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
53 Sherman Ln Hamden CT 06514-1326 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-07-01 |
| Effective Date | 2019-07-01 |
| Expiration Date | 2020-06-30 |
| Refresh Date | 2019-05-15 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1383821 | CSP.0064187 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-11-14 | 2016-11-14 - 2017-02-28 | INACTIVE |
| Street Address | 53 SHERMAN LN |
| City | HAMDEN |
| State | CT |
| Zip Code | 06514-1326 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rebecca Alberti | 45 Sherman Ln, Hamden, CT 06514-1326 | Registered Nurse | 2018-06-01 ~ 2019-05-31 |
| Natalie Johnson | 47 Sherman Ln # D4, Hamden, CT 06514-1326 | Hairdresser/cosmetician | 2018-10-01 ~ 2020-09-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Erika Henley | 175 Hightop Circle West, Hamden, CT 06514 | Master's Level Social Worker | 2020-06-01 ~ 2021-05-31 |
| Yunmi Lee | 144 Hill St, Hamden, CT 06514 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-05-31 |
| Rosa M Gordillo | 155 Gorham Ave, Hamden, CT 06514 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Linda C Disbrow | 61 Sherman Lane, Hamden, CT 06514 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Kimberly Marie Fernandes | 660 Mix Ave #1h, Hamden, CT 06514 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Marie Junie Cyril | 175 Oberlin Road, Hamden, CT 06514 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Erica Weiss | 4 Partridge Crossing, Hamden, CT 06514 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kimberly S Traverso | 50 Building Brook Road, Hamden, CT 06514 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
| Kevin A Guess | 3rd Street, Hamden, CT 06514 | Public Weigher | 2020-06-12 ~ 2021-06-30 |
| Marilyn Pavelus | 389 Gilbert Ave, Hamden, CT 06514 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06514 | |||
| City | HAMDEN |
| Zip Code | 06514 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + HAMDEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Zachary Estep | 1 Hospital Plz, Stamford, CT 06902-3602 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
| Zachary T Solomon | 64 Central St, Byfield, MA 01922 | Resident Physician | 2016-07-01 ~ 2021-06-30 |
| Zachary S Steinbach | 12 Pinewood Dr, Commack, NY 11725-5626 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Zachary Lans | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Zachary Sendar | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2019-07-01 ~ 2021-06-30 |
| Zachary Lipkin-moore | 300 Cedar St # 441, New Haven, CT 06519-1612 | Resident Physician | 2017-07-01 ~ 2021-06-30 |
| Zachary P Retalis | 6 East Brook Ct, Bethel, CT 06801 | Resident Physician | 2020-06-22 ~ 2023-06-26 |
| Zachary Michael Harris | 300 Cedar St Tac S-425, New Haven, CT 06519-1612 | Resident Physician | 2017-07-01 ~ 2021-06-30 |
| Zachary Mathias Harvanek | 300 George St Ste 901, New Haven, CT 06511-6662 | Resident Physician | 2018-06-11 ~ 2022-06-30 |
| Zachary James Radford | 5 Priscilla Rd, West Haven, CT 06516-7944 | Resident Physician | 2020-06-09 ~ 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).