MICHAEL SIMONOV (Credential# 1492098) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is August 14, 2018. The license expiration date date is June 30, 2021. The license status is ACTIVE.
MICHAEL SIMONOV is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.059833-RES. The credential type is resident physician. The effective date is August 14, 2018. The expiration date is June 30, 2021. The business address is 502 Chapel St., New Haven, CT 06511. The current status is active.
| Licensee Name | MICHAEL SIMONOV |
| Credential ID | 1492098 |
| Credential Number | 1.059833-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
502 Chapel St. New Haven CT 06511 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-07-01 |
| Effective Date | 2018-08-14 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-05-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1603840 | 1.062066 | Physician/Surgeon | 2018-10-29 | 2020-06-01 - 2021-05-31 | ACTIVE |
| 1292328 | CSP.0060550 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-06-11 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 502 Chapel St. |
| City | New Haven |
| State | CT |
| Zip Code | 06511 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jennifer R Small | 502 Chapel St., New Haven, CT 06511 | Massage Therapist | 1998-08-12 ~ 1999-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Montessori School On Edgewood Inc. | 230 Edgewood Avenue, New Haven, CT 06511 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Therese Parks · Visel Drug Store | 264 Munson St, New Haven, CT 06511 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dazjia Monet Green | 115 Edgewood Ave Apt 64, New Haven, CT 06511 | Registered Nurse | 2020-06-27 ~ 2021-05-31 |
| Carol Yam | 343 Humphrey St, New Haven, CT 06511 | Registered Nurse | ~ |
| Marwan S Haddad | 38 Lincoln Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mary Lou Gaeta Md | 558 Chapel Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Cary M Tucker | 64 Bishop St, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Frank J Pannenborg | 505 Ellsworth Ave, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Crystal E Gooding | 26 Woodland Street, New Haven, CT 06511 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Kieran Jones | 260 Crown St Unit 1f, New Haven, CT 06511 | Registered Nurse | ~ |
| Find all Licenses in zip 06511 | |||
| City | New Haven |
| Zip Code | 06511 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + New Haven |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael Kuo | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-06-24 ~ 2021-06-30 |
| Michael Nowicki | 155 Joy Rd, Waterbury, CT 06708-2464 | Resident Physician | 2013-06-28 ~ 2019-06-27 |
| Michael Ghassemlou | 80 Seymour St, Hartford, CT 06102-8000 | Resident Physician | 2019-07-01 ~ 2023-06-30 |
| Michael A Hajek | 256 Edwards St, New Haven, CT 06511 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Michael Rubin | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-08-01 ~ 2021-06-30 |
| Michael A Persaud | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Michael O'neill | 24 Hospital Ave, Danbury, CT 06810 | Resident Physician | 2017-06-22 ~ 2020-06-30 |
| Michael N Levitz | 71 Haynes St, Manchester, CT 06040-4131 | Resident Physician | 2017-07-01 ~ 2020-10-29 |
| Michael T. Geraghty | 64 Robbins St, Waterbury, CT 06708-2613 | Resident Physician | 2019-06-28 ~ 2024-06-27 |
| Michael Hanwei He | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-06-15 ~ 2021-06-30 |
Please comment or provide details below to improve the information on MICHAEL SIMONOV.
| 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).