MICHAEL KATSNELSON (Credential# 1635791) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
MICHAEL KATSNELSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.063574. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 5220 Jimmy Lee Smith Pkwy, Hiram, GA 30141. The current status is active.
Licensee Name | MICHAEL KATSNELSON |
Credential ID | 1635791 |
Credential Number | 1.063574 |
Credential Type | Physician/Surgeon |
Business Address |
5220 Jimmy Lee Smith Pkwy Hiram GA 30141 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2019-06-03 |
Effective Date | 2020-04-01 |
Expiration Date | 2021-03-31 |
Refresh Date | 2020-01-09 |
Street Address | 5220 Jimmy Lee Smith Pkwy |
City | Hiram |
State | GA |
Zip Code | 30141 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Roy Armand Poblete | 5220 Jimmy Lee Smith Pkwy, Hiram, GA 30141 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Preet Martand Varade | 5220 Jimmy Lee Smith Pkwy, Hiram, GA 30141 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Sebina Bulic | 5220 Jimmy Lee Smith Pkwy, Hiram, GA 30141 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
Richard Thomas Jackson | 5220 Jimmy Lee Smith Pkwy, Hiram, GA 30141 | Physician/surgeon | 2019-11-01 ~ 2020-11-30 |
Alexander Zubkov | 5220 Jimmy Lee Smith Pkwy, Hiram, GA 30141 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
Nirav Himanshu Shah | 5220 Jimmy Lee Smith Pkwy, Hiram, GA 30141 | Physician/surgeon | 2019-09-03 ~ 2020-09-30 |
Amirhossein Zangiabadi | 5220 Jimmy Lee Smith Pkwy, Hiram, GA 30141 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Lilian Moragwa Nyareru | 114 High Point Way, Hiram, GA 30141 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Mark N Rubin | 5220 Jimmy Lee Smith Parkway, Hiram, GA 30141 | Physician/surgeon | 2019-10-11 ~ 2020-10-31 |
Rolanda Jefferson | 79 Kennedy Ct, Hiram, GA 30141 | Registered Nurse - Temporary | 2017-06-28 ~ 2017-10-25 |
Yolanda J Dillon | 5220 Jimmy Lee Smith Pkwy Suite#104-249, Hiram, GA 30141 | Real Estate Broker | 2012-04-01 ~ 2013-03-31 |
Patricia M Brooks · Mayer | 5102 Heritage Oaks Ln Sw, Hiram, GA 30141 | Licensed Practical Nurse | 2011-07-01 ~ 2012-06-30 |
Sarah A Atha | 94 Wisteria Drive, Hiram, GA 30141 | Registered Nurse | 2009-05-28 ~ 2010-07-31 |
David J Craven | 160 Pooles Bend Ct, Hiram, GA 30141 | Electrical Unlimited Journeyperson | 1996-10-01 ~ 1997-09-30 |
Bryan J Moore | 5220 Jimmy Lee Smith Parkway, Hiram, GA 30141 | Physician/surgeon | 2019-09-23 ~ 2020-07-31 |
Tamira Outlaw | 373 Greystone Pkwy, Hiram, GA 30141-3162 | Registered Nurse | 2014-06-02 ~ 2015-06-30 |
Susanne N Miller | 110 Trailside Way, Hiram, GA 30141-3271 | Registered Nurse - Temporary | 2014-04-17 ~ 2014-08-14 |
Find all Licenses in zip 30141 |
City | Hiram |
Zip Code | 30141 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + Hiram |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Tatyana Katsnelson Md | 89 Anvil Dr, Avon, CT 06001 | Physician/surgeon | 2003-03-25 ~ 2004-05-31 |
Flora Katsnelson | 2893 Highland Rd, Northbrook, IL 60062-6913 | Physician/surgeon | 2020-06-10 ~ 2021-06-30 |
Arkady Katsnelson | 89 Anvil Drive, Avon, CT 06001 | Physician/surgeon | 2003-12-16 ~ 2005-02-28 |
Igor Katsnelson | 50 Durie Ave, Closter, NJ 07624 | Professional Engineer | ~ |
Michael Yuz | P.o. Box 1395, Medford, NJ 08055 | Physician/surgeon | 2011-07-01 ~ 2012-06-30 |
Michael E Ripps | 344 Third Ave, New York, NY 10010 | Physician/surgeon | 2011-08-01 ~ 2012-07-31 |
Michael D Savarese | P.o.box 142, Roxbury, CT 06783-0142 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Michael D Fox | 165 Walnut St, Willimantic, CT 06226-2308 | Physician/surgeon | 1976-05-28 ~ 1981-10-31 |
Michael E Blefeld | 495 Rt. 184, Groton, CT 06340 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
M Michael Eisenberg | 36 E 72 St Apt #2n, New York, NY 10021 | Physician/surgeon | 2007-01-19 ~ 2008-01-31 |
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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).