BORIS V SHEYNBERG M.D. (Credential# 188646) 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.
BORIS V SHEYNBERG M.D. is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0026307. 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 32 Imperial Ave, Westport, CT 06880. The current status is active.
| Licensee Name | BORIS V SHEYNBERG M.D. |
| Credential ID | 188646 |
| Credential Number | CSP.0026307 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
32 Imperial Ave Westport CT 06880 |
| 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 | 2018-12-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 552010 | 1.034412 | Physician/Surgeon | 1995-04-28 | 2020-01-01 - 2020-12-31 | ACTIVE |
| Street Address | 32 IMPERIAL AVE |
| City | WESTPORT |
| State | CT |
| Zip Code | 06880 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Leonid Karpenos Md | 32 Imperial Ave, Westport, CT 06880 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Abby S Gardner | 32 Imperial Ave, Westport, CT 06880-4328 | Physician Assistant | 2019-12-01 ~ 2020-11-30 |
| Center for Ambulatory Surgery LLC · Center for Ambulatory Surgery, LLC | 32 Imperial Ave, Westport, CT 06880-4328 | Out-patient Surgical Facility | 2013-10-01 ~ 2015-09-30 |
| Neil C Raff | 32 Imperial Ave, Westport, CT 06880 | Physician/surgeon | 2003-01-27 ~ 2004-02-29 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Toni L Bucker | 4 Wild Rose Rd, Westport, CT 06880 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jee Hyun Kim | 1 Allen Lane, Westport, CT 06880 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2021-07-31 |
| Donna Vaccarella | 15 Keyser Rd, Westport, CT 06880 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Sandra Gibson | 12 Bayberry Ln, Westport, CT 06880 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Adil Salam Md | 44 Crawford Rd, Westport, CT 06880 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Joanne C Sosnoski | 24 Hawatha Lane, Westport, CT 06880 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Rachel Lynn | 495 Post Rd East, Westport, CT 06880 | Eyelash Technician | ~ |
| Beginnings: An Infant/toddler Program | 71 Hillandale Road, Westport, CT 06880 | Group Child Care Home | 2018-01-01 ~ 2021-12-31 |
| Shelley S Ross | 28 Old Hill Farms Rd, Westport, CT 06880 | Dietitian/nutritionist | 2020-08-01 ~ 2021-07-31 |
| Robert W Van Summern | 279 Wilton Rd, Westport, CT 06880 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06880 | |||
| City | WESTPORT |
| Zip Code | 06880 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WESTPORT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Boris G Rifkin Md | Po Box 806, Branford, CT 06405 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
| Boris A Lorberg | 505 Russell St, New Haven, CT 06513 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Boris J Sawula Md | 538 Litchfield St Ste 202, Torrington, CT 06790-6675 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Boris Pukay | 273 Farmholme Rd, Stonington, CT 06378 | Controlled Substance Registration for Practitioner | 2001-03-01 ~ 2002-02-28 |
| Boris Paskhover | 20 York St Tmp 209, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Boris M Lokshin | Allergy & Asthma, Reno, NV 89512 | Controlled Substance Registration for Practitioner | 1995-02-21 ~ 1996-02-28 |
| Boris Andreas Mueller | 34 Maple St, Norwalk, CT 06850-3815 | Controlled Substance Registration for Practitioner | 2017-11-16 ~ 2019-02-28 |
| Boris Davydov | 10849 63rd Ave Apt 1p, Forest Hills, NY 11375-1360 | Controlled Substance Registration for Practitioner | 2019-08-13 ~ 2021-02-28 |
| Boris Karachun | 3699 Broadbridge Ave Unit 205, Stratford, CT 06614-2063 | Controlled Substance Registration for Practitioner | 2020-01-22 ~ 2021-02-28 |
| Boris Pinhasov Dds | 66-25 103rd Street, Forest Hills, NY 11375-1871 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
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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).