OLGA PONOMAREVA (Credential# 2044276) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is May 12, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
OLGA PONOMAREVA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0073980. The credential type is controlled substance registration for practitioner. The effective date is May 12, 2020. The expiration date is February 28, 2021. The business address is 1400 Vfw Pkwy, West Roxbury, MA 02132-4927. The current status is active.
Licensee Name | OLGA PONOMAREVA |
Credential ID | 2044276 |
Credential Number | CSP.0073980 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
1400 Vfw Pkwy West Roxbury MA 02132-4927 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2020-05-12 |
Effective Date | 2020-05-12 |
Expiration Date | 2021-02-28 |
Refresh Date | 2020-05-20 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
2033219 | 1.065344 | Physician/Surgeon | 2020-04-29 | 2020-04-29 - 2020-07-31 | ACTIVE IN RENEWAL |
Street Address | 1400 VFW PKWY |
City | WEST ROXBURY |
State | MA |
Zip Code | 02132-4927 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Ben Freiberg | 352 Lagrange St., West Roxbury, MA 02132 | Resident Physician | 2017-07-01 ~ 2021-06-30 |
Kathryn Boyne | 10 Graham Ter, West Roxbury, MA 02132 | Licensed Clinical Social Worker | ~ |
James Pappas | 264 Temple St, West Roxbury, MA 02132 | Real Estate Broker | 2019-04-01 ~ 2020-03-31 |
Mary N Tenenbaum | 282 Perham St, Boston, MA 02132 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Kate Larsen | 15 Lorette Street, Boston, MA 02132 | Certified Public Accountant License | 2019-01-01 ~ 2019-12-31 |
Jacob Williams | 16 Bobolink St, West Roxbury, MA 02132 | Professional Counselor Associate | 2020-01-21 ~ 2020-11-30 |
Michelle A Celentano | 8 Glenburnie Rd, West Roxbury, MA 02132 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
Ruth C Peterle-dzurec | 506 Lagrange Street, West Roxbury, MA 02132 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
Bridgid Maeve O'brien | 665 West Roxbury Pkwy, West Roxbury, MA 02132 | Registered Nurse | 2019-08-01 ~ 2020-07-31 |
Guixiao Li | 29 Maplewood Street, West Roxbury, MA 02132 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
Find all Licenses in zip 02132 |
City | WEST ROXBURY |
Zip Code | 02132 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WEST ROXBURY |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Olga S Chajewski | 440 Meriden Rd Apt 313, Waterbury, CT 06705 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
Olga A Konykhov Md | Opticare PC, Waterbury, CT 06708 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Olga A Bulygina Md | 4 Merrywood, Simsbury, CT 06070 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Olga M Waters Pa-c | 100 Beach St, Cornwall, NY 12518 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Olga A Bendinger Md | 21 Agate Ave, Ossining, NY 10562 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
Olga F Martins | 420 E 70th St # 12g, New York, NY 10021-5320 | Controlled Substance Registration for Practitioner | 2013-07-02 ~ 2015-02-28 |
Olga Solovyova | 25 Pheasant Run, Cromwell, CT 06416-2567 | Controlled Substance Registration for Practitioner | 2019-07-15 ~ 2021-02-28 |
Olga P Fermo | 18 Promontory Dr, Cheshire, CT 06410-1475 | Controlled Substance Registration for Practitioner | 2011-06-01 ~ 2013-02-28 |
Olga Goncharova | 316 Hope St, Stamford, CT 06906-1704 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Olga Cardenas Md | 56 Franklin St, Waterbury, CT 06706 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
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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).