SERGEY ZHITNIKOV MD (Credential# 429696) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.
SERGEY ZHITNIKOV MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0038830. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 83 Beacon Hill Terrace, Shelton, CT 06484. The current status is lapsed.
Licensee Name | SERGEY ZHITNIKOV MD |
Credential ID | 429696 |
Credential Number | CSP.0038830 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
83 Beacon Hill Terrace Shelton CT 06484 |
Business Type | INDIVIDUAL |
Status | LAPSED |
Active | 1 |
Issue Date | 2006-02-28 |
Effective Date | 2017-03-01 |
Expiration Date | 2019-02-28 |
Refresh Date | 2019-03-06 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
561645 | 1.044063 | Physician/Surgeon | 2006-02-02 | 2017-12-01 - 2018-11-30 | INACTIVE |
Street Address | 83 Beacon Hill Terrace |
City | Shelton |
State | CT |
Zip Code | 06484 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Scott J Kudravy | 2a Garden Ter, Shelton, CT 06484 | Radiographer | 2020-08-01 ~ 2021-07-31 |
Melissa E Filanowski | 265 Mohegan Rd, Shelton, CT 06484 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
Danuta Adamson · Chmiel | 101 Dickinson Drive, Shelton, CT 06484 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Sandra E Mercier | 234 Deer Run, Huntington, CT 06484 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
Ping Li | 17 Coram Rd 3c, Shelton, CT 06484 | Nail Technician | ~ |
Victoria Mary Bucci | 53 Isinglass Rd, Shelton, CT 06484 | Master's Level Social Worker | ~ |
Samuel L Smith | 122 Maple Avenue, Shelton, CT 06484 | Dietitian/nutritionist | 2020-08-01 ~ 2021-07-31 |
Cindy Hubbell Vidal | 17 Sherwood Lane, Shelton, CT 06484 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
Rosa Conners | 189 Coram Avenue, Shelton, CT 06484 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Erica Azzarito | 40 Clinton Drive, Shelton, CT 06484 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
Find all Licenses in zip 06484 |
City | Shelton |
Zip Code | 06484 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Shelton |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Sergey Moldavskiy | 42 Bevier St, Springfield, MA 01107-1317 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Sergey Mahtesyan | 132 Walnut St, Watertown, MA 02472-4028 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Sergey I Zhadanov | 325 Pine St Apt 2m, Philadelphia, PA 19106-4228 | Controlled Substance Registration for Practitioner | 2009-06-16 ~ 2011-02-28 |
Sergey Zasypayko | 14 Business Park Drive, Branford, CT 06405 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Sergey Restoration Company LLC | 7 Elmcroft Rd, Stamford, CT 06902-6907 | Home Improvement Contractor | 2012-12-01 ~ 2013-11-30 |
Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
Qi Che Md | Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
Arundati Rao | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Min Jin Kim | 639 4th Ave Apt 5c, Brooklyn, NY 11232-1048 | Controlled Substance Registration for Practitioner | 2012-05-10 ~ 2013-02-28 |
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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).