SERGEY ZHITNIKOV MD
Controlled Substance Registration for Practitioner


Address: 83 Beacon Hill Terrace, Shelton, CT 06484

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.

Business Overview

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.

Basic Information

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

Other licenses

ID Credential Code Credential Type Issue Term Status
561645 1.044063 Physician/Surgeon 2006-02-02 2017-12-01 - 2018-11-30 INACTIVE

Office Location

Street Address 83 Beacon Hill Terrace
City Shelton
State CT
Zip Code 06484

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Competitor

Search similar business entities

City Shelton
Zip Code 06484
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Shelton

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Dataset Information

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).

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