IGOR MAMKIN
Controlled Substance Registration for Practitioner


Address: 263 Farmington Avenue L2104 Mc-1235, Farmington, CT 06030-1235

IGOR MAMKIN (Credential# 446605) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2007. The license expiration date date is February 29, 2008. The license status is INACTIVE.

Business Overview

IGOR MAMKIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0040048. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2007. The expiration date is February 29, 2008. The business address is 263 Farmington Avenue L2104 Mc-1235, Farmington, CT 06030-1235. The current status is inactive.

Basic Information

Licensee Name IGOR MAMKIN
Credential ID 446605
Credential Number CSP.0040048
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 263 Farmington Avenue L2104 Mc-1235
Farmington
CT 06030-1235
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2006-10-05
Effective Date 2007-03-01
Expiration Date 2008-02-29
Refresh Date 2009-02-05

Office Location

Street Address 263 FARMINGTON AVENUE L2104 MC-1235
City FARMINGTON
State CT
Zip Code 06030-1235

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Luca Paoletti 263 Farmington Avenue L2104 Mc-1235, Farmington, CT 06030 Controlled Substance Registration for Practitioner 2009-03-01 ~ 2011-02-28
Ritesh P Parekh 263 Farmington Avenue L2104 Mc-1235, Farmington, CT 06030-1235 Controlled Substance Registration for Practitioner 2009-03-01 ~ 2011-02-28
Guada R Respicio Md 263 Farmington Avenue L2104 Mc-1235, Farmington, CT 06030 Controlled Substance Registration for Practitioner 2008-03-01 ~ 2009-02-28
Wambura N Mkono 263 Farmington Avenue L2104 Mc-1235, Farmington, CT 06030-1235 Controlled Substance Registration for Practitioner 2008-03-10 ~ 2009-02-28
Amit Mahipal 263 Farmington Avenue L2104 Mc-1235, Farmington, CT 06030-1235 Controlled Substance Registration for Practitioner 2008-03-01 ~ 2009-02-28
Irtaza I Khan 263 Farmington Avenue L2104 Mc-1235, Farmington, CT 06030-1235 Controlled Substance Registration for Practitioner 2008-03-01 ~ 2009-02-28
Kathleen M Raynor 263 Farmington Avenue L2104 Mc-1235, Farmington, CT 06030 Controlled Substance Registration for Practitioner 2008-03-01 ~ 2009-02-28
Karen L Knudsen 263 Farmington Avenue L2104 Mc-1235, Farmington, CT 06030-1235 Controlled Substance Registration for Practitioner 2007-03-01 ~ 2008-02-29
Emmanuel O Onasile 263 Farmington Avenue L2104 Mc-1235, Farmington, CT 06030-1235 Controlled Substance Registration for Practitioner 2007-03-01 ~ 2008-02-29
Chandrasekhar R Motkar 263 Farmington Avenue L2104 Mc-1235, Farmington, CT 06030-1235 Controlled Substance Registration for Practitioner 2007-03-01 ~ 2008-02-29
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Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Vincent Cunanan Unconn Health Center, Farmington, CT 06030-1235 Controlled Substance Registration for Practitioner 2011-03-01 ~ 2013-02-28
Arun Padala 263 Farmington Ave Mc-1235, Farmington, CT 06030-1235 Controlled Substance Registration for Practitioner 2009-03-01 ~ 2011-02-28
Jeannette A Loman 263 Farmington Avenue Mc-1235, Farmington, CT 06030-1235 Controlled Substance Registration for Practitioner 2009-03-19 ~ 2011-02-28
Megan M Groh Mc-1235, Farmington, CT 06030-1235 Controlled Substance Registration for Practitioner 2008-03-01 ~ 2009-02-28
Preetha Joseph Uconn Mc-1235, Farmington, CT 06030-1235 Controlled Substance Registration for Practitioner 2007-08-03 ~ 2008-02-29
Alison Hastings Farmington Ave Mc 1235, Farmington, CT 06030-1235 Controlled Substance Registration for Practitioner 2007-03-01 ~ 2008-02-29
Ruby Sharma 263 Farmington Ave Mc-1935, Farmington, CT 06030-1235 Controlled Substance Registration for Practitioner 2007-07-23 ~ 2008-02-29
Brad M Malehorn 263 Farmington Avenue L2104 Mc1235, Farmington, CT 06030-1235 Controlled Substance Registration for Practitioner 2007-03-01 ~ 2008-02-29
Petros Christopoulos 263 Farmington Ave Mc 1235, Farmington, CT 06030-1235 Controlled Substance Registration for Practitioner 2006-11-30 ~ 2007-02-28
Sena Kilic 263 Farmington Avenue, Farmington, CT 06030-1235 Controlled Substance Registration for Practitioner 2015-03-01 ~ 2017-02-28
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Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Eric Anthony Brueckner 263 Farmington Ave., Farmington, CT 06030 Physician/surgeon 2020-08-01 ~ 2021-07-31
Derrick B Bremang Residency Program, Farmington, CT 06030 Physician/surgeon 2020-06-01 ~ 2021-06-30
David M Shafer Uconn Health Center, Farmington, CT 06030 Dentist 2020-07-01 ~ 2021-06-30
Michael J Murphy Dept of Dermatology, Farmington, CT 06030 Physician/surgeon 2020-09-01 ~ 2021-08-31
Richard F Kaplan Univ. of Ct., Farmington, CT 06030 Psychologist 2020-06-01 ~ 2021-05-31
Nicholas George Vitale 22 Woods Drive, Norwich, CT 06030 Casino Class I Employee 2019-12-03 ~ 2020-10-31
Bruce E Gould Univ of Conn Health Center, Farmington, CT 06030 Physician/surgeon 2020-04-01 ~ 2021-03-31
Vinayak M Sathe Uconn Health Center,263 Farmington Ave, Farmington, CT 06030 Physician/surgeon 2020-06-01 ~ 2021-05-31
Shobhana Pathani Department of Medicine, 263 Farmington Ave, CT 06030 Physician/surgeon 2020-06-01 ~ 2021-05-31
Patricia L Almeida John Dempsey Hospital, Farmington, CT 06030 Registered Nurse 2020-04-01 ~ 2021-03-31
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Competitor

Search similar business entities

City FARMINGTON
Zip Code 06030
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + FARMINGTON

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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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