ELENA POLOUKHINE MD (Credential# 521602) 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.
ELENA POLOUKHINE MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0044944. 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 1441 Route 169, Woodstock, CT 06281. The current status is active.
| Licensee Name | ELENA POLOUKHINE MD |
| Credential ID | 521602 |
| Credential Number | CSP.0044944 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
1441 Route 169 Woodstock CT 06281 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2008-12-26 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 564788 | 1.047206 | Physician/Surgeon | 2008-12-01 | 2019-12-01 - 2020-11-30 | ACTIVE |
| Street Address | 1441 Route 169 |
| City | Woodstock |
| State | CT |
| Zip Code | 06281 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrew P Mackenzie Md | 1441 Route 169, Woodstock, CT 06281-1423 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Annie B Barlow | 40 W Quasset Road, Woodstock, CT 06281 | Real Estate Salesperson | 2020-06-18 ~ 2021-05-31 |
| Casey L Vinton | 200 Old Hall Rd., Woodstock, CT 06281 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Joel F Theriaque · Mansion At Bald Hill (the) | 144 Bald Hill Rd, Woodstock, CT 06281 | Hotel Liquor (10000 Or Less Population) | 2019-10-09 ~ 2021-02-08 |
| Carl St. Jean | 125 Child Hill Rd, Woodstock, CT 06281 | Sub-surface Sewage Installer | 2020-07-01 ~ 2021-06-30 |
| Beth E Thayer | 109 Child Hill Road, Woodstock, CT 06281 | Radiographer | 2020-09-01 ~ 2021-08-31 |
| Ramona L Geotis | 49 Old Hall Road, Woodstock, CT 06281 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Cheryl J Dziura-duke | 40 Lebanon Hill Road, Woodstock, CT 06281 | Dietitian/nutritionist | 2020-09-01 ~ 2021-08-31 |
| Holly L Harder | 891 Brickyard Rd, Woodstock, CT 06281 | Speech and Language Pathologist | 2020-09-01 ~ 2021-08-31 |
| Mark Labonte · Labonte Construction | 70 Joy Rd, Woodstock, CT 06281 | Sub-surface Sewage Installer | 2020-08-01 ~ 2021-07-31 |
| Louise Downer | 262 East Quassett Road, Woodstock, CT 06281 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Find all Licenses in zip 06281 | |||
| City | Woodstock |
| Zip Code | 06281 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Woodstock |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elena Vm Speroff | 508 Orange St # 3, New Haven, CT 06511-3808 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Elena N Gutman | 10 Humble Ln, Weston, CT 06883-2509 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Elena I Fomchenko | 427 Hammertown Rd, Monroe, CT 06468-1310 | Controlled Substance Registration for Practitioner | 2014-07-11 ~ 2015-02-28 |
| Elena I Zenkin | 99 Woodland St, Hartford, CT 06105 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Elena Aragona | 161 Barnshed Ln, Guilford, CT 06437-1109 | Controlled Substance Registration for Practitioner | 2019-07-10 ~ 2021-02-28 |
| Elena Schjavland | 20 Burrows St, Mystic, CT 06355 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Elena Gatskevich | 20 York St, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2011-05-06 ~ 2013-02-28 |
| Elena Kozlova | 57 Charter Oak Ave Apt 120, Hartford, CT 06106-2884 | Controlled Substance Registration for Practitioner | 2020-03-02 ~ 2021-02-28 |
| Elena Citkowitz Md | 410 Livingston St, New Haven, CT 06511-1310 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Elena Motuzko | 1 Market St Apt 624, Camden, NJ 08102-2324 | Controlled Substance Registration for Practitioner | 2017-06-14 ~ 2019-02-28 |
Please comment or provide details below to improve the information on ELENA POLOUKHINE MD.
| 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).