DONALD F MORDAVSKY (Credential# 542697) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2016. The license expiration date date is September 30, 2017. The license status is INACTIVE.
DONALD F MORDAVSKY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.018163. The credential type is physician/surgeon. The effective date is October 1, 2016. The expiration date is September 30, 2017. The business address is 191 Main St, Manchester, CT 06040. The current status is inactive.
| Licensee Name | DONALD F MORDAVSKY |
| Credential ID | 542697 |
| Credential Number | 1.018163 |
| Credential Type | Physician/Surgeon |
| Business Address |
191 Main St Manchester CT 06040 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1976-08-03 |
| Effective Date | 2016-10-01 |
| Expiration Date | 2017-09-30 |
| Refresh Date | 2018-01-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 149661 | CSP.0000299 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-03-01 - 2017-02-28 | INACTIVE |
| Street Address | 191 MAIN ST |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06040 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ron Margolis | 191 Main St, Manchester, CT 06042-3556 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| S A Milewski | 191 Main St, Manchester, CT 06040 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Stanislaw Milewski | 191 Main St, Manchester, CT 06040 | Physician/surgeon | 2008-05-16 ~ 2009-06-30 |
| Teresa J Frank Md · Kid Station Pediatrics | 191 Main St, Manchester, CT 06040 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mary Fosuah Nketia | 61 Cougar Drive, Manchester, CT 06040 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| New Seasons Inc. | 164 East Center Street, Manchester, CT 06040 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Kaylen Lam | 60 Chlistone Lane, Manchester, CT 06040 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Matilde Altamirano | 415 Gardner Street, Manchester, CT 06040 | Nail Technician | 2020-06-27 ~ 2022-04-30 |
| Meilan Meilan Chen | 174 Middle Tpke, Manchester, CT 06040 | Nail Technician | ~ |
| Prince Acheampong | 32 Bigelow Street, Manchester, CT 06040 | Notary Public Appointment | ~ |
| Erin C Boyle | 470 Porter Street, Manchester, CT 06040 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dejone Mitchell | 64 Ruby Dr Apt. P, Manchester, CT 06040 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Andrea H Clifford | 116 Longview Drive, Manchester, CT 06040 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Tabia Thornton-bey | 103 Walek Farms Road, Manchester, CT 06040 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06040 | |||
| City | MANCHESTER |
| Zip Code | 06040 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + MANCHESTER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Donald Pet | 93 Bette Dr, Manchester, CT 06040 | Physician/surgeon | 1990-07-23 ~ 1991-06-30 |
| Donald R Wieche | Box 227, Plymouth, VT 05056 | Physician/surgeon | 1994-02-04 ~ 1995-03-31 |
| Donald Jay Meyer | 20 Buckminster Rd, Brookline, MA 02445-5821 | Physician/surgeon | 1976-06-16 ~ |
| Donald G Ammerman | 84 Hospital Ave, Danbury, CT 06810-6047 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Donald L Goldfarb | 37 Ridgeview Rd, Poughkeepsie, NY 12603 | Physician/surgeon | 2002-01-25 ~ 2002-10-31 |
| Donald No | 2 Park Place, Hartford, CT 06106 | Physician/surgeon | 2018-03-01 ~ 2019-02-28 |
| Donald A Baldovin | 32 Falmouth St, Brooklyn, NY 11235 | Physician/surgeon | 1995-03-01 ~ 1996-02-29 |
| Donald F Zinn | 38 Munger Rd, Guilford, CT 06437 | Physician/surgeon | 2016-01-01 ~ 2016-12-31 |
| Donald S Ruffett | 32 Stonegate, Unionville, CT 06085-1468 | Physician/surgeon | 2016-10-01 ~ 2017-09-30 |
| Donald Einck | 193 Edgewood Ave, Longmeadow, MA 01106-1309 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Please comment or provide details below to improve the information on DONALD F MORDAVSKY.
| 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).