PETER M MIRKIN (Credential# 543327) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2020. The license expiration date date is January 31, 2021. The license status is ACTIVE.
PETER M MIRKIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.020367. The credential type is physician/surgeon. The effective date is February 1, 2020. The expiration date is January 31, 2021. The business address is 15 Phinney Street, Gorham, ME 04038. The current status is active.
Licensee Name | PETER M MIRKIN |
Credential ID | 543327 |
Credential Number | 1.020367 |
Credential Type | Physician/Surgeon |
Business Address |
15 Phinney Street Gorham ME 04038 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1978-11-27 |
Effective Date | 2020-02-01 |
Expiration Date | 2021-01-31 |
Refresh Date | 2020-04-30 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
158288 | CSP.0017949 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1996-01-11 - 1997-02-28 | INACTIVE |
Street Address | 15 PHINNEY STREET |
City | GORHAM |
State | ME |
Zip Code | 04038 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Christine C Hume | 10 Harding Road, Gorham, ME 04038 | Certified General Real Estate Appraiser | 2020-05-01 ~ 2021-04-30 |
Richard M Poulin | 9 Waterhouse Rd, Gorham, ME 04038 | Professional Engineer | 2014-02-01 ~ 2015-01-31 |
Corey A Noel | 147 Harding Bridge Rd, Gorham, ME 04038 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
Bruce W Macleod | 14 Hillview Road, Gorham, ME 04038 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
John Quentin Adams | 44 Dingley Spring Rd, Gorham, ME 04038 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Alexandra Parmater | 56 College Ave, Gorham, ME 04038 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
Joanne Maria Beauregard | 12 Star Lit Way, Gorham, ME 04038 | Certified Public Accountant Certificate | 2020-01-01 ~ 2020-12-31 |
Joseph Alan Withee | 2 Quail Ridge Drive, Gorham, ME 04038 | Registered Nurse | 2018-08-21 ~ 2019-06-30 |
John J Dol | 16 Norway Rd, Gorham, ME 04038 | Medical Marijuana Producer Employee | 2018-06-27 ~ 2019-06-26 |
Kathleen Flanagan · P G Vinyl Windows | 28 Running Springs Rd, Gorham, ME 04038 | Home Improvement Salesperson | 1996-08-13 ~ 1996-11-30 |
Find all Licenses in zip 04038 |
City | GORHAM |
Zip Code | 04038 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + GORHAM |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Peter Heseltine | Lac&usc Med Ctr, Los Angeles, CA 90033 | Physician/surgeon | 1995-08-07 ~ 1996-08-31 |
Peter E Pascal Md | 7 Elm St Ste 203, Enfield, CT 06082-3670 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Peter A Migaly | P.o.box 237, Blairsville, PA 15717-0237 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
Peter M. Kigonya | 253 Front St, New Haven, CT 06513-3203 | Physician/surgeon | ~ |
Peter O Rostenberg | Po Box B, New Fairfield, CT 06812 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
Peter M Small | P.o. Box 517, Charlestown, RI 02813 | Physician/surgeon | 2008-08-01 ~ 2009-08-31 |
Peter B Mikhail | 199 Oak St, Pembroke, MA 02359 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
Peter Liu | 503 Main St Apt 5, Great Barrington, MA 01230-2152 | Physician/surgeon | ~ |
Peter L Steenbergen Md | 4 Fox Run Dr, Easton, CT 06612-1200 | Physician/surgeon | 2018-07-01 ~ 2019-06-30 |
Peter S Johnston | P.o. Box 67, Barryville, NY 12719 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Please comment or provide details below to improve the information on PETER M MIRKIN.
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).