PETER M MIRKIN
Physician/surgeon


Address: 15 Phinney Street, Gorham, ME 04038

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.

Business Overview

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.

Basic Information

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

Other licenses

ID Credential Code Credential Type Issue Term Status
158288 CSP.0017949 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1996-01-11 - 1997-02-28 INACTIVE

Office Location

Street Address 15 PHINNEY STREET
City GORHAM
State ME
Zip Code 04038

Licenses in the same zip code

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
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Competitor

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City GORHAM
Zip Code 04038
License Type Physician/Surgeon
License Type + County Physician/Surgeon + GORHAM

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Improve Information

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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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