MARTHA KUSHNIR
Physician/surgeon


Address: 31 Pointe Rok Drive, Worcester, MA 01604

MARTHA KUSHNIR (Credential# 548226) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2010. The license expiration date date is January 31, 2011. The license status is INACTIVE.

Business Overview

MARTHA KUSHNIR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.030094. The credential type is physician/surgeon. The effective date is February 1, 2010. The expiration date is January 31, 2011. The business address is 31 Pointe Rok Drive, Worcester, MA 01604. The current status is inactive.

Basic Information

Licensee Name MARTHA KUSHNIR
Credential ID 548226
Credential Number 1.030094
Credential Type Physician/Surgeon
Business Address 31 Pointe Rok Drive
Worcester
MA 01604
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1989-07-01
Effective Date 2010-02-01
Expiration Date 2011-01-31
Refresh Date 2011-05-02

Other licenses

ID Credential Code Credential Type Issue Term Status
161002 CSP.0018617 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1997-03-01 - 1998-02-28 INACTIVE

Office Location

Street Address 31 Pointe Rok Drive
City Worcester
State MA
Zip Code 01604

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Dennis J Mercure 44 Ernest Ave, Worcester, MA 01604 Pharmacist 2018-02-01 ~ 2020-01-31
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Allan Kasozi Musoke 59 Heywood St, Worcester, MA 01604 Registered Nurse 2019-01-14 ~ 2019-10-31
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Competitor

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City Worcester
Zip Code 01604
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Worcester

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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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