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.
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.
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 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
161002 | CSP.0018617 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1997-03-01 - 1998-02-28 | INACTIVE |
Street Address | 31 Pointe Rok Drive |
City | Worcester |
State | MA |
Zip Code | 01604 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jessica Marie Baroni | 69 Dustin Street, Worcester, MA 01604 | Psychologist | 2020-07-01 ~ 2021-06-30 |
Karen Fontanares Mancera | 282 Hamilton Street, Worcester, MA 01604 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Justin T Jarboe | 8 Seward St, Worcester, MA 01604 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Liza Detenber | 7 E. Lake St., Worcester, MA 01604 | Licensed Clinical Social Worker | ~ |
James Franklin Scola | 433 Sunderland Road, Ap. K, Worcester, MA 01604 | Notary Public Appointment | 2020-03-13 ~ 2025-03-31 |
Dennis J Mercure | 44 Ernest Ave, Worcester, MA 01604 | Pharmacist | 2018-02-01 ~ 2020-01-31 |
Johnathan A Simpson | 113 Warner Ave, Worcester, MA 01604 | Professional Counselor | 2020-04-01 ~ 2021-03-31 |
Allan Kasozi Musoke | 59 Heywood St, Worcester, MA 01604 | Registered Nurse | 2019-01-14 ~ 2019-10-31 |
Worcester Pharmacy LLC · Boulevard Pharmeceutical Compounding | 149 Shrewsbury St, Worcester, MA 01604 | Nonresident Pharmacy | 2020-01-21 ~ 2020-08-31 |
Rachel E Swedo | 62 Alvarado Ave, Worcester, MA 01604 | Licensed Practical Nurse | 2019-12-01 ~ 2020-11-30 |
Find all Licenses in zip 01604 |
City | Worcester |
Zip Code | 01604 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + Worcester |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Vitaly A Kushnir | 7148 S Shadow Cv, Salt Lake City, UT 84121-3665 | Physician/surgeon | 2019-06-01 ~ 2020-05-31 |
Martha Praught | 131 Birch St, Roslindale, MA 02131-3431 | Physician/surgeon | 1987-03-13 ~ 1992-03-31 |
Martha A Howard Md | 206 Church St, Guilford, CT 06437 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Martha Buitrago Md | 36 Lincoln St, New Haven, CT 06511 | Physician/surgeon | 2002-01-24 ~ 2003-02-28 |
Martha Lauster | 360 3rd Street Suite 425, San Francisco, CA 94107 | Physician/surgeon | ~ |
Roy P Simmons | 4315 Martha Ave, Woodlawn, NY 10470 | Physician/surgeon | 2013-07-01 ~ 2014-06-30 |
Martha Brochin Md | 9 Washington Avenue, Hamden, CT 06518 | Physician/surgeon | 2002-12-19 ~ 2004-02-29 |
Martha Lopez | 123 Green Hill Rd, Longmeadow, MA 01106 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Martha Sliwowski | 209 Hathaway Street, Wallington, NY 07057 | Physician/surgeon | 2002-08-15 ~ 2003-08-31 |
Martha Tepas Desbiens | 33 Germantown Rd, Danbury, CT 06810-5038 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
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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).