BORIS KONNIKOW MD (Credential# 551283) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 19, 1999. The license expiration date date is February 29, 2000. The license status is INACTIVE.
BORIS KONNIKOW MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.033684. The credential type is physician/surgeon. The effective date is January 19, 1999. The expiration date is February 29, 2000. The business address is Day Kimball Hospital, Putnam, CT 06260-1868. The current status is inactive.
Licensee Name | BORIS KONNIKOW MD |
Credential ID | 551283 |
Credential Number | 1.033684 |
Credential Type | Physician/Surgeon |
Business Address |
Day Kimball Hospital Putnam CT 06260-1868 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1994-05-06 |
Effective Date | 1999-01-19 |
Expiration Date | 2000-02-29 |
Refresh Date | 2009-07-10 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
177142 | CSP.0024674 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1997-03-01 - 1998-02-28 | INACTIVE |
Street Address | DAY KIMBALL HOSPITAL |
City | PUTNAM |
State | CT |
Zip Code | 06260-1868 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Cathy J Sommer | Day Kimball Hospital, Putnam, CT 06260 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Debbi M Mcinteer Md | Day Kimball Hospital, Putnam, CT 06260 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Isabelita Bella | Day Kimball Hospital, Putnam, CT 06260 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Juan M Perez Velazquez | Day Kimball Hospital, Putnam, CT 06260-1836 | Physician/surgeon | 2018-07-01 ~ 2019-06-30 |
Nishant H Patel | Day Kimball Hospital, Putnam, CT 06260 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Bronson E Terry Md | Day Kimball Hospital, Putnam, CT 06260 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Paul Y Wong Md | Day Kimball Hospital, Putnam, CT 06260 | Physician/surgeon | 2005-04-28 ~ 2006-05-31 |
Tom Warzecka Pa | Day Kimball Hospital, Putnam, CT 06250 | Physician Assistant | 2001-07-16 ~ 2002-07-31 |
Ivo Buhac Md | Day Kimball Hospital, Putnam, CT 06260-0901 | Controlled Substance Registration for Practitioner | 1999-03-01 ~ 2000-02-28 |
Ann Farrell Md | Day Kimball Hospital, Putnam, CT 06260 | Physician/surgeon | 1998-05-29 ~ 1999-06-30 |
Find all Licenses in the same address |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Amanda L Neal | 69 Hawkins Road, Putnam, CT 06260 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
Kellys Tire Inc | 306 School St, Putnam, CT 06260 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Donna Dumas | 19 Arthur Street, Putnam, CT 06260 | Medication Administration Certification | 2020-07-16 ~ 2022-07-15 |
Mcdonalds #13538 | 6 Rpovidence Pike, Putnam, CT 06260 | Frozen Dessert Retailer | 2020-06-22 ~ 2020-12-31 |
Cynthia C Paquin | 95 Elvira Heights Road, Putnam, CT 06260 | Dental Hygienist | 2018-11-01 ~ 2019-10-31 |
Scott J Grimmett · Price Chopper | 251 Kennedy Drive Ste A, Putnam, CT 06260 | Grocery Beer | 2020-08-08 ~ 2021-08-07 |
Lyne A Grillo · Fauteux | 73-155 Perry St, Putnam, CT 06260 | Radiographer | 2020-09-01 ~ 2021-08-31 |
Crossings Restaurant and Brew Pub (the) | 45-47 Main St, Putnam, CT 06260 | Manufacturer for Beer and Brew Pub | 2019-11-26 ~ 2021-03-25 |
June Elizabeth Foley | 4 Libertyhighway, Putnam, CT 06260 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
Kevin J Bates · K J B Bldg Works | 7 Rowe St, Putnam, CT 06260 | Home Improvement Contractor | 2020-06-12 ~ 2020-11-30 |
Find all Licenses in zip 06260 |
City | PUTNAM |
Zip Code | 06260 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + PUTNAM |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Boris Goralnik | 2661 W 2nd St Apt 5c, Brooklyn, NY 11223-6360 | Physician/surgeon | 2011-11-01 ~ 2012-10-31 |
Gayle L Boris | 300 East 75th St, New York, NY 10021 | Physician/surgeon | 2001-01-04 ~ 2002-02-28 |
Boris M Astrachan | Professor Head Uic, Chicago, IL 60612 | Physician/surgeon | 1995-10-23 ~ 1996-12-31 |
Boris Krikun | 66-36 Yellowstone, Forest Hills, NY 11375 | Physician/surgeon | ~ 2000-02-29 |
Boris Naprta | 31 A Harold Road, Farmington, CT 06032 | Physician/surgeon | ~ 1998-07-31 |
Boris Usherenko | 480 Bedford Road, Chappaqua, NY 10514 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Boris Medarov | 165 Falls Terrace, Oakville, CT 06779 | Physician/surgeon | 2008-07-22 ~ 2009-08-31 |
Boris Sachakov | 3133 Brighton 7th St Apt 3i, Brooklyn, NY 11235-6506 | Physician/surgeon | 2012-11-01 ~ 2013-08-06 |
Boris Mayzler | 70 Mill River Street, Stamford, CT 06902 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Melvin Boris Saltzman | 8225 Florissant Rd, Saint Louis, MO 63121-2020 | Physician/surgeon | 1979-06-04 ~ 1991-10-31 |
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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).