NATALIA MANEVICH MD (Credential# 551670) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2020. The license expiration date date is August 31, 2021. The license status is ACTIVE.
NATALIA MANEVICH MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.034071. The credential type is physician/surgeon. The effective date is September 1, 2020. The expiration date is August 31, 2021. The business address is 4 Crawford Terrace, Riverside, CT 06878. The current status is active.
| Licensee Name | NATALIA MANEVICH MD |
| Credential ID | 551670 |
| Credential Number | 1.034071 |
| Credential Type | Physician/Surgeon |
| Business Address |
4 Crawford Terrace Riverside CT 06878 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1994-09-23 |
| Effective Date | 2020-09-01 |
| Expiration Date | 2021-08-31 |
| Refresh Date | 2020-06-24 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 162270 | CSP.0022703 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 4 Crawford Terrace |
| City | Riverside |
| State | CT |
| Zip Code | 06878 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Antoinette Lanzarone | 91 Sound Beach Ave, Riverside, CT 06878 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Silvestro Iommazzo Dds | 1212 East Putnam Ave, Riverside, CT 06878 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Joanna Elizabeth Mackenzie | 9 Dialstone Ln, Riverside, CT 06878 | Marital and Family Therapist Associate | ~ |
| Dimare's Pastry Shop, LLC | 1245 Post Rs, Riverside, CT 06878 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Msn Vending LLC | 30 Carrona Dr, Riverside, CT 06878 | Vending Machine Operator | 2020-07-01 ~ 2021-06-30 |
| Laura E Kaehler | 13 Marks Road, Riverside, CT 06878 | Architect | 2020-08-01 ~ 2021-07-31 |
| Janine M Corticelli | 134 Lancer Road South, Riverside, CT 06878 | Real Estate Salesperson | 2020-06-16 ~ 2021-05-31 |
| Jin Jin Hong | 12b Rye Bridge Plaza, Riverside, CT 06878 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Michael F Catalano | 12 Bonan Drive, Riverside, CT 06878 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Gi Bog Jang | 1263 E Putnam Ave, Riverside, CT 06878 | Nail Technician | ~ |
| Find all Licenses in zip 06878 | |||
| City | Riverside |
| Zip Code | 06878 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Riverside |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Natalia Dolin | 528 Terhune St, Teaneck, NJ 07666-1644 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Natalia Polyakova | 761 Main Ave Ste 201, Norwalk, CT 06851-1080 | Physician/surgeon | 2016-05-01 ~ 2017-04-30 |
| Natalia Y Cherepnina | 120 French Street, Apt.#1, Bangor, ME 04401 | Physician/surgeon | 2007-03-05 ~ 2008-04-30 |
| Natalia Buza | 5 Melwood Lane, Westport, CT 06880-4901 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Natalia Skachkova | 3816 Waldo Ave Apt 6b, Bronx, NY 10463-2108 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Natalia M Rosenbeg | 27 Revere Drive #1, Bloomfield, CT 06002 | Physician/surgeon | ~ 1996-03-31 |
| Natalia D Yurkovetsky Md | Norwalk Medical Group, Norwalk, CT 06851 | Physician/surgeon | 2008-02-28 ~ 2009-03-31 |
| Slava B Manevich | 55 Edward Pl, Stamford, CT 06905-2938 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
| Editta Manevich | 101 Kennedy Drive, Spring Valley, NY 10977 | Dental Hygienist | 1999-09-07 ~ 2000-02-29 |
| Natalia P. Buksa | 50 Bridalpath Lane, Glastonbury, CT 06033 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
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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).