VADIM KUSHNERIK
Physician/surgeon


Address: 2765 West 5th Street, #1e, Brooklyn, NY 11224

VADIM KUSHNERIK (Credential# 556872) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 19, 2003. The license expiration date date is July 31, 2004. The license status is INACTIVE.

Business Overview

VADIM KUSHNERIK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.039286. The credential type is physician/surgeon. The effective date is May 19, 2003. The expiration date is July 31, 2004. The business address is 2765 West 5th Street, #1e, Brooklyn, NY 11224. The current status is inactive.

Basic Information

Licensee Name VADIM KUSHNERIK
Credential ID 556872
Credential Number 1.039286
Credential Type Physician/Surgeon
Business Address 2765 West 5th Street, #1e
Brooklyn
NY 11224
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2001-02-14
Effective Date 2003-05-19
Expiration Date 2004-07-31
Refresh Date 2009-07-08

Office Location

Street Address 2765 West 5th Street, #1E
City Brooklyn
State NY
Zip Code 11224

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City Brooklyn
Zip Code 11224
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Brooklyn

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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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