BORIS MEDAROV (Credential# 560418) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 22, 2008. The license expiration date date is August 31, 2009. The license status is INACTIVE.
BORIS MEDAROV is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.042836. The credential type is physician/surgeon. The effective date is July 22, 2008. The expiration date is August 31, 2009. The business address is 165 Falls Terrace, Oakville, CT 06779. The current status is inactive.
| Licensee Name | BORIS MEDAROV |
| Credential ID | 560418 |
| Credential Number | 1.042836 |
| Credential Type | Physician/Surgeon |
| Business Address |
165 Falls Terrace Oakville CT 06779 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2004-09-30 |
| Effective Date | 2008-07-22 |
| Expiration Date | 2009-08-31 |
| Refresh Date | 2009-12-10 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 399258 | CSP.0037165 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-03-24 | 2008-03-01 - 2009-02-28 | INACTIVE |
| 399257 | CSP.0037164 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | - | EXPIRED APPLICATION |
| Street Address | 165 Falls Terrace |
| City | Oakville |
| State | CT |
| Zip Code | 06779 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carrie A Gibbs | 40 Williams Ave., Oakville, CT 06779 | Professional Counselor | 2020-07-01 ~ 2021-06-30 |
| Donna C Stango | 125 Plainfield Dr, Oakville, CT 06779 | Nursing Home Administrator | 2020-09-01 ~ 2022-08-31 |
| Phyllis M Capece | 337 Colonial St, Oakville, CT 06779 | Barber | 2020-08-01 ~ 2022-07-31 |
| Gayle M Nelson | 180 Ball Farm Road, Oakville, CT 06779 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Kim Ann Barnes | 166 Ice House Road, Oakville, CT 06779 | Esthetician | 2020-06-19 ~ 2021-07-31 |
| Deborah A Norton | 186 Eaton St, Oakville, CT 06779 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Kenecticut Hardware | 3 Harvard St, Oakville, CT 06779 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Danielle Hillman | 225 Colonial St., Oakville, CT 06779 | Medication Administration Certification | 2020-07-19 ~ 2022-07-18 |
| Buckingham Street | 646 Buckingham Street, Oakville, CT 06779 | Community Living Arrangement | 2018-09-01 ~ 2020-08-31 |
| Carla A Martinelli | 27 Hubbell Avenue, Oakville, CT 06779 | Real Estate Salesperson | ~ |
| Find all Licenses in zip 06779 | |||
| City | Oakville |
| Zip Code | 06779 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Oakville |
| 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 Konnikow Md | Day Kimball Hospital, Putnam, CT 06260-1868 | Physician/surgeon | 1999-01-19 ~ 2000-02-29 |
| Boris Usherenko | 480 Bedford Road, Chappaqua, NY 10514 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| 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 |
Please comment or provide details below to improve the information on BORIS MEDAROV.
| 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).