PAUL K AZIMOV DO (Credential# 560873) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
PAUL K AZIMOV DO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.043291-DO. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 21 Marlborough Rd, Glastonbury, CT 06033-2812. The current status is active.
| Licensee Name | PAUL K AZIMOV DO |
| Credential ID | 560873 |
| Credential Number | 1.043291-DO |
| Credential Type | Physician/Surgeon |
| Credential SubCategory | DO |
| Business Address |
21 Marlborough Rd Glastonbury CT 06033-2812 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2005-04-06 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-01-16 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 484170 | CSP.0042682 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2007-10-03 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 21 MARLBOROUGH RD |
| City | GLASTONBURY |
| State | CT |
| Zip Code | 06033-2812 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tsambikos K Marasiotis | 55 Marlborough Rd, Glastonbury, CT 06033-2812 | Engineer-in-training | 2010-06-08 ~ 2020-06-08 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vanessa Segal | 46 Salem Court, Glastonbury, CT 06033 | Hairdresser/cosmetician | ~ |
| Laura Nadeau | 3641 Hebron Ave, Glastonbury, CT 06033 | Respiratory Care Practitioner | 2020-08-01 ~ 2021-07-31 |
| Abigail Lynn Hubbard | 55 Brookview Drive, Glastonbury, CT 06033 | Emergency Medical Technician | ~ |
| Maureen E Booth | 36 Hubbard Run Drive, Glastonbury, CT 06033 | Speech and Language Pathologist | 2020-07-01 ~ 2021-06-30 |
| Wendy B Johnson | 1789 Main St, Glastonbury, CT 06033 | Architect | 2020-08-01 ~ 2021-07-31 |
| Michael D Devanney Pa | 28 Evergreen Ln, Glastonbury, CT 06033 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
| Sophie C Gomez · Pirog | 81 Three Mile Rd, Glastonbury, CT 06033 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Jennifer R Briones | 90 Deerfield Drive, Glastonbury, CT 06033 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Munson's Chocolates | 135 Glastonbury Blvd, Glastonbury, CT 06033 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Yulhun Sung | 245 Griswold St Unit A, Glastonbury, CT 06033 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Find all Licenses in zip 06033 | |||
| City | GLASTONBURY |
| Zip Code | 06033 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + GLASTONBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Paul R Feldman | CT | Physician/surgeon | 1978-05-03 ~ 1984-12-31 |
| Ted D Cox | 166 4th St E, Saint Paul, MN 55101-1421 | Physician/surgeon | 2009-09-01 ~ 2010-08-31 |
| Paul F Nee Md | 33 Germantown Rd Ste 2, Danbury, CT 06810-5039 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Paul R Danker | Po Box 506, Slingerlands, NY 12159 | Physician/surgeon | 2012-02-01 ~ 2013-01-31 |
| Paul J Healey | 76 Gay St, Somerset, MA 02726-5313 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Paul James Laveau | CT | Physician/surgeon | 1988-04-15 ~ 1990-06-30 |
| Paul N Graffagnino | P.o. Box 443, Woodstock, VT 05091-4443 | Physician/surgeon | 1996-02-23 ~ 1997-04-30 |
| Paul F Haley | 22 Stonebridge Way, Lee, MA 01238-9290 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| L Paul Brief | 175 Route 304, Bardonia, NY 10954 | Physician/surgeon | 1996-05-13 ~ 1997-07-31 |
| Paul C Sullivan | 8 Ash St, Nantucket, MA 02554-3517 | Physician/surgeon | 2018-10-01 ~ 2019-09-30 |
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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).