DONNA M BORUCHOV
Physician/surgeon


Address: 94 Deer Run, Avon, CT 06001

DONNA M BORUCHOV (Credential# 564309) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2020. The license expiration date date is July 31, 2021. The license status is ACTIVE.

Business Overview

DONNA M BORUCHOV is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.046727. The credential type is physician/surgeon. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is 94 Deer Run, Avon, CT 06001. The current status is active.

Basic Information

Licensee Name DONNA M BORUCHOV
Credential ID 564309
Credential Number 1.046727
Credential Type Physician/Surgeon
Business Address 94 Deer Run
Avon
CT 06001
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2008-07-01
Effective Date 2020-08-01
Expiration Date 2021-07-31
Refresh Date 2020-05-04

Other licenses

ID Credential Code Credential Type Issue Term Status
503045 CSP.0043526 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2008-07-01 2019-03-01 - 2021-02-28 ACTIVE

Office Location

Street Address 94 DEER RUN
City AVON
State CT
Zip Code 06001

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Adam M Boruchov Md 94 Deer Run, Avon, CT 06001 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Julie R Deitch 5 Bridle Path, Avon, CT 06001 Dental Hygienist 2020-07-01 ~ 2021-06-30
Brigitte Nicole Heleniak 16 Sunset Trail, Avon, CT 06001 Registered Nurse 2020-07-01 ~ 2021-06-30
Coffee Trade Inc (the) 21 West Main St, Avon, CT 06001 Operator of Weighing & Measuring Devices 2020-08-01 ~ 2021-07-31
Elizabeth Stockwell 44 Applewood Lane, Avon, CT 06001 Real Estate Salesperson ~
Mollie Velma Lahaie 14 Red Mountain Lane, Avon, CT 06001 Registered Nurse 2020-06-26 ~ 2020-08-31
Meiling Chen Avon Nail 315 W Main Street, Avon, CT 06001 Nail Technician ~
Richard J Kaiser 72 Westland Road, Avon, CT 06001 Architect 2020-08-01 ~ 2021-07-31
Michele L Sweitzer 12 Bluestone Lane, Avon, CT 06001 Real Estate Salesperson 2020-06-25 ~ 2021-05-31
Caroline O Amin 5 Colby Way, Avon, CT 06001 Physician/surgeon 2020-08-01 ~ 2021-07-31
Christine Burns 102 New Road, Avon, CT 06001 Registered Nurse 2020-08-01 ~ 2021-07-31
Find all Licenses in zip 06001

Competitor

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City AVON
Zip Code 06001
License Type Physician/Surgeon
License Type + County Physician/Surgeon + AVON

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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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