IGOR B ROZENVALD (Credential# 564942) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2020. The license expiration date date is December 31, 2020. The license status is ACTIVE.
IGOR B ROZENVALD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.047360. The credential type is physician/surgeon. The effective date is January 1, 2020. The expiration date is December 31, 2020. The business address is 1 Austin Kelly Ln, Southborough, MA 01772. The current status is active.
| Licensee Name | IGOR B ROZENVALD |
| Credential ID | 564942 |
| Credential Number | 1.047360 |
| Credential Type | Physician/Surgeon |
| Business Address |
1 Austin Kelly Ln Southborough MA 01772 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2009-02-11 |
| Effective Date | 2020-01-01 |
| Expiration Date | 2020-12-31 |
| Refresh Date | 2019-10-20 |
| Street Address | 1 Austin Kelly Ln |
| City | Southborough |
| State | MA |
| Zip Code | 01772 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Simon J Butler | 10 Presidential Drive, Southborough, MA 01772 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Gtxcel, Inc. | 144 Turnpike Road, Suite 140, Southborough, MA 01772 | Securities - Exemptions | 2020-03-26 ~ |
| Deborah Demuria | 58 Flagg Road, Southborough, MA 01772 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Shelby Butwell | 841 Madison Place, Southborough, MA 01772 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Stephanie Piandes | 9 Breakneck Hill Rd, Southborough, MA 01772 | Occupational Therapist | 2019-12-13 ~ 2021-07-31 |
| Brian Edward Shea | 17 Pinecone Ln, Southboro, MA 01772 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Julie A Talbot | 25 E Main St, Southborough, MA 01772 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Richard E. Fournier, Jr. | 33 Darlene Drive, Southboro, MA 01772 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
| Haita Makanji | 9 Kidder Lane, Southborough, MA 01772 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Chad M Farrell Jr | 154 Turnpike Road, Southborough, MA 01772 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Find all Licenses in zip 01772 | |||
| City | Southborough |
| Zip Code | 01772 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Southborough |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Igor Shorman | 530 2nd St Apt C3, Brooklyn, NY 11215-2643 | Physician/surgeon | ~ |
| Igor Mitreski | 10 Ivy Ln, Wallington, NJ 07057-2107 | Physician/surgeon | ~ |
| Igor M Yampolsky Md | 269 W 261 St, Riverdale, NY 10471 | Physician/surgeon | 2004-04-19 ~ 2005-06-30 |
| Igor Latich | 17 Manor Rd, Old Greenwich, CT 06870 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Igor Yukelis | 58 Elm Avenue, Larchmont, NY 10538 | Physician/surgeon | 2000-05-03 ~ 2001-06-30 |
| Igor Kopelman | 137 East 36th St, New York, NY 10016 | Physician/surgeon | 1999-06-22 ~ 2000-08-31 |
| Igor Kravets Md | 2218 Young Ave, Bronx, NY 10469 | Physician/surgeon | 2005-10-25 ~ 2006-11-30 |
| Igor Kirzhner | 2512 E. 64th Street, Brooklyn, NY 11234 | Physician/surgeon | 2012-01-01 ~ 2012-12-31 |
| Igor Begovic | 5006 Sergeant Rd # 413, Sioux City, IA 51106-4708 | Physician/surgeon | 2017-11-01 ~ 2018-10-31 |
| Igor V Samegulin | 70 West Ridge Dr., West Hartford, CT 06117 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Please comment or provide details below to improve the information on IGOR B ROZENVALD.
| 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).