ALEXANDRA LUKIANOFF (Credential# 1241549) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
ALEXANDRA LUKIANOFF is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.053578. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 221 Trumbull St Apt 3401, Hartford, CT 06103-1539. The current status is active.
| Licensee Name | ALEXANDRA LUKIANOFF |
| Credential ID | 1241549 |
| Credential Number | 1.053578 |
| Credential Type | Physician/Surgeon |
| Business Address |
221 Trumbull St Apt 3401 Hartford CT 06103-1539 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2014-10-08 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-03-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 508357 | CSP.0043840 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2008-07-18 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 567500 | 10.063490 | Registered Nurse | 2000-05-10 | 2006-04-05 - 2007-03-31 | INACTIVE |
| Street Address | 221 TRUMBULL ST APT 3401 |
| City | HARTFORD |
| State | CT |
| Zip Code | 06103-1539 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michelle K Gillette | 221 Trumbull St Apt 3303, Hartford, CT 06103-1539 | Pharmacy Intern | 2016-08-24 ~ 2019-09-30 |
| Satya S Polavarapu Md | 221 Trumbull St Apt 3305, Hartford, CT 06103-1539 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Alison L Fisher | 221 Trumbull St Apt 3203, Hartford, CT 06103-1539 | Pharmacy Intern | 2013-09-04 ~ 2016-09-30 |
| Lourdes Castanon | 221 Trumbull St Apt 3202, Hartford, CT 06103-1539 | Physician/surgeon | 2013-02-01 ~ 2014-01-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sutherland Pinot Noir | Connecicut Brand Registration, Hartford, CT 06103 | Liquor Brand Label | 2020-09-01 ~ 2023-08-30 |
| Subway of Union Station Hartford | 1 Union Pl, Hartford, CT 06103 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Subway of Main St | 493 Main St, Hartford, CT 06103 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Subway of Downtown Hartford | 65 Asylum St, Hartford, CT 06103 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Alba Lucia Correa Ortiz | 427 Church St, Hartford, CT 06103 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jeffrey L Cohen | One State St., Hartford, CT 06103 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Thomas Kim | 111 Pearl Street #515, Hartford, CT 06103 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
| Christina Dorry | 915 Main St Apt 602, Hartford, CT 06103 | Barber | 2020-09-01 ~ 2022-08-31 |
| 360 Mango Flavored Vodka | Connecticut Brand Reigstration, Hartford, CT 06103 | Liquor Brand Label | 2020-08-02 ~ 2023-07-31 |
| Margarita Toro · Bashners Market | 1293 Main St, Hartford, CT 06103 | Package Store Liquor | 2020-07-26 ~ 2021-07-25 |
| Find all Licenses in zip 06103 | |||
| City | HARTFORD |
| Zip Code | 06103 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + HARTFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alexandra Harris | 79 Cottage Rd, Enfield, CT 06082-2206 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Alexandra Yu-yin Haw | 23 Texaco Ave Apt 201, Port Jefferson, NY 11777-2243 | Physician/surgeon | 2020-05-01 ~ 2021-05-31 |
| Alexandra Catherine Sowa | 308 E 38th St Ste 200, New York, NY 10016-9825 | Physician/surgeon | 2020-05-01 ~ 2021-05-31 |
| Alexandra E Kejner | 2323 Race St., Philadelphia, PA 19103 | Physician/surgeon | 2016-12-01 ~ 2017-11-30 |
| Alexandra Jimenez | 405 Promenade Street, Providence, RI 02908 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Alexandra Vadasz Md | 3850 Webber St, Sarasota, FL 34232 | Physician/surgeon | 2010-09-01 ~ 2011-08-31 |
| Alexandra Bannach | 11 Sharon Ave, East Setauket, NY 11733 | Physician/surgeon | 2003-08-26 ~ 2004-05-31 |
| Alexandra A Maclean | 7 North Calvert Street, Baltimore, MD 21202 | Physician/surgeon | 2006-01-03 ~ 2007-01-31 |
| Alexandra S Cutler | 200 East 89th Street, # 44n, New York, NY 10128 | Physician/surgeon | 2008-07-25 ~ 2009-02-28 |
| Alexandra Berger | 3720 College Park Dr Apt 6107, Conroe, TX 77384-4841 | Physician/surgeon | 2015-08-27 ~ 2016-07-31 |
Please comment or provide details below to improve the information on ALEXANDRA LUKIANOFF.
| 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).