SERGEY MOLDAVSKIY (Credential# 1326587) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is INACTIVE.
SERGEY MOLDAVSKIY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0061896. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 42 Bevier St, Springfield, MA 01107-1317. The current status is inactive.
Licensee Name | SERGEY MOLDAVSKIY |
Credential ID | 1326587 |
Credential Number | CSP.0061896 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
42 Bevier St Springfield MA 01107-1317 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LACK OF ACTIVE MEDICAL LICENSE |
Issue Date | 2015-12-29 |
Effective Date | 2019-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2020-04-24 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1323167 | 1.054827 | Physician/Surgeon | 2015-12-23 | 2018-09-01 - 2019-08-31 | INACTIVE |
Street Address | 42 BEVIER ST |
City | SPRINGFIELD |
State | MA |
Zip Code | 01107-1317 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Lauren Elizabeth Marshall | 945 Armory St, Springfield, MA 01107 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
Jennifer L Fish | 367 Union Street, Springfield, MA 01107 | Hairdresser/cosmetician | ~ |
Joseph Pagan | 59 Rowland Street, Springfield, MA 01107 | Medication Administration Certification | 2020-04-20 ~ 2022-04-19 |
Daniel Laguerre | 382 Springfield St, Springfield, MA 01107 | Crane Operator | ~ |
Kamal Kant Kalia | 2 Medical Center Drive, Springfield, MA 01107 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Bushee Enterprises LLC | Po Box 1196, Southwick, MA 01107 | Home Improvement Contractor | 2015-12-01 ~ 2016-11-30 |
B Lopez | 165 Prospect Street, Springfield, MA 01107 | Notary Public Appointment | 2011-10-01 ~ 2016-09-30 |
Beth C Mcinerny | 260 Ware Road, Belchertown, MA 01107 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
Jorge Enrique Rivera | 20 Narragansett Street, Springfield, MA 01107 | Professional Counselor | 2019-10-01 ~ 2020-09-30 |
Rachael Hynds-decoteau | 22 Candice Cir, Springfield, MA 01107 | Controlled Substance Registration for Practitioner | 2019-09-19 ~ 2021-02-28 |
Find all Licenses in zip 01107 |
City | SPRINGFIELD |
Zip Code | 01107 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SPRINGFIELD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Sergey Mahtesyan | 132 Walnut St, Watertown, MA 02472-4028 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Sergey I Zhadanov | 325 Pine St Apt 2m, Philadelphia, PA 19106-4228 | Controlled Substance Registration for Practitioner | 2009-06-16 ~ 2011-02-28 |
Sergey Zasypayko | 14 Business Park Drive, Branford, CT 06405 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Sergey Zhitnikov Md | 83 Beacon Hill Terrace, Shelton, CT 06484 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Sergey Restoration Company LLC | 7 Elmcroft Rd, Stamford, CT 06902-6907 | Home Improvement Contractor | 2012-12-01 ~ 2013-11-30 |
Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
Qi Che Md | Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
Arundati Rao | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Min Jin Kim | 639 4th Ave Apt 5c, Brooklyn, NY 11232-1048 | Controlled Substance Registration for Practitioner | 2012-05-10 ~ 2013-02-28 |
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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).