PHILLIP ALEXANDROVICH ULYANOVSKIY (Credential# 1495904) 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.
PHILLIP ALEXANDROVICH ULYANOVSKIY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.060373. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 98 Churchill Drive, Newington, CT 06111. The current status is active.
| Licensee Name | PHILLIP ALEXANDROVICH ULYANOVSKIY |
| Credential ID | 1495904 |
| Credential Number | 1.060373 |
| Credential Type | Physician/Surgeon |
| Business Address |
98 Churchill Drive Newington CT 06111 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-04-17 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-01-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1509494 | CSP.0067870 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-04-26 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 98 Churchill Drive |
| City | Newington |
| State | CT |
| Zip Code | 06111 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Claire Knapple | 98 Churchill Drive, Newington, CT 06111 | Notary Public Appointment | 1992-04-01 ~ 1997-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Anastasya Anisimova | 114 Fox Run Court, Newington, CT 06111 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Karen S Cleaveland | 52 Amidon Ave, Newington, CT 06111 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Leeann R Johnson | 17 Cinnamon Rd, Newington, CT 06111 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Isma Mian | 65 Cortland Way, Newington, CT 06111 | Physician/surgeon | ~ |
| Danielle Rocha | 1582 Willard Ave, Newington, CT 06111 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
| Munson's Chocolates | 3157 Berlin Tpke, Newington, CT 06111 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Shandea Edwards | 21 Hartford Ave #14, Newington, CT 06111 | Medication Administration Certification | ~ |
| Hengchao Xiong | 47 Adam Dr, Newington, CT 06111 | Nail Technician | ~ |
| Tuyen Le Phan | 71 Lantern Hill, Newington, CT 06111 | Nail Technician | ~ |
| Smita Parth Dave | 192 Brookside Rd, Newington, CT 06111 | Esthetician | ~ |
| Find all Licenses in zip 06111 | |||
| City | Newington |
| Zip Code | 06111 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Newington |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Phillip F Pierce Jr | 3 Fox Den Way, Woodbridge, CT 06525 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Phillip I Menasche | 19 Truman St, Norwalk, CT 06850-3641 | Physician/surgeon | ~ 1986-04-30 |
| Martin Phillip Kasofsky | Po Box 466, Stanfordville, NY 12581-0466 | Physician/surgeon | 1990-09-28 ~ 1992-02-29 |
| Phillip E Trowbridge | 10 Upper Heatherwood, Cromwell, CT 06416 | Physician/surgeon | 2006-10-23 ~ 2007-10-31 |
| Phillip P Smith | 5 Willow Lane, Farmington, CT 06032 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Phillip H Kuo | 2225 E Hampton Street, Tucson, AZ 85719 | Physician/surgeon | 2009-10-01 ~ 2010-09-30 |
| Phillip S Kick | 3640 Main St Ste 103, Springfield, MA 01107-1139 | Physician/surgeon | 2016-04-01 ~ 2017-03-31 |
| Phillip M Boiselle | 28 Temple Court, New Haven, CT 06511 | Physician/surgeon | 1994-03-07 ~ 1995-01-31 |
| Phillip Y Roland Md | 22 Arrowwood Lane, Bloomfield, CT 06002 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Phillip P Luchini | 1481 Chapel St, New Haven, CT 06511 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Please comment or provide details below to improve the information on PHILLIP ALEXANDROVICH ULYANOVSKIY.
| 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).