ANNA KOULOVA (Credential# 1631931) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
ANNA KOULOVA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.062537. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 25 Rockledge Ave Apt 606, White Plains, NY 10601-1212. The current status is active.
Licensee Name | ANNA KOULOVA |
Credential ID | 1631931 |
Credential Number | 1.062537 |
Credential Type | Physician/Surgeon |
Business Address |
25 Rockledge Ave Apt 606 White Plains NY 10601-1212 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2019-04-02 |
Effective Date | 2020-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2019-12-09 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1640015 | CSP.0070493 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-04-02 | 2019-04-02 - 2021-02-28 | ACTIVE |
Street Address | 25 ROCKLEDGE AVE APT 606 |
City | WHITE PLAINS |
State | NY |
Zip Code | 10601-1212 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Philip A Fruchter | 188 E. Post Rd., White Plains, NY 10601 | Architect | 2020-08-01 ~ 2021-07-31 |
Errol A Dawkins | 44 South Broadway, White Plains, NY 10601 | Architect | 2020-08-01 ~ 2021-07-31 |
John A Imbiano | 31 Mamaroneck Avenue, White Plains, NY 10601 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
Nicole M Vadhar | 300 Matine Avenue, White Plains, NY 10601 | Respiratory Care Practitioner | 2019-01-01 ~ 2019-12-31 |
Karen S Sewitch | 40 Memorial Highway 31f, New Rochelle, NY 10601 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Marjorie M Fuscone | One Renaissance Square, White Plains, NY 10601 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Peter Jongho Na | 55 N Broadway, 3-5, White Plains, NY 10601 | Physician/surgeon | 2020-06-03 ~ 2021-05-31 |
Brooke P Coveney | 10 Franklin Avenue, White Plains, NY 10601 | Dental Hygienist | 2020-04-01 ~ 2021-03-31 |
Evelyn Figueroa | 25 Rockledge Avenue 219, White Plains, NY 10601 | Notary Public Appointment | 2015-06-01 ~ 2020-05-31 |
Ronald Preston Md | 15 North Broadway, White Plains, NY 10601 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 10601 |
City | WHITE PLAINS |
Zip Code | 10601 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + WHITE PLAINS |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Anna K Henisz | P.o.box 414, Washington, CT 06794-0414 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Anna Rae B Ong | 506 Whitney Ave Apt 3, New Haven, CT 06511-2367 | Physician/surgeon | 2010-04-01 ~ 2011-03-31 |
Anna T. Vischio | 260 W Pines Dr, Southington, CT 06489-6019 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Anna Jamrozik | 69 East Ave, Norwalk, CT 06851-4904 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Anna Eisenstein | 271 Three Mile Course, Guilford, CT 06437 | Physician/surgeon | 2020-06-17 ~ 2021-02-28 |
Anna L Holness | 609 Forest Ave, Mamaroneck, NY 10543 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
Anna N Zvereva | 24 Hospital Ave, Danbury, CT 06810 | Physician/surgeon | 1999-08-19 ~ 2000-06-30 |
Anna Aronova | 480 Bedford Rd, Chappaqua, NY 10514-1715 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
Anna Sastre | 852 Plainville Ave, Farmington, CT 06032-3185 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Anna Moniodis | 190 W Broad St, Stamford, CT 06902-3633 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
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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).