MARIAM AVETISOVA (Credential# 2053304) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license status is PENDING.
MARIAM AVETISOVA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1. The credential type is physician/surgeon. The business address is 321 Hayden St Apt D, Sayre, PA 18840-1623. The current status is pending.
| Licensee Name | MARIAM AVETISOVA |
| Credential ID | 2053304 |
| Credential Number | 1 |
| Credential Type | Physician/Surgeon |
| Business Address |
321 Hayden St Apt D Sayre PA 18840-1623 |
| Business Type | INDIVIDUAL |
| Status | PENDING - PENDING |
| Refresh Date | 2020-06-09 |
| Street Address | 321 HAYDEN ST APT D |
| City | SAYRE |
| State | PA |
| Zip Code | 18840-1623 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Giorgi Kveladze | 321 Hayden St Apt D, Sayre, PA 18840-1623 | Controlled Substance Registration for Practitioner | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Megan Strait | 308 Harrison St, Sayre, PA 18840 | Registered Nurse | 2020-05-04 ~ 2021-05-31 |
| Linda B Lubell | 44 Laurel Lane, Sayre, PA 18840 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Katherine Emily Swift | 108 N. Wilbur Ave., Sayre, PA 18840 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
| Stroehmann Bakeries Inc | 901 North Elmer Avenue, Sayre, PA 18840 | Bakery | 2009-07-01 ~ 2010-06-30 |
| Brian F Mayall | 416 Queen Esther Drive, Sayre, PA 18840 | Professional Engineer | 2006-02-01 ~ 2007-01-31 |
| James R Fine | 194 Lambert St, Sayre, PA 18840 | Physician/surgeon | 1994-11-14 ~ 1995-11-30 |
| Judi A Soloway · Yerabek | 317 Chemung St, Sayre, PA 18840 | Licensed Practical Nurse | 2007-05-03 ~ 2008-01-31 |
| Jagdish R Kalkunte | Box 75 B R D 1, Sayre, PA 18840 | Physician/surgeon | 1993-01-25 ~ 1994-01-31 |
| Manjula Kumar | 913 W. Lockhart St, Sayre, PA 18840 | Physician/surgeon | 1996-12-19 ~ 1997-10-31 |
| Alice A Dunham | Rd 2 Stover's Acres, Sayre, PA 18840 | Registered Nurse | 1992-05-27 ~ 1993-02-28 |
| Find all Licenses in zip 18840 | |||
| City | SAYRE |
| Zip Code | 18840 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + SAYRE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ankur Gupta | 10835 Mariam Ln, Dayton, OH 45458 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Mariam Farhan | 76 Tyler Hill Rd, Naugatuck, CT 06770-3193 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Ghousia Mariam Alikhan | 100 Barron Circle, Somerset, NJ 08873 | Physician/surgeon | 2017-09-08 ~ 2018-02-28 |
| Mariam Sofia Aboian | 3 Marion Lane, Woodbridge, CT 06525 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Mariam Hasan | 15891 Los Gatos Almaden Rd, Los Gatos, CA 95032 | Physician/surgeon | ~ |
| Mariam Tsikvadze | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2018-06-28 ~ 2018-07-27 |
| Mariam Tsikvadze | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2018-06-28 ~ 2022-06-30 |
| Mariam Khan | 235 E 46th St Apt 4j, New York, NY 10017-2920 | Dentist | 2019-09-11 ~ 2020-07-31 |
| Mariam Hanna | 653 Laurel Ave, Holmdel, NJ 07733-1003 | Pharmacist | 2014-02-01 ~ 2016-01-31 |
| Mariam Aviles | 102 Charles St, Waterbury, CT 06708-4237 | Pharmacy Technician | 2010-04-01 ~ 2011-03-31 |
Please comment or provide details below to improve the information on MARIAM AVETISOVA.
| 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).