ANATOL PETRUSCHOW (Credential# 539476) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 16, 1996. The license expiration date date is October 31, 1997. The license status is INACTIVE.
ANATOL PETRUSCHOW is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.009588. The credential type is physician/surgeon. The effective date is August 16, 1996. The expiration date is October 31, 1997. The business address is 21 West St, Newtown, CT 06470. The current status is inactive.
| Licensee Name | ANATOL PETRUSCHOW |
| Credential ID | 539476 |
| Credential Number | 1.009588 |
| Credential Type | Physician/Surgeon |
| Business Address |
21 West St Newtown CT 06470 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1959-08-27 |
| Effective Date | 1996-08-16 |
| Expiration Date | 1997-10-31 |
| Refresh Date | 2009-07-08 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 148696 | CSP.0007703 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1996-01-17 - 1997-02-28 | INACTIVE |
| Street Address | 21 WEST ST |
| City | NEWTOWN |
| State | CT |
| Zip Code | 06470 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Donna M Bowe Ms | 21 West St, Newtown, CT 06470-2059 | Registered Nurse | 2016-01-01 ~ 2016-12-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kenneth J Tardie | 13 Lazybrook Rd, Newtown, CT 06470 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Peter Nagy | 21 Scudder Rd, Newtown, CT 06470 | Sub-surface Sewage Installer | 2020-07-01 ~ 2021-06-30 |
| Cheryl R Schwartz · Nisenbaum | 8 Old Gate Lane, Newtown, CT 06470 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Isabel Da Rocha | 143 Hanover Road, Newtown, CT 06470 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Courtney M Parker | 153 Boggs Hill Rd, Newtown, CT 06470 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Ryan S Doss | 12 Hundred Acres Rd, Newtown, CT 06470 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Michael B Manes | 21 Aunt Park Ln, Newtown, CT 06470 | Architect | 2020-08-01 ~ 2021-07-31 |
| Real Food Share, Inc. · Real Food Share, Inc. Real Food Share | 11 Orchard Hill Rd, Newtown, CT 06470 | Public Charity | 2020-06-25 ~ 2021-11-30 |
| My Place Pizzeria | 8 Queen St, Newtown, CT 06470 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Kiera Elizabeth Elkow | 3 Fox Run Lane, Newtown, CT 06470 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06470 | |||
| City | NEWTOWN |
| Zip Code | 06470 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEWTOWN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Anatol Dudzicz | 705 41st Street, Apt. 2, Brooklyn, NY 11232 | Asbestos Abatement Worker | 2004-09-17 ~ 2005-09-30 |
| Anatol Pszonak | 465 East 7th Street, Apt. 6r, Brooklyn, NY 11218 | Asbestos Abatement Supervisor | 2009-07-16 ~ 2010-07-31 |
| Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
| John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
| Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Nazanin Barzideh Md | North Shore Retina Physician, Pllc, East Hills, NY 11576 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
Please comment or provide details below to improve the information on ANATOL PETRUSCHOW.
| 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).