MAXINE S ASNIS MD (Credential# 547624) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 2, 2002. The license expiration date date is December 31, 2003. The license status is INACTIVE.
MAXINE S ASNIS MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.029168. The credential type is physician/surgeon. The effective date is December 2, 2002. The expiration date is December 31, 2003. The business address is 6456 Highway 61, Silver Bay, MN 55614. The current status is inactive.
| Licensee Name | MAXINE S ASNIS MD |
| Credential ID | 547624 |
| Credential Number | 1.029168 |
| Credential Type | Physician/Surgeon |
| Business Address |
6456 Highway 61 Silver Bay MN 55614 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1988-07-01 |
| Effective Date | 2002-12-02 |
| Expiration Date | 2003-12-31 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 156171 | CSP.0016389 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | - | INACTIVE |
| Street Address | 6456 HIGHWAY 61 |
| City | SILVER BAY |
| State | MN |
| Zip Code | 55614 |
| City | SILVER BAY |
| Zip Code | 55614 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + SILVER BAY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gregory M Asnis | 16 Green Meadow Rd, Pleasantville, NY 10570 | Physician/surgeon | 1993-11-30 ~ 1994-10-31 |
| Maria Cecilia C Asnis | 292 Long Ridge Rd Ste 206, Stamford, CT 06902-1627 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Aviva G Asnis-alibozek | 12 Ferry La., Simsbury, CT 06070 | Physician Assistant | 2019-12-01 ~ 2020-11-30 |
| Carl D Bomar | 232 Maxine Road, Bristol, CT 06010 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Maxine J Klein Md | 14 Essex Glen Dr Unit 11, Essex, CT 06426-1576 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Maxine L Pomerenke | 57 Maxine Road, Plainville, CT 06062 | Notary Public Appointment | 2014-04-01 ~ 2019-04-30 |
| Maxine Mcintyre | 65 Indian Well Road, Shelton, CT 06484 | Public Charity-exempt From Financial Requirements | ~ |
| Scott G Asnis | 3333 New Hyde Park Rd Ste 414, New Hyde Park, NY 11042-1224 | Dentist | 2020-02-01 ~ 2021-01-31 |
| Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
| Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Please comment or provide details below to improve the information on MAXINE S ASNIS MD.
| 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).