MIKHAIL KOSIBOROD MD (Credential# 556311) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 8, 2005. The license expiration date date is March 31, 2006. The license status is INACTIVE.
MIKHAIL KOSIBOROD MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.038723. The credential type is physician/surgeon. The effective date is February 8, 2005. The expiration date is March 31, 2006. The business address is 279 Woodhouse Ave, Wallingford, CT 06492. The current status is inactive.
| Licensee Name | MIKHAIL KOSIBOROD MD |
| Credential ID | 556311 |
| Credential Number | 1.038723 |
| Credential Type | Physician/Surgeon |
| Business Address |
279 Woodhouse Ave Wallingford CT 06492 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2000-06-14 |
| Effective Date | 2005-02-08 |
| Expiration Date | 2006-03-31 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 381368 | CSP.0036354 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-08-30 | 2005-03-01 - 2006-02-28 | INACTIVE |
| Street Address | 279 WOODHOUSE AVE |
| City | WALLINGFORD |
| State | CT |
| Zip Code | 06492 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrea Zola | 53 Alison Ave., Wallingford, CT 06492 | Esthetician | ~ |
| Kyungok Choi | 90 Ward St, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Giang Nguyen | 45 Country Club Lane, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-11-30 |
| Lc Artistry | 207 North Colony Road, Wallingford, CT 06492 | Esthetician | ~ |
| Katie Lee | 20 Angela Dr, Wallingford, CT 06492 | Paramedic | 2020-09-01 ~ 2021-08-31 |
| Vinny's Deli | 567 Center St, Wallingford, CT 06492 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Michele Ruggiero | 26 Leigus Road, Wallingford, CT 06492 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Dianna K Ball | 104 Simpson Ave, Wallingford, CT 06492 | Speech and Language Pathologist | 2020-08-01 ~ 2021-07-31 |
| Ann Marie Richardson | 20 Mohawk Drive, Wallingford, CT 06492 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Joann Hummel | 60 Deer Run Road, Wallingford, CT 06492 | Medication Administration Certification | 2018-08-21 ~ 2020-08-20 |
| Find all Licenses in zip 06492 | |||
| City | WALLINGFORD |
| Zip Code | 06492 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WALLINGFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Peter B Mikhail | 199 Oak St, Pembroke, MA 02359 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Ashraf Mikhail | 20 Fern Dr, Roslyn, NY 11576-2202 | Physician/surgeon | 2014-02-25 ~ 2014-11-30 |
| Afaf R Mikhail | 726 Demott Ct, Westbury, NY 11590 | Physician/surgeon | 1994-05-02 ~ 1995-02-28 |
| Mikhail Yakubov | 275 Battery Street, San Francisco, CA 94111 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Maha B Mikhail | 489 Mallard Creek Road, Louisville, KY 40207 | Physician/surgeon | 2014-12-01 ~ 2015-11-30 |
| Mikhail S Novikov | 10 Thaddeus Mason Road, Northborough, MA 01532 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Lyree N Mikhail | 3200 Cold Spring Rd, Indianapolis, IN 46222-1960 | Physician/surgeon | 2019-05-01 ~ 2020-04-30 |
| Mikhail Magid Md | 12 North Seir Hill Road, Norwalk, CT 06850 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Mikhail Amoashiy | 256 Floral Park Way, Floral Park, NY 11001 | Physician/surgeon | 1997-10-27 ~ 1998-12-31 |
| Mikhail | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2017-10-06 ~ 2020-10-05 |
Please comment or provide details below to improve the information on MIKHAIL KOSIBOROD 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).