BORIS MAYZLER (Credential# 556570) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2020. The license expiration date date is July 31, 2021. The license status is ACTIVE.
BORIS MAYZLER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.038982-DO. The credential type is physician/surgeon. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is 70 Mill River Street, Stamford, CT 06902. The current status is active.
| Licensee Name | BORIS MAYZLER |
| Credential ID | 556570 |
| Credential Number | 1.038982-DO |
| Credential Type | Physician/Surgeon |
| Credential SubCategory | DO |
| Business Address |
70 Mill River Street Stamford CT 06902 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - PRIOR DISCIPLINE |
| Active | 1 |
| Issue Date | 2000-08-29 |
| Effective Date | 2020-08-01 |
| Expiration Date | 2021-07-31 |
| Refresh Date | 2020-06-17 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 240776 | CSP.0030112 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2000-09-26 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 70 Mill River Street |
| City | Stamford |
| State | CT |
| Zip Code | 06902 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joan T Gewirtz | 70 Mill River Street, Stamford, CT 06902 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Peter Laforte Md | 70 Mill River Street, Stamford, CT 06962 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Hitchcock Munson Opticians | 70 Mill River Street, Stamford, CT 06902 | Optical Selling Permit | 2010-09-01 ~ 2011-08-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jeris Maydeli Flores | 153 Fairfield Av, Stamford, CT 06902 | Nail Technician | ~ |
| Reynaldo De La Cruz | 64 Brookside Drive, Stamford, CT 06902 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Darren J Petillo | 5 Hundley Court, Stamford, CT 06902 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Antonios Restaurant | 405 West Main St, Stamford, CT 06902 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Edward Smith | 184 Fairfield Ave., Stamford, CT 06902 | Home Improvement Contractor | ~ |
| Margaret A Dorrance | 24c Hamilton Court, Stamford, CT 06902 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Carolyn Maguire | 48 Nelson St, Stamford, CT 06902 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Evelyne Joassin | 17 George St., Stamford, CT 06902 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Andrea Bynoe | 34 Melrose Pl, Stamford, CT 06902 | Notary Public Appointment | 1994-04-06 ~ 1999-04-30 |
| Ravi K Ahuja | 296 Westover Rd, Stamford, CT 06902 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06902 | |||
| City | Stamford |
| Zip Code | 06902 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Stamford |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Boris Goralnik | 2661 W 2nd St Apt 5c, Brooklyn, NY 11223-6360 | Physician/surgeon | 2011-11-01 ~ 2012-10-31 |
| Boris M Astrachan | Professor Head Uic, Chicago, IL 60612 | Physician/surgeon | 1995-10-23 ~ 1996-12-31 |
| Boris Usherenko | 480 Bedford Road, Chappaqua, NY 10514 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Gayle L Boris | 300 East 75th St, New York, NY 10021 | Physician/surgeon | 2001-01-04 ~ 2002-02-28 |
| Boris Naprta | 31 A Harold Road, Farmington, CT 06032 | Physician/surgeon | ~ 1998-07-31 |
| Boris Konnikow Md | Day Kimball Hospital, Putnam, CT 06260-1868 | Physician/surgeon | 1999-01-19 ~ 2000-02-29 |
| Boris Sachakov | 3133 Brighton 7th St Apt 3i, Brooklyn, NY 11235-6506 | Physician/surgeon | 2012-11-01 ~ 2013-08-06 |
| Boris Medarov | 165 Falls Terrace, Oakville, CT 06779 | Physician/surgeon | 2008-07-22 ~ 2009-08-31 |
| Boris Krikun | 66-36 Yellowstone, Forest Hills, NY 11375 | Physician/surgeon | ~ 2000-02-29 |
| Gregory L Boris Do | Griffin Hospital / Dept of Emer Med, Derby, CT 06418 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Please comment or provide details below to improve the information on BORIS MAYZLER.
| 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).