ROMAN KHODZINSKY (Credential# 560236) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
ROMAN KHODZINSKY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.042654. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 37 Sara Circle, North Haven, CT 06473. The current status is active.
| Licensee Name | ROMAN KHODZINSKY |
| Credential ID | 560236 |
| Credential Number | 1.042654 |
| Credential Type | Physician/Surgeon |
| Business Address |
37 Sara Circle North Haven CT 06473 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2004-07-14 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-24 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 428403 | CSP.0038789 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-02-07 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 378512 | CSP.0035620 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-08-09 | 2005-03-01 - 2006-02-28 | INACTIVE |
| Street Address | 37 SARA CIRCLE |
| City | NORTH HAVEN |
| State | CT |
| Zip Code | 06473 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Renee A Rollier | 90 Fallon Drive, North Haven, CT 06473 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Carly J Brueggestrat Aprn | 191 Cloudland Rd, North Haven, CT 06473 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Heesuk Hyun | 769 Middletown Ave, North Haven, CT 06473 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Jacqueline N Sancho | 9 Corey Rd, North Haven, CT 06473 | Physical Therapist Assistant | 2020-08-01 ~ 2021-07-31 |
| Irene L Smith | 35 Debra Lane, North Haven, CT 06473 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Jane S Jane | 380 Skiff Street, North Haven, CT 06473 | Psychologist | 2020-09-01 ~ 2021-08-31 |
| Shana Kathleen Lipp | [email protected], North Haven, CT 06473 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Haifeng Piao | 201 Universal Drive, North Haven, CT 06473 | Nail Technician | ~ |
| Xuefan Piao | 32 Lexington Gardens, North Haven, CT 06473 | Nail Technician | ~ |
| Zachary A Cuzzocreo | 45 Thorpe Street, North Haven, CT 06473 | Real Estate Salesperson | 2020-06-20 ~ 2021-05-31 |
| Find all Licenses in zip 06473 | |||
| City | NORTH HAVEN |
| Zip Code | 06473 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NORTH HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Roman A Klufas | 50 Galen Ct., Seekonk, MA 02771 | Physician/surgeon | ~ |
| Roman W. Matlaga | 15 Bodine Ln, Honesdale, PA 18431-4047 | Physician/surgeon | 2012-01-12 ~ 2012-08-31 |
| Roman Chrucky | 5 Old Mill Rd, Trumbull, CT 06611 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Tina Roman | 520 Saybrook Rd Ste 250, Middletown, CT 06457-4700 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Roman Alder Md | 4 Main St, New Milford, CT 06776-2802 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Roman A Tuma | 150 Everit Street, New Haven, CT 06511 | Physician/surgeon | 2000-02-11 ~ 2001-01-31 |
| Sanziana A Roman Md | 333 Cedar Street, New Haven, CT 06520-8062 | Physician/surgeon | 2012-07-01 ~ 2013-06-30 |
| Antonio Regino Roman | 1975 Delaware Ave, Buffalo, NY 14216-3569 | Physician/surgeon | 1988-07-08 ~ 1989-01-31 |
| Roman T Pachulski | 4630 Center Blvd Apt 1104, Long Island City, NY 11109-5731 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Samuel Roman · Roman Construction | 64 Steven St, New Haven, CT 06519 | Home Improvement Contractor | 1999-01-25 ~ 1999-11-30 |
Please comment or provide details below to improve the information on ROMAN KHODZINSKY.
| 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).