DMITRY BOLKHOVETS (Credential# 560479) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
DMITRY BOLKHOVETS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.042897. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 11995 Singletree Ln, Eden Prairie, MN 55344. The current status is active.
Licensee Name | DMITRY BOLKHOVETS |
Credential ID | 560479 |
Credential Number | 1.042897 |
Credential Type | Physician/Surgeon |
Business Address |
11995 Singletree Ln Eden Prairie MN 55344 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2004-10-26 |
Effective Date | 2020-05-01 |
Expiration Date | 2021-04-30 |
Refresh Date | 2020-04-14 |
Street Address | 11995 Singletree Ln |
City | Eden Prairie |
State | MN |
Zip Code | 55344 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Kavita Garg | 11995 Singletree Ln, Eden Prairie, MN 55344 | Physician/surgeon | 2019-02-01 ~ 2020-01-31 |
Clarence Coolidge Coleman | 11995 Singletree Ln, Eden Prairie, MN 55344 | Physician/surgeon | 2018-10-01 ~ 2019-09-30 |
Eduard Michel | 11995 Singletree Ln, Eden Prairie, MN 55344-5349 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
Richard S Chang | 11995 Singletree Ln, Eden Prairie, MN 55344-5349 | Physician/surgeon | 2010-03-01 ~ 2011-02-28 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Donald T Nicell | 11995 Singletree Lane, Eden Prairie, MN 55344 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Neuroone Medical Technologies Corp | 7599 Anagram Dr, Eden Prairie, MN 55344 | Securities - Exemptions | 2020-05-15 ~ |
Robert Edward Stone | 11995 Singletree Lane, Ste 500, Eden Prairie, MN 55344 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Daniel James Tangert | 6400 Fallbrook Rd., Eden Prairie, MN 55344 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
Zinpro | 104000 Vikings Drive, Suite 240, Eden Prairie, MN 55344 | Commercial Feed | 2020-03-05 ~ 2020-12-31 |
Michael Wallace Sentome | 11995 Singletree Lane, Suite 500, Eden Prairie, MN 55344 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Stephanie Denise Johnson | 8423 Cortland Rd, Eden Prairie, MN 55344 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Ashley Nicole Ingram | 11000 Optum Circle, Eden Prairie, MN 55344 | Registered Nurse | 2020-01-16 ~ 2020-08-31 |
Colleen M Steven | 13900 Chestnut Drive # 208, Eden Prarie, MN 55344 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
Rebecca Dipofi Rogers | 13625 Technology Dr, Eden Prairie, MN 55344 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
Find all Licenses in zip 55344 |
City | Eden Prairie |
Zip Code | 55344 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + Eden Prairie |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Dmitry Kozhevnikov | 20 York St, New Haven, CT 06510-3220 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Dmitry Olshansky | 5 E 98th St Ste 1, New York, NY 10029-6501 | Physician/surgeon | 2020-06-24 ~ 2020-09-30 |
Dmitry Rakita Md | 113 Elm Street, Enfield, CT 06082 | Physician/surgeon | 2017-09-01 ~ 2018-08-31 |
Dmitry Gerber | 1084 N Broadway, Yonkers, NY 10701-1303 | Physician/surgeon | 2010-12-15 ~ 2013-06-30 |
Dmitry Malikov | 150 Brandy St, Bolton, CT 06043-7836 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
Dmitry Kucher | 24 Hoyt Street, Stamford, CT 06902 | Dentist | 2005-09-01 ~ 2006-09-30 |
Dmitry Peysakhov | 54 Republic Drive, Apt 211, Bloomfield, CT 06002 | Dentist | 2009-01-22 ~ 2010-01-31 |
Dmitry Roytman | 7370 Hawthorn Ave. Apt. 205, Los Angeles, CA 90046 | Optician | 2019-09-01 ~ 2020-08-31 |
Dmitry Gluzman | 62-23 Alderton St, Rego Park, NY 11374 | Pharmacist | ~ |
Dmitry Gorbatov | 2018 Voorhies Ave, Brooklyn, NY 11235 | Dentist | 2001-04-25 ~ 2002-02-28 |
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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).