DENIS G PRIVALOV
Physician/surgeon


Address: 623 Madison Street, Emporia, VA 23847

DENIS G PRIVALOV (Credential# 563593) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 19, 2007. The license expiration date date is September 30, 2008. The license status is INACTIVE.

Business Overview

DENIS G PRIVALOV is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.046011. The credential type is physician/surgeon. The effective date is November 19, 2007. The expiration date is September 30, 2008. The business address is 623 Madison Street, Emporia, VA 23847. The current status is inactive.

Basic Information

Licensee Name DENIS G PRIVALOV
Credential ID 563593
Credential Number 1.046011
Credential Type Physician/Surgeon
Business Address 623 Madison Street
Emporia
VA 23847
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2007-11-19
Effective Date 2007-11-19
Expiration Date 2008-09-30
Refresh Date 2009-07-08

Office Location

Street Address 623 Madison Street
City Emporia
State VA
Zip Code 23847

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Kathy M Menold Rd3 Box 107k, Keysville, VA 23847 Licensed Practical Nurse 1995-01-06 ~ 1995-12-31
Hermie and Elliott Sadler Foundation Inc. 517 N Main St, Emporia, VA 23847-1235 Public Charity 2012-06-01 ~ 2013-05-31
Michael S Grillon 401 Cifers Lane, Emporia, VA 23847-2833 Physician/surgeon 2001-08-02 ~ 2002-04-30

Licenses in the same city

Licensee Name Office Address Credential Effective / Expiration
Hostess Brands 1525 Industrial Rd, Emporia, KS 66801-6219 Bakery 2020-07-01 ~ 2021-06-30
Oluwatomisin Fletcher 1726 Old Manor Drive, Emporia, TX 66801 Registered Nurse ~
Dolly Madison 1525 Industrial Rd, Emporia, KS 66801 Bakery 2012-07-01 ~ 2013-06-30

Competitor

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City Emporia
Zip Code 23847
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Emporia

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Dataset Information

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).

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