MARAT ABDULLIN (Credential# 563649) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2018. The license expiration date date is April 30, 2019. The license status is INACTIVE.
MARAT ABDULLIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.046067. The credential type is physician/surgeon. The effective date is May 1, 2018. The expiration date is April 30, 2019. The business address is 2150 Main St, Springfield, MA 01104-3566. The current status is inactive.
Licensee Name | MARAT ABDULLIN |
Credential ID | 563649 |
Credential Number | 1.046067 |
Credential Type | Physician/Surgeon |
Business Address |
2150 Main St Springfield MA 01104-3566 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2007-12-04 |
Effective Date | 2018-05-01 |
Expiration Date | 2019-04-30 |
Refresh Date | 2019-08-03 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1231235 | CSP.0057617 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-06-27 | 2017-03-01 - 2019-02-28 | LAPSED |
Street Address | 2150 MAIN ST |
City | SPRINGFIELD |
State | MA |
Zip Code | 01104-3566 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jeffrey Mulhern | 2150 Main St, Springfield, MA 01104-3566 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Jacqueline A Connor | 2150 Main St, Springfield, MA 01104-3566 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
Anthony E Poindexter | 2150 Main St, Springfield, MA 01104-3566 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Eli Mckenna-weiss | 2150 Main St, Springfield, MA 01104-3566 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Daniel L Landry | 2150 Main St, Springfield, MA 01104-3566 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Gregory L Braden | 2150 Main St, Springfield, MA 01104-3566 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Michael H O'shea | 2150 Main St, Springfield, MA 01104-3566 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Jiuming Ye Md | 2150 Main St, Springfield, MA 01104-3566 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
Arley F Diaz | 2150 Main St, Springfield, MA 01104-3566 | Physician/surgeon | 2018-03-01 ~ 2019-02-28 |
Roy Stillerman | 2150 Main St, Springfield, MA 01104 | Controlled Substance Registration for Practitioner | 2000-02-29 ~ 2001-02-28 |
Find all Licenses in the same address |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Karream J Warren | 11 Woodmont St., Springfield, MA 01104 | Barber | 2020-07-01 ~ 2022-06-30 |
Gia Fenty | 22 Glenhorn St, Springfield, MA 01104 | Medication Administration Certification | 2020-06-10 ~ 2022-06-09 |
Palmer Paving Corp | 1000 Page Blvd, Springfield, MA 01104 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Jamie L Kiniry | 21 Victoria Street, Springfield, MA 01104 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
David Joel Munoz | 1116 Stockman St, Springfield, MA 01104 | Barber | ~ |
Nicole A Flamand | 1721 Carew St, Springfield, MA 01104 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Pathy Lee | 68 Cornwall Street, Springfield, MA 01104 | Hairdresser/cosmetician | 2020-06-01 ~ 2022-05-31 |
J D Rivet and Company Inc | 1635 Page Blvd., Springfield, MA 01104 | Major Contractor | 2020-07-01 ~ 2021-06-30 |
Mackinzie Williamson | 47 Notre Dame St, Springfield, MA 01104 | Emergency Medical Technician | ~ |
Paul S Farkas | Western Mass Gastro, Springfield, MA 01104 | Physician/surgeon | 1981-03-13 ~ 2018-01-31 |
Find all Licenses in zip 01104 |
City | SPRINGFIELD |
Zip Code | 01104 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + SPRINGFIELD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Marat I Abdullin | House Staff Office M 136, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
Marat Kribis | 30 Orchard St, Norwalk, CT 06850 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Marat Bernshtein · Marat European Painting | 366 Park Rd Apt B3, West Hartford, CT 06119-1959 | Home Improvement Contractor | 2010-12-01 ~ 2011-11-30 |
Marat Serkebaev | 2820 West 8th St., Apt. 2g, Brooklyn, NY 11224 | Asbestos Abatement Worker | 2008-04-01 ~ 2009-03-31 |
Marat J Gitman Do | 41 Guernsey Ln, Avon, CT 06001-2104 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
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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).