DONNA M BORUCHOV (Credential# 564309) 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.
DONNA M BORUCHOV is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.046727. The credential type is physician/surgeon. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is 94 Deer Run, Avon, CT 06001. The current status is active.
| Licensee Name | DONNA M BORUCHOV |
| Credential ID | 564309 |
| Credential Number | 1.046727 |
| Credential Type | Physician/Surgeon |
| Business Address |
94 Deer Run Avon CT 06001 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2008-07-01 |
| Effective Date | 2020-08-01 |
| Expiration Date | 2021-07-31 |
| Refresh Date | 2020-05-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 503045 | CSP.0043526 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2008-07-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 94 DEER RUN |
| City | AVON |
| State | CT |
| Zip Code | 06001 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Adam M Boruchov Md | 94 Deer Run, Avon, CT 06001 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Julie R Deitch | 5 Bridle Path, Avon, CT 06001 | Dental Hygienist | 2020-07-01 ~ 2021-06-30 |
| Brigitte Nicole Heleniak | 16 Sunset Trail, Avon, CT 06001 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Coffee Trade Inc (the) | 21 West Main St, Avon, CT 06001 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Elizabeth Stockwell | 44 Applewood Lane, Avon, CT 06001 | Real Estate Salesperson | ~ |
| Mollie Velma Lahaie | 14 Red Mountain Lane, Avon, CT 06001 | Registered Nurse | 2020-06-26 ~ 2020-08-31 |
| Meiling Chen | Avon Nail 315 W Main Street, Avon, CT 06001 | Nail Technician | ~ |
| Richard J Kaiser | 72 Westland Road, Avon, CT 06001 | Architect | 2020-08-01 ~ 2021-07-31 |
| Michele L Sweitzer | 12 Bluestone Lane, Avon, CT 06001 | Real Estate Salesperson | 2020-06-25 ~ 2021-05-31 |
| Caroline O Amin | 5 Colby Way, Avon, CT 06001 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Christine Burns | 102 New Road, Avon, CT 06001 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06001 | |||
| City | AVON |
| Zip Code | 06001 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + AVON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Donna L Henig | CT | Physician/surgeon | ~ |
| Alice Donna Kim | 29 E 7th St Apt 4w, New York, NY 10003-8021 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Steven L Berk Md | 8 Donna Rd, Worcester, MA 01609-1145 | Physician/surgeon | 2016-06-01 ~ 2017-05-31 |
| Donna E Coletti | 4 Charter Oak Ln, Greenwich, CT 06830-6911 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Donna M Mchugh Md | 115 Spencer St, Winsted, CT 06098 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Donna L O'shea | 93 Brittany Ln, Somers, CT 06071-1137 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Donna Phanumas Md | 12 Carlton Ave, Yonkers, NY 10710 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Donna C Sinclair Md | 788 Rutland Ct, Lithonia, GA 30058-3200 | Physician/surgeon | 2010-06-01 ~ 2011-05-31 |
| Donna M Windish Md | 50 Harvest Court, Cheshire, CT 06410 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Donna L Densel | 2046 W Main St Ste 2, Stamford, CT 06902-4523 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Please comment or provide details below to improve the information on DONNA M BORUCHOV.
| 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).