YELENA I KOMISSAROVA MD
Physician/surgeon


Address: 100b Lewis St., Greenwich, CT 06830

YELENA I KOMISSAROVA MD (Credential# 565485) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2010. The license expiration date date is April 30, 2011. The license status is INACTIVE.

Business Overview

YELENA I KOMISSAROVA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.047903. The credential type is physician/surgeon. The effective date is May 1, 2010. The expiration date is April 30, 2011. The business address is 100b Lewis St., Greenwich, CT 06830. The current status is inactive.

Basic Information

Licensee Name YELENA I KOMISSAROVA MD
Credential ID 565485
Credential Number 1.047903
Credential Type Physician/Surgeon
Business Address 100b Lewis St.
Greenwich
CT 06830
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2009-07-02
Effective Date 2010-05-01
Expiration Date 2011-04-30
Refresh Date 2011-08-02

Other licenses

ID Credential Code Credential Type Issue Term Status
537672 CSP.0045931 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2009-07-20 2009-07-20 - 2011-02-28 INACTIVE

Office Location

Street Address 100B Lewis St.
City Greenwich
State CT
Zip Code 06830

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Junior League of Greenwich Conn Inc. 231 East Putnam Ave., Greenwich, CT 06830 Public Charity 2019-06-01 ~ 2020-05-31
Michelle Yoo 35 Putnam Green, Greenwich, CT 06830 Combination Nail Technician, Esthetician Or Eyelash Technici 2020-06-27 ~ 2022-01-31
Michele S Bergen Greenwich Medical Building, Greenwich, CT 06830 Physician/surgeon 2020-07-01 ~ 2021-06-30
Black Forest Pastry 52 Lewis Street, Greenwich, CT 06830 Bakery 2020-07-01 ~ 2021-06-30
Maurasaca Pallchisaca Gloria Veronica 103 Greenwich Ave, Greenwich, CT 06830 Combination Nail Technician, Esthetician Or Eyelash Technici ~
Deborah B Huffard 107 Maple Ave, Greenwich, CT 06830 Real Estate Salesperson 2020-06-01 ~ 2021-05-31
Joann H Alexander 157 Stanwich Road, Greenwich, CT 06830 Real Estate Salesperson 2020-06-01 ~ 2021-05-31
Dandan Tu 24 Byfield Ln, Greenwich, CT 06830 Physician/surgeon 2020-06-01 ~ 2021-05-31
Mohamed Akli Zetchi 2 Perryridge Road, Greenwich, CT 06830 Physician/surgeon 2020-08-01 ~ 2021-07-31
Gateway Classical Music Society Inc 292 Stanwich Road, Greenwich, CT 06830 Public Charity 2020-12-01 ~ 2021-11-30
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City Greenwich
Zip Code 06830
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Greenwich

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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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