DIMITRI MATVEEV OD (Credential# 763364) is licensed (Optometrist) with Connecticut Department of Consumer Protection. The license effective date is December 22, 2008. The license expiration date date is January 31, 2010. The license status is INACTIVE.
DIMITRI MATVEEV OD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #3.002736. The credential type is optometrist. The effective date is December 22, 2008. The expiration date is January 31, 2010. The business address is 5765 Woodruff Dr, Clarence Center, NY 14032-9255. The current status is inactive.
| Licensee Name | DIMITRI MATVEEV OD |
| Credential ID | 763364 |
| Credential Number | 3.002736 |
| Credential Type | Optometrist |
| Business Address |
5765 Woodruff Dr Clarence Center NY 14032-9255 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2008-02-13 |
| Effective Date | 2008-12-22 |
| Expiration Date | 2010-01-31 |
| Refresh Date | 2010-05-25 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 497056 | CSP.0043208 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2008-04-10 | 2008-04-10 - 2009-02-28 | INACTIVE |
| Street Address | 5765 WOODRUFF DR |
| City | CLARENCE CENTER |
| State | NY |
| Zip Code | 14032-9255 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carmelita Polakiewicz | 9999 Lapp Road, Clarence Center, NY 14032 | Registered Nurse | 2018-06-01 ~ 2019-05-31 |
| Saman B Chubineh Md | 6044 Wexford Manor, Clarence Center, NY 14032 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Douglas K Klotzbach | 11106 Rapids Rd, Clarence Ctr, NY 14032 | Architect | 1997-08-01 ~ 1998-07-31 |
| Michael F Patterson | 6115 Fairlane Dr, Clarence Center, NY 14032 | Professional Engineer | 2007-02-01 ~ 2008-01-31 |
| Joseph A Bechtel | 9405 Roll Rd, Clarence Center, NY 14032 | Heating, Piping & Cooling Unlimited Contractor | 2004-09-01 ~ 2005-08-31 |
| James S Witter | 8862 County Rd, Clarence Center, NY 14032 | Heating, Piping & Cooling Limited Contractor | ~ 1995-10-01 |
| Wendy J Haskell | Po Box 68, Clarence Center, NY 14032-0068 | Physical Therapist | 2014-01-01 ~ 2014-12-31 |
| Christine L Chameli | 10150 Tonawanda Creek Rd, Clarence Center, NY 14032-9108 | Registered Nurse | 2014-04-01 ~ 2015-04-30 |
| Shannon Margaret Alessandra | 6292 Balsam Fir Ct, Clarence Center, NY 14032-9150 | Registered Nurse | 2020-06-16 ~ 2021-05-31 |
| Timothy Evan Esch | 9975 Brauer Rd, Clarence Ctr, NY 14032-9273 | Registered Nurse | 2019-09-03 ~ 2020-09-30 |
| Find all Licenses in zip 14032 | |||
| City | CLARENCE CENTER |
| Zip Code | 14032 |
| License Type | Optometrist |
| License Type + County | Optometrist + CLARENCE CENTER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Dimitri's Kitchen · Delta Kappa Mgmt LLC | 38 Bridge St, New Milford, CT 06776 | Bakery | 2000-07-01 ~ 2001-06-30 |
| Dimitri's Restaurant | 3444 Main St, Coventry, CT 06238 | Bakery | 2019-07-01 ~ 2020-06-30 |
| Dimitri's Pizza | 51 W Main St, Baltic, CT 06330-1346 | Bakery | 2019-07-01 ~ 2020-06-30 |
| Dimitri's Pizza | 141 1/2 White St, Danbury, CT 06810 | Bakery | 2000-07-27 ~ 2001-06-30 |
| Dimitri's Pizza | 599 Main St, Watertown, CT 06795 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Dimitri Donuts LLC · Dunkin Donuts | 251 Main St, Voluntown, CT 06384-1850 | Bakery | 2014-07-01 ~ 2015-06-30 |
| Inna V Matveev | 6407 Bigeiow Commons, Enfield, CT 06082 | Registered Nurse | 2008-08-27 ~ 2009-08-31 |
| David Dimitri, One-man Circus | Po Box 14, Zurich | Circus | 2013-06-15 ~ 2013-06-29 |
| Irina Matveev | 1238 Hartford Tpke # 80, Vernon Rockville, CT 06066-5260 | Pharmacy Technician | 2009-04-01 ~ 2010-03-31 |
| Eugene Matveev Od | 1238 Hartford Tpke #80, Rockville, CT 06066 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
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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).