ANNA KUPCHIK DDS (Credential# 920183) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.
ANNA KUPCHIK DDS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0047369. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is 2 Medical Park Dr Ste 16, West Nyack, NY 10994-1966. The current status is inactive.
| Licensee Name | ANNA KUPCHIK DDS |
| Credential ID | 920183 |
| Credential Number | CSP.0047369 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
2 Medical Park Dr Ste 16 West Nyack NY 10994-1966 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2010-04-01 |
| Effective Date | 2015-03-01 |
| Expiration Date | 2017-02-28 |
| Refresh Date | 2018-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 884181 | 2.010204 | Dentist | 2010-02-17 | 2015-10-01 - 2016-09-30 | INACTIVE |
| Street Address | 2 MEDICAL PARK DR STE 16 |
| City | WEST NYACK |
| State | NY |
| Zip Code | 10994-1966 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael L Carlin | 260 Route 303, West Nyack, NY 10994 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Kathleen Ouellette | 42 N Greenbush Rd, West Nyack, NY 10994 | Controlled Substance Registration for Practitioner | 2020-04-20 ~ 2021-02-28 |
| Tom Nikolaj | 1 Minor Ct, West Nyack, NY 10994 | Tax Preparer/facilitator Permit | 2020-02-18 ~ 2022-02-28 |
| Joseph Cain | 275 Route 304, Nanuet, NY 10994 | Tax Preparer/facilitator Permit | 2020-02-11 ~ 2022-02-28 |
| Sherrel Lynn Osman | 33 Wolfe Circle, West Nyack, NY 10994 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Dana Faith Schlossberg | 2 Oak Spring Road, West Nyack, NY 10994 | Registered Nurse | 2020-01-02 ~ 2021-01-31 |
| Richard A Fagan | 45 Sunset View Drive, West Nyack, NY 10994 | Notary Public Appointment | 2017-06-01 ~ 2022-05-31 |
| Jiri F Marsik · Siri & Marsik Architects, P.C. | 11 Deer Meadow Drive, West Nyack, NY 10994 | Architect | 2019-08-01 ~ 2020-07-31 |
| Matthew Fridley Woodworks LLC | 6 Mallard Dr, West Nyack, NY 10994 | Home Improvement Contractor | 2011-12-01 ~ 2012-11-30 |
| Mark S Stanley · Stanley Paving | 91 Strawtown Rd, West Nyack, NY 10994 | Home Improvement Contractor | 2001-12-01 ~ 2002-07-16 |
| Find all Licenses in zip 10994 | |||
| City | WEST NYACK |
| Zip Code | 10994 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WEST NYACK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Anna M Brock | Po Box 793, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Anna Weingarten | 161 Sterling Dr, Newington, CT 06111-2259 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Anna Sharovetskaya | 130 Division St, Derby, CT 06418-1326 | Controlled Substance Registration for Practitioner | 2015-07-15 ~ 2017-02-28 |
| Anna C Evans | 20 York St Tmp 209, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Anna Ravin Dds | 155 Main St, Manchester, CT 06042-3126 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Anna Gibb Md | 56 Franklin St, Waterbury, CT 06706 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Anna C Freitag Md | 55 Oyster Rd, Fairfield, CT 06824-6927 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Anna Simonis | 65 Locust Ave Ste 10, New Canaan, CT 06840-4753 | Controlled Substance Registration for Practitioner | 2019-04-30 ~ 2021-02-28 |
| Anna Gomberg Md | 503 Pleasantville Rd, Briarcliff, NY 10510 | Controlled Substance Registration for Practitioner | 2004-04-19 ~ 2005-02-28 |
| Anna C Mai Od | 50 Holy Family Rd Apt 317, Holyoke, MA 01040-2782 | Controlled Substance Registration for Practitioner | 2011-05-04 ~ 2013-02-28 |
Please comment or provide details below to improve the information on ANNA KUPCHIK DDS.
| 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).