KONSTANTIN MILLERMAN MD (Credential# 938406) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
KONSTANTIN MILLERMAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0047870. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 15 Brookdale Lane, Chappaqua, NY 10514. The current status is active.
| Licensee Name | KONSTANTIN MILLERMAN MD |
| Credential ID | 938406 |
| Credential Number | CSP.0047870 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
15 Brookdale Lane Chappaqua NY 10514 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2010-07-08 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 924478 | 1.048893 | Physician/Surgeon | 2010-06-15 | 2019-10-01 - 2020-09-30 | ACTIVE |
| Street Address | 15 Brookdale lane |
| City | Chappaqua |
| State | NY |
| Zip Code | 10514 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| James David Shorser | 480 Bedford Road Suite 4202, Chappaqua, NY 10514 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Sheryl Manasse | 5 Walden Hill, Chappaqua, NY 10514 | Master's Level Social Worker | 2020-08-01 ~ 2021-07-31 |
| Ross A Cole Briskman | 26 Douglas Rd, Chappaqua, NY 10514 | Architect | 2020-08-01 ~ 2021-07-31 |
| Eric M Dorsch | 37 Aldridge Road, Chappaqua, NY 10514 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Lauren R Safran | 6 Chappaqua Mountain Road, Chappaqua, NY 10514 | Licensed Clinical Social Worker | 2020-06-01 ~ 2021-05-31 |
| Stacy Weinberg | 75 High Way, Chappaqua, NY 10514 | Real Estate Salesperson | 2019-06-01 ~ 2020-05-31 |
| Rita H Stern | Raveis 75 N Greeley Ave, Chappaqua, NY 10514 | Real Estate Salesperson | 2017-06-01 ~ 2018-05-31 |
| Samuel Goldfarb | 2 Sunset Drive North, Chappaqua, NY 10514 | Notary Public Appointment | 2015-05-29 ~ 2020-05-31 |
| John Panzone | 42 Hardscrabble Hill Road 42 Hardscrabble Hill Roa, Chappaqua, NY 10514 | Physician/surgeon | ~ |
| Boris Usherenko | 480 Bedford Road, Chappaqua, NY 10514 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Find all Licenses in zip 10514 | |||
| City | Chappaqua |
| Zip Code | 10514 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Chappaqua |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Konstantin O Kovalev | 29510 Foxwood Drive, Delmar, MD 21875 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Dr. Konstantin Frank Chardonnay | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2001-07-16 ~ 2004-07-15 |
| Dr Konstantin Frank Chardonnay | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2010-09-14 ~ 2013-09-13 |
| Dr. Konstantin Frank Rkatsiteli | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2001-07-16 ~ 2004-07-15 |
| Dr. Konstantin Frank Gewurztraminer | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 1998-11-16 ~ 2001-11-16 |
| Dr. Konstantin Frank Dry Riesling | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2001-07-16 ~ 2004-07-15 |
| Dr Konstantin Frank Semi Dry Riesling | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2019-09-16 ~ 2022-09-10 |
| Dr. Konstantin Frank Pinot Noir | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 1998-07-16 ~ 2001-07-16 |
| Dr. Konstantin Frank Cabernet Sauvignon | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 1998-07-16 ~ 2001-07-16 |
| Dr. Konstantin Frank Johannisberg Riesling | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2001-12-18 ~ 2004-12-17 |
Please comment or provide details below to improve the information on KONSTANTIN MILLERMAN MD.
| 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).