RENA SHABALOVA (Credential# 1300680) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2016. The license expiration date date is April 30, 2017. The license status is INACTIVE.
RENA SHABALOVA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.054496-DO. The credential type is physician/surgeon. The effective date is May 1, 2016. The expiration date is April 30, 2017. The business address is 3080 Voorhies Avenue Apt 2e, Brooklyn, NY 11235. The current status is inactive.
| Licensee Name | RENA SHABALOVA |
| Credential ID | 1300680 |
| Credential Number | 1.054496-DO |
| Credential Type | Physician/Surgeon |
| Credential SubCategory | DO |
| Business Address |
3080 Voorhies Avenue Apt 2e Brooklyn NY 11235 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2015-08-06 |
| Effective Date | 2016-05-01 |
| Expiration Date | 2017-04-30 |
| Refresh Date | 2017-08-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1315793 | CSP.0061597 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-10-09 | 2015-10-09 - 2017-02-28 | INACTIVE |
| Street Address | 3080 Voorhies avenue apt 2E |
| City | Brooklyn |
| State | NY |
| Zip Code | 11235 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alexander M Mikhailov | 3111 Ocean Parkway, Brooklyn, NY 11235 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Liubomyr Kashuba | 2717 E 28 St Apt 1g, Brooklyn, NY 11235 | Asbestos Abatement Worker | 2020-04-01 ~ 2021-03-31 |
| Ying Cheng | 2527 E. 18th Street, Brooklyn, NY 11235 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Edward A Kulich | 1601 Voorhies Ave 2nd Fl, Brooklyn, NY 11235 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Igor Gendler | 415 Brighton Beach Ave, Brooklyn, NY 11235 | Tax Preparer/facilitator Permit | 2020-02-11 ~ 2022-02-28 |
| Danielle Erika Smilowitz | 2524 East 26th Street, Brooklyn, NY 11235 | Radiographer | ~ |
| Leonid Krupnik | 2461 East 29th Street, Brooklyn, NY 11235 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Yevgeniy Goldengur | 721 Desmond Court, Brooklyn, NY 11235 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| David Merabyan | 2536 E 11th Street, Brooklyn, NY 11235 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Erdem Dogan | 65 Oriental Blvd Apt #8-g, Brooklyn, NY 11235 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Find all Licenses in zip 11235 | |||
| City | Brooklyn |
| Zip Code | 11235 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Brooklyn |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rena Luger Aroesty | 31 Mohegan Dr, West Hartford, CT 06117-2119 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Rena's of Preston LLC | 154 Route 2, Preston, CT 06365-8520 | Lottery Sales Agent | ~ |
| Rena's Yantic Pizza Inc | 218 West Town St, Norwich, CT 06360 | Bakery | 2007-07-18 ~ 2008-06-30 |
| Rena's Pizza of Preston | 154 Route 2, Preston, CT 06365-8520 | Bakery | 2016-07-01 ~ 2017-06-30 |
| Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
| Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
| Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Please comment or provide details below to improve the information on RENA SHABALOVA.
| 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).