FALAK B SHAH (Credential# 1329240) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
FALAK B SHAH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.055109. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 9866 Garden Ct, Schiller Park, IL 60176-2102. The current status is active.
| Licensee Name | FALAK B SHAH |
| Credential ID | 1329240 |
| Credential Number | 1.055109 |
| Credential Type | Physician/Surgeon |
| Business Address |
9866 Garden Ct Schiller Park IL 60176-2102 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-04-01 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-04-20 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1424090 | CSP.0065380 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-05-16 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 9866 GARDEN CT |
| City | SCHILLER PARK |
| State | IL |
| Zip Code | 60176-2102 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robert G Lyon & Associates Inc | 5100 River Rd St 125, Schiller Park, IL 60176 | Architecture Corporation | 2020-08-01 ~ 2021-07-31 |
| Neli Dimitrova Houbeva-ivanova | 9930 Wilson Ave, Schiller Park, IL 60176 | Registered Nurse | 2020-02-26 ~ 2020-07-31 |
| David P Heidtke | 5100 River Rd Suite #125, Schiller Park, IL 60176 | Architect | 2019-08-01 ~ 2020-07-31 |
| Enjoy Life Natural Brands LLC | 3810 N River Road, Schiller Park, IL 60176 | Bakery | 2014-07-11 ~ 2015-06-30 |
| Robert G Lyon | 4825 N Scott St Suite 400, Schiller Park, IL 60176 | Architect | 2003-08-01 ~ 2004-07-31 |
| Amalia M Mazzoccoli | 4336 N. Ruby Street, Schiller, IL 60176 | Registered Nurse | 2005-09-02 ~ 2006-08-31 |
| Lisa E Smith | 10161 Seymour Ave, Schiller Park, IL 60176-1809 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Hostess Brands | 9555 Soreng Ave, Schiller Park, IL 60176-2127 | Bakery | 2014-07-01 ~ 2015-06-30 |
| City | SCHILLER PARK |
| Zip Code | 60176 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + SCHILLER PARK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nickul Shah | 49 Glendale Rd, Agawam, MA 01001-3348 | Physician/surgeon | ~ |
| Mayuri N Shah | Po Box 176, Paterson, NJ 07533 | Physician/surgeon | 2002-12-23 ~ 2003-12-31 |
| Bharti J Shah | 30 Beachfront La, New Rochelle, NY 10805 | Physician/surgeon | 2009-06-11 ~ 2010-07-31 |
| Sachin J Shah | 27 Bowman Dr, Greenwich, CT 06831-3236 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Sushrut S Shah | 130 Cherry Ln, Wynnewood, PA 19096-1220 | Physician/surgeon | 2009-11-01 ~ 2010-10-31 |
| Maully J Shah | 282 Washington St, Hartford, CT 06106 | Physician/surgeon | ~ 1999-08-31 |
| Faisal M. Shah | 16 Templer Way, Hazlet, NJ 07730-1605 | Physician/surgeon | 2012-06-07 ~ 2013-06-30 |
| Khushali Shah | 40 Prospect Ave Apt 2-2f, Norwalk, CT 06850-3719 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Rahman Shah Md | 13 Clark St#1, New Haven, CT 06511 | Physician/surgeon | 2006-03-28 ~ 2007-03-31 |
| Nilay Ramesh Shah | 250 Ashland Pl Apt 49j, Brooklyn, NY 11217-4342 | Physician/surgeon | ~ |
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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).