ROY ARMAND POBLETE (Credential# 1675442) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
ROY ARMAND POBLETE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.064359. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 5220 Jimmy Lee Smith Pkwy, Hiram, GA 30141. The current status is active.
Licensee Name | ROY ARMAND POBLETE |
Credential ID | 1675442 |
Credential Number | 1.064359 |
Credential Type | Physician/Surgeon |
Business Address |
5220 Jimmy Lee Smith Pkwy Hiram GA 30141 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2019-10-02 |
Effective Date | 2020-07-01 |
Expiration Date | 2021-06-30 |
Refresh Date | 2020-04-22 |
Street Address | 5220 Jimmy Lee Smith Pkwy |
City | Hiram |
State | GA |
Zip Code | 30141 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Preet Martand Varade | 5220 Jimmy Lee Smith Pkwy, Hiram, GA 30141 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Michael Katsnelson | 5220 Jimmy Lee Smith Pkwy, Hiram, GA 30141 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Sebina Bulic | 5220 Jimmy Lee Smith Pkwy, Hiram, GA 30141 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
Richard Thomas Jackson | 5220 Jimmy Lee Smith Pkwy, Hiram, GA 30141 | Physician/surgeon | 2019-11-01 ~ 2020-11-30 |
Alexander Zubkov | 5220 Jimmy Lee Smith Pkwy, Hiram, GA 30141 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
Nirav Himanshu Shah | 5220 Jimmy Lee Smith Pkwy, Hiram, GA 30141 | Physician/surgeon | 2019-09-03 ~ 2020-09-30 |
Amirhossein Zangiabadi | 5220 Jimmy Lee Smith Pkwy, Hiram, GA 30141 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Lilian Moragwa Nyareru | 114 High Point Way, Hiram, GA 30141 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Mark N Rubin | 5220 Jimmy Lee Smith Parkway, Hiram, GA 30141 | Physician/surgeon | 2019-10-11 ~ 2020-10-31 |
Rolanda Jefferson | 79 Kennedy Ct, Hiram, GA 30141 | Registered Nurse - Temporary | 2017-06-28 ~ 2017-10-25 |
Yolanda J Dillon | 5220 Jimmy Lee Smith Pkwy Suite#104-249, Hiram, GA 30141 | Real Estate Broker | 2012-04-01 ~ 2013-03-31 |
Patricia M Brooks · Mayer | 5102 Heritage Oaks Ln Sw, Hiram, GA 30141 | Licensed Practical Nurse | 2011-07-01 ~ 2012-06-30 |
Sarah A Atha | 94 Wisteria Drive, Hiram, GA 30141 | Registered Nurse | 2009-05-28 ~ 2010-07-31 |
David J Craven | 160 Pooles Bend Ct, Hiram, GA 30141 | Electrical Unlimited Journeyperson | 1996-10-01 ~ 1997-09-30 |
Bryan J Moore | 5220 Jimmy Lee Smith Parkway, Hiram, GA 30141 | Physician/surgeon | 2019-09-23 ~ 2020-07-31 |
Tamira Outlaw | 373 Greystone Pkwy, Hiram, GA 30141-3162 | Registered Nurse | 2014-06-02 ~ 2015-06-30 |
Susanne N Miller | 110 Trailside Way, Hiram, GA 30141-3271 | Registered Nurse - Temporary | 2014-04-17 ~ 2014-08-14 |
Find all Licenses in zip 30141 |
City | Hiram |
Zip Code | 30141 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + Hiram |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Armand J Daccache Md | 69 Sand Pit Rd Ste 101, Danbury, CT 06810-4004 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Armand E Wilhelm | 34 S. Bedford Rd, Mount Kisco, NY 10549 | Physician/surgeon | ~ |
Armand J Wolff Md | 267 Grant Street, Bridgeport, CT 06610 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Armand V Simone | 74 E 79th St, New York City, NY 10021 | Physician/surgeon | 2009-05-26 ~ 2010-02-28 |
Paul Martin Zentko | 113 Armand Road, Ridgefield, CT 06877 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Armand A Chouinard | 30 Edith St, Oakville, CT 06779 | Home Improvement Contractor | ~ 1995-08-01 |
Armand Drive | 11 Armand Drive, Waterbury, CT 06708 | Community Living Arrangement | 2019-08-01 ~ 2021-07-31 |
Art St Armand · Art St Armand Carpentry Service | 125 Forest St, New Canaan, CT 06840 | Home Improvement Contractor | 2012-12-01 ~ 2013-11-30 |
Kathleen Poblete | 846 Montauk Ave, New London, CT 06320 | Registered Nurse | 2016-01-01 ~ 2016-12-31 |
Josefina Poblete | 198 Hillside Road, Southwick, MA 01077 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
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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).