CAROL S ISHAK MD (Credential# 546011) 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.
CAROL S ISHAK MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.026427. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 73 Woodland Rd, Longmeadow, MA 01106. The current status is active.
| Licensee Name | CAROL S ISHAK MD |
| Credential ID | 546011 |
| Credential Number | 1.026427 |
| Credential Type | Physician/Surgeon |
| Business Address |
73 Woodland Rd Longmeadow MA 01106 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1985-06-27 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-03-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 483936 | CSP.0042667 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2007-09-27 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 73 WOODLAND RD |
| City | LONGMEADOW |
| State | MA |
| Zip Code | 01106 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael S Caronna | 24 Chandler Ave, Longmeadow, MA 01106 | Registered Sanitarian | 2020-09-01 ~ 2021-08-31 |
| Susan Helen Templeton | 146 Pleasantview Avenue, Longmeadow, MA 01106 | Registered Nurse | ~ |
| Brittany Moreland | 103 Birchwood Ave, Longmeadow, MA 01106 | Real Estate Salesperson | 2020-06-22 ~ 2021-05-31 |
| Krystyna Olczuk | 158 Tanglewood Dr, Longmeadow, MA 01106 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Susan M Neville | 43 Lincoln Road, Longmeadow, MA 01106 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Kate E Schoenberger | 91 Williston Dr, Longmeadow, MA 01106 | Paramedic | 2020-09-01 ~ 2021-08-31 |
| Bryant E Ostrander | 52 Whitmun Road, Longmeadow, MA 01106 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Minsook Ku | 23 Herbert Street, Longmeadow, MA 01106 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-12 ~ 2022-01-31 |
| Lily Schneider | 160 Captain Rd, Longmeadow, MA 01106 | Emergency Medical Technician | ~ |
| Kimberly Marie Maynard | 175 Franklin Road, Longmeadow, MA 01106 | Psychologist | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 01106 | |||
| City | LONGMEADOW |
| Zip Code | 01106 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + LONGMEADOW |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carol A Westbrook | Po Box 444, Beverly Shores, IN 46301-0444 | Physician/surgeon | ~ |
| Carol H Lee | 326 Colonial Rd, Guilford, CT 06437 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Carol A Ley | 3m Company, Saint Paul, MN 55144-0001 | Physician/surgeon | 2018-06-01 ~ 2019-05-31 |
| Carol Chung | 409 Ellsworth Ave, New Haven, CT 06511-7125 | Physician/surgeon | 1988-07-01 ~ 1989-09-30 |
| Carol A Abbatiello Do | 52 Shallowbrook Ln, Glastonbury, CT 06033-1407 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Carol A Stabile | 732 Main St, Manchester, CT 06040 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Carol Meyers | 651 W. Hutchinson, Chicago, IL 60613 | Physician/surgeon | 2010-01-01 ~ 2010-12-31 |
| Carol J Patterson | 107 Front St, Leeds, MA 01053-9718 | Physician/surgeon | 2014-12-01 ~ 2015-12-31 |
| Josephine Carol Brkich | Po Box 66, Sun Valley, ID 83353-0066 | Physician/surgeon | 1989-12-01 ~ 1990-04-30 |
| Carol A Wheeler Md | 101 Dudley St, Providence, RI 02905-2401 | Physician/surgeon | 2017-11-01 ~ 2018-10-31 |
Please comment or provide details below to improve the information on CAROL S ISHAK 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).