KISRA ANIS
Physician/surgeon


Address: 25 St Anthony Place, Mahopac, NY 10541

KISRA ANIS (Credential# 552154) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 16, 1997. The license expiration date date is November 30, 1997. The license status is INACTIVE.

Business Overview

KISRA ANIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.034558. The credential type is physician/surgeon. The effective date is January 16, 1997. The expiration date is November 30, 1997. The business address is 25 St Anthony Place, Mahopac, NY 10541. The current status is inactive.

Basic Information

Licensee Name KISRA ANIS
Credential ID 552154
Credential Number 1.034558
Credential Type Physician/Surgeon
Business Address 25 St Anthony Place
Mahopac
NY 10541
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1995-06-16
Effective Date 1997-01-16
Expiration Date 1997-11-30
Refresh Date 2009-07-08

Office Location

Street Address 25 ST ANTHONY PLACE
City MAHOPAC
State NY
Zip Code 10541

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Ernestine Daniel 21 Mianna Drive, Mahopac, NY 10541 Registered Nurse 2020-08-01 ~ 2021-07-31
Thomas A Nugent 79 Austin Rd, Mahopac, NY 10541 Architect 2020-08-01 ~ 2021-07-31
Vasiliki Gleason 7 Senior Avenue, Mahopac, NY 10541 Registered Nurse 2020-07-01 ~ 2021-06-30
Joel Greenberg 2 Muscoot Rd N, Mahopac, NY 10541 Architect 2020-08-01 ~ 2021-07-31
Stacy Shires 7 Rambler Rd, Mahopac, NY 10541 Real Estate Salesperson 2020-06-01 ~ 2021-05-31
Henry Samoyedny 54 Mcmillan Ave, Mahopac, NY 10541 Real Estate Salesperson 2020-06-01 ~ 2021-05-31
Joseph D Mastromonaco Jr 10 Rockledge Place, Mahopac, NY 10541 Real Estate Salesperson 2017-06-01 ~ 2018-05-31
James B Polo 43 Dahlia Dr, Mahopac, NY 10541 Registered Nurse 2020-06-01 ~ 2021-05-31
Jill E Branch 166 Croton Falls Rd, Mahopac, NY 10541 Licensed Practical Nurse 2020-03-01 ~ 2021-02-28
Richard J Castro 803 So Lake Blv D, Mahopac, NY 10541 Real Estate Salesperson 2020-06-01 ~ 2021-05-31
Find all Licenses in zip 10541

Competitor

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City MAHOPAC
Zip Code 10541
License Type Physician/Surgeon
License Type + County Physician/Surgeon + MAHOPAC

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Dataset Information

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).

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