IHSAN F SHANTI
Physician/surgeon


Address: 3411 Wayne Ave #8-i, Bronx, NY 10467

IHSAN F SHANTI (Credential# 552460) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 24, 1997. The license expiration date date is April 30, 1998. The license status is INACTIVE.

Business Overview

IHSAN F SHANTI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.034865. The credential type is physician/surgeon. The effective date is June 24, 1997. The expiration date is April 30, 1998. The business address is 3411 Wayne Ave #8-i, Bronx, NY 10467. The current status is inactive.

Basic Information

Licensee Name IHSAN F SHANTI
Credential ID 552460
Credential Number 1.034865
Credential Type Physician/Surgeon
Business Address 3411 Wayne Ave #8-i
Bronx
NY 10467
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1995-09-15
Effective Date 1997-06-24
Expiration Date 1998-04-30
Refresh Date 2009-07-08

Office Location

Street Address 3411 WAYNE AVE #8-I
City BRONX
State NY
Zip Code 10467

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Ruben Felipe 838 E 215th St, Bronx, NY 10467 Tax Preparer/facilitator Permit 2020-03-31 ~ 2022-03-31
Nataly A De La Cruz 3004 Cruger Ave A, Bronx, NY 10467 Real Estate Salesperson 2018-07-18 ~ 2019-05-31
Sabrina Dewar 829 East 219 Street, Bronx, NY 10467 Registered Nurse 2020-03-18 ~ 2020-07-31
Krishna Mae Frias Samson 3409 Dekalb Ave., Bronx, NY 10467 Registered Nurse 2020-02-20 ~ 2020-11-30
Augusta Osuoha 2551 Cruger Ave, Bronx, NY 10467 Pharmacist 2020-02-19 ~ 2022-01-31
Seth Wapnick 2245 White Plains Road, Bronx, NY 10467 Tax Preparer/facilitator Permit 2020-02-14 ~ 2022-02-28
Daisy Gonzalez 2245 White Plains Rd., Bronx, NY 10467 Tax Preparer/facilitator Permit 2020-02-12 ~ 2022-02-28
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City BRONX
Zip Code 10467
License Type Physician/Surgeon
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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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