IVAN T MILLER (Credential# 559216) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 16, 2017. The license expiration date date is July 31, 2018. The license status is INACTIVE.
IVAN T MILLER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.041633. The credential type is physician/surgeon. The effective date is October 16, 2017. The expiration date is July 31, 2018. The business address is 275 W 96th St, New York, NY 10025-6200. The current status is inactive.
| Licensee Name | IVAN T MILLER |
| Credential ID | 559216 |
| Credential Number | 1.041633 |
| Credential Type | Physician/Surgeon |
| Business Address |
275 W 96th St New York NY 10025-6200 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2003-07-07 |
| Effective Date | 2017-10-16 |
| Expiration Date | 2018-07-31 |
| Refresh Date | 2018-11-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 345244 | CSP.0033901 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-02-29 - 2005-02-28 | INACTIVE |
| Street Address | 275 W 96TH ST |
| City | NEW YORK |
| State | NY |
| Zip Code | 10025-6200 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| New York Says Thank You Foundation | 275 W 96th St 9f, New York, NY 10025-6200 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| James R Braddock | 310 Riverside Dr Apt #1033, New York, NY 10025 | Architect | 2020-08-01 ~ 2021-07-31 |
| Robert B Freeman Jr | 310 Riverside Dr Apt #2204, New York, NY 10025 | Architect | 2020-06-12 ~ 2021-07-31 |
| Arthur S Pier | 315 Riverside Dr Apt 19d, New York, NY 10025 | Architect | 2020-08-01 ~ 2021-07-31 |
| Cephas P Swamidoss | 370 Central Park West, New York, NY 10025 | Physician/surgeon | 1995-06-30 ~ 2005-02-28 |
| Michael Williams | Po Box 250258, New York, NY 10025 | Master's Level Social Worker | 2020-09-01 ~ 2021-08-31 |
| Floyd G Brezavar | 36 West 95th Street, New York, NY 10025 | Architect | 2018-08-01 ~ 2019-07-31 |
| Pamela Godwin | 245 West 107th Street, New York, NY 10025 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Tara A. Smith | 54 West 106 Street Apt 1a, New York, NY 10025 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Theresa Linsner | 765 Amsterdam Avenue Apt 9a, New York, NY 10025 | Physician/surgeon | 2020-03-02 ~ 2021-03-31 |
| Hazem Abdelsalam | 808 Columbus Ave, New York, NY 10025 | Physician/surgeon | 2020-02-25 ~ 2020-09-30 |
| Find all Licenses in zip 10025 | |||
| City | NEW YORK |
| Zip Code | 10025 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEW YORK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John J Griffin Jr | 37 Ivan Hill St, Willimantic, CT 06226-2001 | Physician/surgeon | 1985-06-27 ~ 1988-02-28 |
| Nathan Ivan Yost | 15 Rockview Ter, New Haven, CT 06511-1619 | Physician/surgeon | ~ 1983-12-31 |
| Ivan Dario Baraque | 4 Woodcrest Ct, West Nyack, NY 10994-1213 | Physician/surgeon | ~ |
| Ivan P Rappaport | 414 Maple Avenue, Saratoga Springs, NY 12866 | Physician/surgeon | 1994-08-19 ~ 1995-10-31 |
| Ivan D Lopez | 2550 Citrus Tower Boulevard, Clermont, FL 34711-2889 | Physician/surgeon | 2019-06-01 ~ 2020-05-31 |
| Ivan Apablaza · Ivan's Roofing | 73 Warren St, Stamford, CT 06902-4018 | Home Improvement Contractor | 2014-12-01 ~ 2015-11-30 |
| Audrey F Miller Md | Physician/surgeon | 2010-06-01 ~ 2011-05-31 | |
| Leo R Miller | 268 Hillspoint Rd, Westport, CT 06880 | Physician/surgeon | 1996-02-08 ~ 1997-03-31 |
| Dorothy A Miller | 110 Fisher Ave Apt 3f, Eastchester, NY 10709-2620 | Physician/surgeon | ~ |
| Stephen M Ivan · Stephen Ivan & Co | 48 Winding Lane, Norwalk, CT 06851 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
Please comment or provide details below to improve the information on IVAN T MILLER.
| 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).