AVRAHAM Z ISSEROFF MD (Credential# 561223) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2018. The license expiration date date is July 31, 2019. The license status is INACTIVE.
AVRAHAM Z ISSEROFF MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.043641. The credential type is physician/surgeon. The effective date is August 1, 2018. The expiration date is July 31, 2019. The business address is 39 Jill Ln, Cheshire, CT 06410-3402. The current status is inactive.
Licensee Name | AVRAHAM Z ISSEROFF MD |
Credential ID | 561223 |
Credential Number | 1.043641 |
Credential Type | Physician/Surgeon |
Business Address |
39 Jill Ln Cheshire CT 06410-3402 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2005-07-12 |
Effective Date | 2018-08-01 |
Expiration Date | 2019-07-31 |
Refresh Date | 2019-11-03 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
899727 | CSP.0046844 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2009-10-20 | 2013-03-01 - 2015-02-28 | INACTIVE |
412972 | CSP.0037940 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-08-11 | 2009-03-01 - 2011-02-28 | INACTIVE |
Street Address | 39 JILL LN |
City | CHESHIRE |
State | CT |
Zip Code | 06410-3402 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Michael Adams | 1 Jill Ln, Cheshire, CT 06410-3402 | Home Improvement Salesperson | 2019-12-01 ~ 2020-11-30 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Mr B's · Bimonte's Pizza Castle | 155 Highland Ave, Cheshire, CT 06410 | Bakery | 2020-07-01 ~ 2021-06-30 |
Traci L Bonassar | 452 Castle Glenn, Cheshire, CT 06410 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
Faith H Morico · Hennessey | 177 Wallingford Rd, Cheshire, CT 06410 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
Renee D Kane | 40 Willow St, Cheshire, CT 06410 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Kara Capuano | 20 Renee Court, Cheshire, CT 06410 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Eugenia A Marquez | 22 Currier Way, Cheshire, CT 06410 | Radiographer | 2020-07-01 ~ 2021-06-30 |
Mahnaz M Emamian | 471 West Main St, Cheshire, CT 06410 | Esthetician | ~ |
Margarita A. Norris | 302 Highland Avenue, Cheshire, CT 06410 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Wendell D Wallace Juedes | 545 Country Club Rd, Cheshire, CT 06410 | Podiatrist | 2020-04-01 ~ 2021-03-31 |
Hyunjung An | 55 Moneta Ln., Cheshire, CT 06410 | Acupuncturist | ~ |
Find all Licenses in zip 06410 |
City | CHESHIRE |
Zip Code | 06410 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + CHESHIRE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Tomer Avraham | 25 Huckleberry Dr S, Norwalk, CT 06850 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Avraham D Merav | 19 Country Club Lane, Pleasantville, NY 10570 | Physician/surgeon | 2007-12-31 ~ 2009-02-28 |
Eliezer Avraham Shinnar | 10616 N 60th Pl, Scottsdale, AZ 85254-5405 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Avraham Sofer | 20 York St., New Haven, CT 06510-3220 | Resident Physician | 2014-06-30 ~ 2021-06-30 |
Yehuda Isseroff | 57 Glenwood Dr E, Bergenfield, NJ 07621-3341 | Dentist | ~ |
Avraham Sakorka | 6843 Jay Ave, Maspeth, NY 11378-1730 | Home Improvement Salesperson | 2018-05-30 ~ 2018-11-30 |
Carly B Avraham | 132 Konner Avenue, Pine Brook, NJ 07058 | Radiographer | 2012-01-01 ~ 2012-12-31 |
Avraham Sofer | 739 Whitney Ave Apt 2, New Haven, CT 06511-1342 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Avraham David | 1015 Beach 9th St, Far Rockaway, NY 11691-4811 | Emergency Medical Technician | 2016-10-20 ~ 2017-04-01 |
Avraham Chein | 205 East 124th Street Apt 5b, New York, NY 10035 | Real Estate Broker | 2019-05-30 ~ 2020-03-31 |
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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).