JAYANTA RAY (Credential# 562007) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2016. The license expiration date date is December 31, 2016. The license status is INACTIVE.
JAYANTA RAY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.044425. The credential type is physician/surgeon. The effective date is January 1, 2016. The expiration date is December 31, 2016. The business address is 1811 Leona Ct, Merrick, NY 11566-2863. The current status is inactive.
| Licensee Name | JAYANTA RAY |
| Credential ID | 562007 |
| Credential Number | 1.044425 |
| Credential Type | Physician/Surgeon |
| Business Address |
1811 Leona Ct Merrick NY 11566-2863 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2006-06-02 |
| Effective Date | 2016-01-01 |
| Expiration Date | 2016-12-31 |
| Refresh Date | 2017-04-05 |
| Street Address | 1811 LEONA CT |
| City | MERRICK |
| State | NY |
| Zip Code | 11566-2863 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Shannon Henning | 34 Cliff Road, Merrick, NY 11566 | Physician/surgeon | ~ |
| Marla Sue Sheflin | 2867 Beach Drive, Merrick, NY 11566 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Leobiury Garcia | 1934 Edward Lane, Merrick, NY 11566 | Tax Preparer/facilitator Permit | 2020-02-11 ~ 2022-02-28 |
| Bruce J Diamond | 1810 Relyea Drive, Merrick, NY 11566 | Tax Preparer/facilitator Permit | 2020-02-08 ~ 2022-02-28 |
| Brian M Rohan | 158 Loines Ave, Merrick, NY 11566 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Imtiaz Mulla | 90 Frankel Blvd, Merrick, NY 11566 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Mitzi Nadeige Dort | 1828 Remson Avenue, Merrick, NY 11566 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Brian T O'donnell | 1785 Carlisle Pl, Merrick, NY 11566 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Alberto Lopez | 1643 Demott Court, North Merrick, NY 11566 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Gina Marie Bayne | 2124 Burke Place, Merrick, NY 11566 | Notary Public Appointment | 2009-09-25 ~ 2014-09-30 |
| Find all Licenses in zip 11566 | |||
| City | MERRICK |
| Zip Code | 11566 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + MERRICK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
| Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
| John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Nazanin Barzideh Md | North Shore Retina Physician, Pllc, East Hills, NY 11576 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
| Barbara A Brandes Md | Danbury Office of Physician Services, Danbury, CT 06810 | Physician/surgeon | 2004-07-08 ~ 2005-07-31 |
| Susan J Batlan Md | Eye Physician Associates of Hartford, West Hartford, CT 06107 | Physician/surgeon | 2000-07-27 ~ 2001-07-31 |
Please comment or provide details below to improve the information on JAYANTA RAY.
| 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).