ABRA G MABASA MD (Credential# 564057) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
ABRA G MABASA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.046475. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 21 Elm Street, New Milford, CT 06776-4309. The current status is active.
| Licensee Name | ABRA G MABASA MD |
| Credential ID | 564057 |
| Credential Number | 1.046475 |
| Credential Type | Physician/Surgeon |
| Business Address |
21 Elm Street New Milford CT 06776-4309 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2008-05-05 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-05-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 505633 | CSP.0043648 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2008-06-12 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 21 Elm Street |
| City | NEW MILFORD |
| State | CT |
| Zip Code | 06776-4309 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Leland E Parker Pa | 21 Elm Street, New Milford, CT 06776 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Joseph Bargellini Md | 21 Elm Street, New Milford, CT 06776 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| New Milford Hospital Inc. · New Milford Hospital | 21 Elm Street, New Milford, CT 06776 | General Hospital | 2013-07-01 ~ 2015-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Walgreens #19560 | 173 Danbury Rd, New Milford, CT 06776-4309 | Retail Dairy Store | 2019-07-01 ~ 2021-06-30 |
| Red Barn Donuts LLC | 163 Danbury Rd, New Milford, CT 06776-4309 | Bakery | 2019-07-01 ~ 2020-06-30 |
| Rite Aid #4995 | 173 Danbury Rd, New Milford, CT 06776-4309 | Non Legend Drug Permit | 2020-01-01 ~ 2020-12-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tai Nguyen | 3 Briar Ln, New Milford, CT 06776 | Nail Technician | 2020-06-27 ~ 2022-05-31 |
| Deborah Lee Winter | 22 Morey Road, New Milford, CT 06776 | Professional Counselor | 2020-06-01 ~ 2021-05-31 |
| Sega Ready Mix | 519 Danbury Rd, New Milford, CT 06776 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Nicole L Lynch | 13 Skyview Drive, New Milford, CT 06776 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Filipe Fialho Fernandes | 14 Wellsville Ave, New Milford, CT 06776 | Tattoo Technician | 2020-06-01 ~ 2022-05-31 |
| Petrela Nail & Spa Inc | 60 Park Lane Road, New Milford, CT 06776 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Carol S Glintenkamp | 12 Saddle Ridge Rd., New Milford, CT 06776 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Bradley A Kamp | 11 Saddle Ridge Road, New Milford, CT 06776 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| John W Slattery | 8 West Meetinghouse Rd, New Milford, CT 06776 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Stephen J Ferreira | 123 Washington Ridge Road, New Milford, CT 06776 | Professional Engineer | 2020-06-26 ~ 2021-01-31 |
| Find all Licenses in zip 06776 | |||
| City | NEW MILFORD |
| Zip Code | 06776 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEW MILFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Abra Prima Malbec | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2015-05-01 ~ 2018-04-29 |
| Abra Kadabra Pet Grooming | 16 State Ave, Dayville, CT 06241-2223 | Grooming Facility | 2010-01-01 ~ 2010-12-31 |
| Colleen K Mabasa | 110 Underhill Rd, Milford, CT 06460-6345 | Professional Counselor | 2020-05-01 ~ 2021-04-30 |
| Ramon A Mabasa Md | Two Ledge Lane, New Milford, CT 06776 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Geselle Mabasa | 246 Post Road East, Westport, CT 06880-3615 | Medication Administration Certification | 1999-06-24 ~ 2001-06-23 |
| Abra Voytor Shark | 62 Housatonic Dr, Milford, CT 06460-5034 | Hairdresser/cosmetician | 2014-12-31 ~ 2016-06-30 |
| Aram D Brodeur · Abra Cadabra | 22 Bailey Rd, Enfield, CT 06082-4805 | Home Improvement Contractor | 2017-08-25 ~ 2017-11-30 |
| Abra J Dilisio | 103 The Waterway, Manhasset, NY 11030-1331 | Dental Anesthesia/conscious Sedation Permit | 2020-07-01 ~ 2021-06-30 |
| Abra Mc Andrew | 101 Nicoll Street, New Haven, CT 06511 | Notary Public Appointment | 1999-06-25 ~ 2004-06-30 |
| Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
Please comment or provide details below to improve the information on ABRA G MABASA MD.
| 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).