AVI MALKIS (Credential# 1037666) is licensed (Dentist) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2018. The license expiration date date is September 30, 2019. The license status is INACTIVE.
AVI MALKIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.010670. The credential type is dentist. The effective date is October 1, 2018. The expiration date is September 30, 2019. The business address is 34 Groton St, Staten Island, NY 10312-6538. The current status is inactive.
| Licensee Name | AVI MALKIS |
| Credential ID | 1037666 |
| Credential Number | 2.010670 |
| Credential Type | Dentist |
| Business Address |
34 Groton St Staten Island NY 10312-6538 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2011-11-02 |
| Effective Date | 2018-10-01 |
| Expiration Date | 2019-09-30 |
| Refresh Date | 2020-01-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1054165 | CSP.0052057 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2012-03-01 | 2017-03-01 - 2019-02-28 | LAPSED |
| Street Address | 34 GROTON ST |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10312-6538 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Biana Volfinzon | 187 Arbutus Ave., Staten Island, NY 10312 | Physician/surgeon | ~ |
| Laren Encarnacion | 482 Wilson Avenue, Staten Island, NY 10312 | Registered Nurse | ~ |
| Joseph J Aliotta | 74 Robinson Ave, Staten Island, NY 10312 | Architect | 2020-08-01 ~ 2021-07-31 |
| David P Suarez | 3733 Richmond Avenue, Staten Island, NY 10312 | Physician/surgeon | 2018-11-01 ~ 2019-10-31 |
| Raven Devincenzo Md | 59 Van Brunt St, Staten Island, NY 10312 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Yanina Gleyzer | 246 Hillcrest Street, Staten Island, NY 10312 | Master's Level Social Worker | 2019-10-01 ~ 2020-09-30 |
| Richard Louis Sosa | 15 Osage Lane, Staten Island, NY 10312 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
| Janice Riso | 241 Kinghorn St, Staten Island, NY 10312 | Resident Physician | 2015-07-01 ~ 2019-06-30 |
| Bedzet Vejselovski · E. V. Masonry | 169 Rathbun Ave, Staten Island, NY 10312 | Home Improvement Contractor | 2006-01-25 ~ 2006-11-30 |
| Frederick A Barbieri | 62 Covington Circle, Staten Island, NY 10312 | Professional Engineer | 2012-02-01 ~ 2013-01-31 |
| Find all Licenses in zip 10312 | |||
| City | STATEN ISLAND |
| Zip Code | 10312 |
| License Type | Dentist |
| License Type + County | Dentist + STATEN ISLAND |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Malkis S Benitez-bautista | 195 Summit Street, Norwich, CT 06360 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| Priscila M Guzman | CT | Dentist | ~ |
| Su J Lee | 480 2nd Ave Apt 10a, New York, NY 10016-9140 | Dentist | 2016-07-12 ~ 2017-03-31 |
| Narinderjit Mahal | CT | Dentist | ~ |
| Ana L Roca | 331 2nd Ave # 2, Garwood, NJ 07027-1004 | Dentist | ~ |
| Daeun Hur | 480 2nd Ave Apt 10a, New York, NY 10016-9140 | Dentist | 2018-06-20 ~ 2018-11-30 |
| Heeyeon Lee | 520 2nd Ave Apt 13c, New York, NY 10016-8621 | Dentist | 2014-04-01 ~ 2015-04-30 |
| Sandra Loh | 290 Third Ave #16c, New York, NY 10010 | Dentist | ~ 1996-11-30 |
| Yoo Bin Lee | 11 Ridgecrest N, Scarsdale, NY 10583 | Dentist | 2019-12-01 ~ 2020-11-30 |
| Yoonchan P. Han | 21 West St Apt 23g, New York, NY 10006-2932 | Dentist | ~ |
Please comment or provide details below to improve the information on AVI MALKIS.
| 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).