DAVID A BARZILAI (Credential# 1136024) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2016. The license expiration date date is August 31, 2017. The license status is INACTIVE.
DAVID A BARZILAI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.051668. The credential type is physician/surgeon. The effective date is September 1, 2016. The expiration date is August 31, 2017. The business address is 3455 Main St Ste 5, Springfield, MA 01107-1147. The current status is inactive.
| Licensee Name | DAVID A BARZILAI |
| Credential ID | 1136024 |
| Credential Number | 1.051668 |
| Credential Type | Physician/Surgeon |
| Business Address |
3455 Main St Ste 5 Springfield MA 01107-1147 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2013-03-01 |
| Effective Date | 2016-09-01 |
| Expiration Date | 2017-08-31 |
| Refresh Date | 2017-12-04 |
| Street Address | 3455 MAIN ST STE 5 |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01107-1147 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lauren Elizabeth Marshall | 945 Armory St, Springfield, MA 01107 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Jennifer L Fish | 367 Union Street, Springfield, MA 01107 | Hairdresser/cosmetician | ~ |
| Joseph Pagan | 59 Rowland Street, Springfield, MA 01107 | Medication Administration Certification | 2020-04-20 ~ 2022-04-19 |
| Daniel Laguerre | 382 Springfield St, Springfield, MA 01107 | Crane Operator | ~ |
| Kamal Kant Kalia | 2 Medical Center Drive, Springfield, MA 01107 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Bushee Enterprises LLC | Po Box 1196, Southwick, MA 01107 | Home Improvement Contractor | 2015-12-01 ~ 2016-11-30 |
| B Lopez | 165 Prospect Street, Springfield, MA 01107 | Notary Public Appointment | 2011-10-01 ~ 2016-09-30 |
| Beth C Mcinerny | 260 Ware Road, Belchertown, MA 01107 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Jorge Enrique Rivera | 20 Narragansett Street, Springfield, MA 01107 | Professional Counselor | 2019-10-01 ~ 2020-09-30 |
| Rachael Hynds-decoteau | 22 Candice Cir, Springfield, MA 01107 | Controlled Substance Registration for Practitioner | 2019-09-19 ~ 2021-02-28 |
| Find all Licenses in zip 01107 | |||
| City | SPRINGFIELD |
| Zip Code | 01107 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + SPRINGFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| La Barzilai | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2017-10-11 ~ 2020-10-10 |
| Kathryn Y Barzilai | 435 Porter Lake Dr Apt 126, Longmeadow, MA 01106-1262 | Advanced Practice Registered Nurse | ~ |
| David M Renison | Po Box 75, Middletown, CT 06457-0075 | Physician/surgeon | 2013-07-01 ~ 2014-06-30 |
| David A Crowe | Po Box 677, Millwood, NY 10546-0677 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| David Khaski | 372 Avenue U Ste 1b, Brooklyn, NY 11223-4052 | Physician/surgeon | ~ |
| David M Heydt | 34 Loft Dr, Martinsville, NJ 08836-2261 | Physician/surgeon | ~ |
| David Brian Feig | 701 5th Ave, Seattle, WA 98104 | Physician/surgeon | ~ |
| David J Martin | C/o O.s.m., Trumbull, CT 06611 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| David R Widrow Md | 22 Fifth St, Stamford, CT 06905 | Physician/surgeon | 2002-08-20 ~ 2003-10-31 |
| David S Wilcox | P.o. Box 384, Osterville, MA 02655 | Physician/surgeon | 1996-03-14 ~ 1997-05-31 |
Please comment or provide details below to improve the information on DAVID A BARZILAI.
| 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).