INSAF ALLY
Physician/surgeon


Address: 7622 170th St, Fresh Meadows, NY 11366-1344

INSAF ALLY (Credential# 1181960) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2017. The license expiration date date is September 30, 2018. The license status is INACTIVE.

Business Overview

INSAF ALLY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.052542. The credential type is physician/surgeon. The effective date is October 1, 2017. The expiration date is September 30, 2018. The business address is 7622 170th St, Fresh Meadows, NY 11366-1344. The current status is inactive.

Basic Information

Licensee Name INSAF ALLY
Credential ID 1181960
Credential Number 1.052542
Credential Type Physician/Surgeon
Business Address 7622 170th St
Fresh Meadows
NY 11366-1344
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2013-10-29
Effective Date 2017-10-01
Expiration Date 2018-09-30
Refresh Date 2019-01-03

Other licenses

ID Credential Code Credential Type Issue Term Status
1193547 CSP.0056396 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2013-11-14 2013-11-14 - 2015-02-28 INACTIVE

Office Location

Street Address 7622 170TH ST
City FRESH MEADOWS
State NY
Zip Code 11366-1344

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Young Lee 76-28 168 Street, Fresh Meadows, NY 11366 Combination Nail Technician, Esthetician Or Eyelash Technici ~
Misuk Man 75-27 181 Street, Flushing, NY 11366 Massage Therapist 2020-07-01 ~ 2022-06-30
Carmen Beltrame-pierre 7714 162nd St, Queens, NY 11366 Registered Nurse ~
Joseph Q Do 160-22 77th Road, Fresh Meadows, NY 11366 Pharmacist 2020-02-01 ~ 2022-01-31
Robert A Klaus 73-52 193 Street, Flushing, NY 11366 Pharmacist 2020-02-01 ~ 2022-01-31
Shaohui Mao 164-23 77th Road, Fresh Meadows, NY 11366 Professional Engineer 2020-02-01 ~ 2021-01-31
Susan M Levine 164-34 73rd Ave., Fresh Meadows, NY 11366 Dentist 2019-06-01 ~ 2020-05-31
Maryam Hamidieh Firoozan 73-21 197 Street, Flushing, NY 11366 Professional Engineer ~
Insoo Kim 75-22 Parsons Blvd., Apt. E2, Flushing, NY 11366 Asbestos Abatement Supervisor 2018-02-01 ~ 2019-01-31
Robin J Hur 188-01 Union Turnpike, Fresh Meadows, NY 11366 Controlled Substance Registration for Practitioner 2017-03-01 ~ 2019-02-28
Find all Licenses in zip 11366

Competitor

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City FRESH MEADOWS
Zip Code 11366
License Type Physician/Surgeon
License Type + County Physician/Surgeon + FRESH MEADOWS

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Dataset Information

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).

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