ISSAHAR BEN-DOV (Credential# 1197639) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
ISSAHAR BEN-DOV is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.052904. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 789 Howard Ave, New Haven, CT 06519-1304. The current status is active.
Licensee Name | ISSAHAR BEN-DOV |
Credential ID | 1197639 |
Credential Number | 1.052904 |
Credential Type | Physician/Surgeon |
Business Address |
789 Howard Ave New Haven CT 06519-1304 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2014-04-01 |
Effective Date | 2020-05-01 |
Expiration Date | 2021-04-30 |
Refresh Date | 2020-04-01 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1217237 | CSP.0057005 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-04-29 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 789 HOWARD AVE |
City | NEW HAVEN |
State | CT |
Zip Code | 06519-1304 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Marabel D Schneider | 789 Howard Ave, New Haven, CT 06519 | Resident Physician | 2017-07-01 ~ 2021-06-30 |
Russell Rosenberg | 789 Howard Ave, New Haven, CT 06519-1304 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
Arielle Hannah Spellun | 789 Howard Ave, New Haven, CT 06519 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Daniel Kellner | 789 Howard Ave, New Haven, CT 06519-1304 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Sounok Sen | 789 Howard Ave, New Haven, CT 06519-1304 | Controlled Substance Registration for Practitioner | 2020-05-21 ~ 2021-02-28 |
Monica S Philipp | 789 Howard Ave, New Haven, CT 06510-3220 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
Ian D. Ferguson | 789 Howard Ave, New Haven, CT 06519-1304 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Jennifer Hughes | 789 Howard Ave, New Haven, CT 06519 | Controlled Substance Registration for Practitioner | 2019-10-07 ~ 2021-02-28 |
Daniel Joseph Friedman | 789 Howard Ave, New Haven, CT 06519-1304 | Controlled Substance Registration for Practitioner | 2019-07-15 ~ 2021-02-28 |
Mohammed Zaher | 789 Howard Ave, New Haven, CT 06519-1304 | Controlled Substance Registration for Practitioner | 2019-05-07 ~ 2021-02-28 |
Find all Licenses in the same address |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Thomas M Buckley | 789 Howard Ave Fitkin 300, New Haven, CT 06519-1304 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Peter G. Schulam | 789 Howard Ave Fmp 316, New Haven, CT 06519-1304 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Israel Franco | 789 Howard Ave Fmp 308, New Haven, CT 06519-1304 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Dinesh Singh Md | 789 Howard Ave Fitkin 324, New Haven, CT 06519-1304 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Sarkis Kiramijyan | 789 Howard Ave, Dana Building, New Haven, CT 06519-1304 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Michael Stuart Leapman | 789 Howard Ave Fitkin 300, New Haven, CT 06519-1304 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Vinod H Srihari Md | 34 Park St Cmhc, New Haven, CT 06519 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Monica Brito Salinas | 111 Kimberly Ave., New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-02-28 |
Walter Mathis | 34 Park St., New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Kimberly Pizza · Emmanuel Zorgias | 34 Kimberly Ave, New Haven, CT 06519 | Bakery | 2020-07-01 ~ 2021-06-30 |
Slawomir Piascik | 51 Longhini Lane, New Haven, CT 06519 | Asbestos Abatement Supervisor | 2020-08-01 ~ 2021-07-31 |
Margaret T Boron | 428 Columbus Ave, New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Laura Ann Dicola | Connecticut Mental Health Center Law & Psychiatry, New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Elizabeth Parson | 689 Congress Ave, New Haven, CT 06519 | Medication Administration Certification | 2020-08-05 ~ 2022-08-04 |
Alejandra Lopez Cervantes | 10 Hedge St, New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-20 ~ 2021-08-31 |
Deicy Alexandra Urena Dagua | 267 Howard Ave, New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-20 ~ 2021-10-31 |
Find all Licenses in zip 06519 |
City | NEW HAVEN |
Zip Code | 06519 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + NEW HAVEN |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
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 |
Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Nazanin Barzideh Md | North Shore Retina Physician, Pllc, East Hills, NY 11576 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
Susan J Batlan Md | Eye Physician Associates of Hartford, West Hartford, CT 06107 | Physician/surgeon | 2000-07-27 ~ 2001-07-31 |
Barbara M Galko Md | Danbury Office of Physician Services PC, Danbury, CT 06810 | Physician/surgeon | 2010-06-01 ~ 2011-05-31 |
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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).