RISHI M LUMBA
Physician/surgeon


Address: 257 Gold St Apt 408, Brooklyn, NY 11201-2072

RISHI M LUMBA (Credential# 1242343) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2016. The license expiration date date is September 30, 2017. The license status is INACTIVE.

Business Overview

RISHI M LUMBA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.053709. The credential type is physician/surgeon. The effective date is October 1, 2016. The expiration date is September 30, 2017. The business address is 257 Gold St Apt 408, Brooklyn, NY 11201-2072. The current status is inactive.

Basic Information

Licensee Name RISHI M LUMBA
Credential ID 1242343
Credential Number 1.053709
Credential Type Physician/Surgeon
Business Address 257 Gold St Apt 408
Brooklyn
NY 11201-2072
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2014-11-25
Effective Date 2016-10-01
Expiration Date 2017-09-30
Refresh Date 2018-01-03

Office Location

Street Address 257 GOLD ST APT 408
City BROOKLYN
State NY
Zip Code 11201-2072

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Kennie Kwok 257 Gold St Apt 405, Brooklyn, NY 11201-2072 Dentist 2012-05-22 ~ 2013-03-31

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Abigail Augustin 175 Willoughby St, Brooklyn, NY 11201 Registered Nurse 2020-09-01 ~ 2021-08-31
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Competitor

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City BROOKLYN
Zip Code 11201
License Type Physician/Surgeon
License Type + County Physician/Surgeon + BROOKLYN

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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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