ANA T BLOHM (Credential# 1302625) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2017. The license expiration date date is October 31, 2018. The license status is INACTIVE.
ANA T BLOHM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.054640. The credential type is physician/surgeon. The effective date is November 1, 2017. The expiration date is October 31, 2018. The business address is 584 Broadway Rm 510, New York, NY 10012-5244. The current status is inactive.
| Licensee Name | ANA T BLOHM |
| Credential ID | 1302625 |
| Credential Number | 1.054640 |
| Credential Type | Physician/Surgeon |
| Business Address |
584 Broadway Rm 510 New York NY 10012-5244 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2015-10-01 |
| Effective Date | 2017-11-01 |
| Expiration Date | 2018-10-31 |
| Refresh Date | 2019-02-03 |
| Street Address | 584 BROADWAY RM 510 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10012-5244 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Christine Alice Kerr | 319 Lafayette St., New York, NY 10012 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Toshiko Mori | 199 Lafayette St. Suite 5a, New York, NY 10012 | Architect | 2020-08-01 ~ 2021-07-31 |
| Jrsk, Inc. | 503 Broadway, Fl3, New York, NY 10012 | Securities - Exemptions | 2020-06-10 ~ |
| Donald R Blair · Donald Blair Aia Architect | 55 Prince St, New York, NY 10012 | Architect | 2020-08-01 ~ 2021-07-31 |
| Mitchell Kurtz | 611 Broadway Ste 526, New York, NY 10012 | Architect | 2020-08-01 ~ 2021-07-31 |
| John R Wettling | 270 Lafayette St Suite #400, New York, NY 10012 | Architect | 2020-08-01 ~ 2021-07-31 |
| John A Symecko | 155 Bleecker Street, New York, NY 10012 | Dentist | 2005-08-08 ~ 2006-03-31 |
| Lead Edge Parters Opportunity Xxvii, Lp | 96 Spring St, Fl 5, New York, NY 10012 | Securities - Exemptions | 2020-06-08 ~ |
| Native Data, Inc. | 524 Broadway, New York, NY 10012 | Securities - Exemptions | 2020-05-15 ~ |
| Rse Markets. Inc. | 250 Lafayette St, Fl 3, New York, NY 10012 | Securities - Exemptions | 2020-04-30 ~ |
| Find all Licenses in zip 10012 | |||
| City | NEW YORK |
| Zip Code | 10012 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEW YORK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
| Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
| Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Stephanie S Molina | 213 Blohm St, West Haven, CT 06516-6008 | Optician Apprentice | 2012-03-01 ~ 2015-09-01 |
| Dawn M Pagano | 251 Blohm St, W Haven, CT 06516-6011 | Pharmacy Technician | 2008-07-30 ~ 2009-03-31 |
| David Estremera | 439 Blohm St Apt 2, West Haven, CT 06516-5905 | Barber | 2019-10-01 ~ 2021-09-30 |
Please comment or provide details below to improve the information on ANA T BLOHM.
| 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).