ILYA LIM (Credential# 1434503) 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.
ILYA LIM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.056827. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 1625 Straits Turnpike, Middlebury, CT 06762. The current status is active.
Licensee Name | ILYA LIM |
Credential ID | 1434503 |
Credential Number | 1.056827 |
Credential Type | Physician/Surgeon |
Business Address |
1625 Straits Turnpike Middlebury CT 06762 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2017-08-02 |
Effective Date | 2020-05-01 |
Expiration Date | 2021-04-30 |
Refresh Date | 2020-02-18 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1441757 | CSP.0066538 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-08-10 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 1625 straits turnpike |
City | middlebury |
State | CT |
Zip Code | 06762 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Nicholas M Mascoli Jr | 1625 Straits Turnpike, Middlebury, CT 06762 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Ezpharm LLC | 1625 Straits Turnpike, Middlebury, CT 06762 | Pharmacy | 2005-09-01 ~ 2006-04-25 |
Puddleducks Early Learning Center LLC | 1625 Straits Turnpike, Middlebury, CT 06762 | Child Care Center | ~ |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Patricia E Rosa · Lambo | 76 East Farm Rd, Middlebury, CT 06762 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Kathy Ann Calo · Bellino | 116 Carriage Drive, Middlebury, CT 06762 | Hairdresser/cosmetician | 2020-06-01 ~ 2022-05-31 |
Laurie V Massetti | 60 Yale Avenue, Middlebury, CT 06762 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Timex Corp | Park Rd Ext, Middlebury, CT 06762 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Margaret E Mowrey | 57 Marney Drive, Middlebury, CT 06762 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
Giuseppe Tripodi | 687 Straits Tpk, Middlebury, CT 06762 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Elise L Callahan | 77 Christian Rd, Middlebury, CT 06762 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Michelle King | 91 Kissewaug Rd, Middlebury, CT 06762 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Michael F Simms IIi | 80 Burr Hall Road, Middlebury, CT 06762 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Kelly M Barbaris | 62 Yale Avenue, Middlebury, CT 06762 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 06762 |
City | middlebury |
Zip Code | 06762 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + middlebury |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Ilya Michael Averbuch | Po Box 11535, Philadelphia, PA 19116-0535 | Physician/surgeon | 1991-05-24 ~ 1992-03-31 |
Ilya Blokh Md | 2483 W16th St Apt 8g, Brooklyn, NY 11214 | Physician/surgeon | 2006-07-07 ~ 2007-08-31 |
Ilya Fatakhov | 71-11 Yellowstone Blvd Apt. # 2p, Forest Hills, NY 11375-5202 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Ilya Miloslavskiy | 313 6th Ave Apt 1a, New York, NY 10014-4445 | Dentist | 2013-06-03 ~ 2014-06-30 |
Ilya I Garibyan | 55 W 69th St Apt 3a, New York, NY 10023-4723 | Dentist | 2014-05-30 ~ 2015-04-30 |
Ilya Sapozhnik | 49 Bokee Ct Apt 3a, Brooklyn, NY 11223-6166 | Dentist | 2016-04-19 ~ 2016-11-30 |
Ilya Kholodenko | 31 Brook Way, Demarest, NJ 07627 | Professional Engineer | 2004-05-11 ~ 2005-01-31 |
Ilya Khaimov | 14758 78th Ave, Flushing, NY 11367-3433 | Barber | 2020-05-01 ~ 2022-04-30 |
Ilya V Melnikov | 175 Plymouth St, New Haven, CT 06519-2511 | Massage Therapist | 2015-04-29 ~ 2017-01-31 |
Ilya Smolenskiy | 586 Grand St. #2b, Brooklyn, NY 11211 | Wholesaler Salesman | 2017-02-01 ~ 2019-01-31 |
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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).