LI MA (Credential# 1468343) is licensed (Dentist) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
LI MA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.011955. The credential type is dentist. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 17 Sage Brush Ct, Setauket, NY 11733-2033. The current status is active.
| Licensee Name | LI MA |
| Credential ID | 1468343 |
| Credential Number | 2.011955 |
| Credential Type | Dentist |
| Business Address |
17 Sage Brush Ct Setauket NY 11733-2033 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-01-09 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-03-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1470205 | CSP.0067316 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-01-10 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 17 SAGE BRUSH CT |
| City | SETAUKET |
| State | NY |
| Zip Code | 11733-2033 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Steven H Krinsky | 5 Merlin Lane, Setauket, NY 11733 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Katarzyna Gray | 1 Club House Ct, Setauket, NY 11733 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Kambiz Nassiri | 6 Club House Court, E Setauket, NY 11733 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Alexa S Primavera | 7 Dorm Court, East Setauket, NY 11733 | Emergency Medical Technician | ~ |
| Joseph Ilasi | Long Island Pathology, Inc., East Setauket, NY 11733 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Inessa Safarov | 2 Flint Ct, East Setauket, NY 11733 | Dentist | 2019-09-01 ~ 2020-08-31 |
| David J Ben-eliyahu | 20 Abbey La, Setauket, NY 11733 | Chiropractor | 2019-04-01 ~ 2020-03-31 |
| Eugene Matthew Daniel Arena | 2 Lynx Lane, East Setauket, NY 11733 | Registered Nurse | 2019-05-01 ~ 2020-04-30 |
| Robert T Gongolewski · Brothers Chimney Service Inc | 48 Julia Cirle, Setauket, NY 11733 | Home Improvement Salesperson | 1997-12-30 ~ 1998-11-30 |
| James L Seccadanari · Jason Witover/prof Chimney Company | 30 Fireside Lane, East Setauket, NY 11733 | Home Improvement Salesperson | 1998-12-31 ~ 1999-11-30 |
| Find all Licenses in zip 11733 | |||
| City | SETAUKET |
| Zip Code | 11733 |
| License Type | Dentist |
| License Type + County | Dentist + SETAUKET |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ana L Roca | 331 2nd Ave # 2, Garwood, NJ 07027-1004 | Dentist | ~ |
| Narinderjit Mahal | CT | Dentist | ~ |
| Priscila M Guzman | CT | Dentist | ~ |
| Su J Lee | 480 2nd Ave Apt 10a, New York, NY 10016-9140 | Dentist | 2016-07-12 ~ 2017-03-31 |
| Charles E Ray | P.o. Box E, Middlebury, CT 06762 | Dentist | 2007-04-26 ~ 2008-05-31 |
| Su Jung Kim | 111 Park St Apt 12t, New Haven, CT 06511-5421 | Dentist | ~ |
| Jay F Ponto | 302 2nd St Apt 7b, Brooklyn, NY 11215-8507 | Dentist | 2019-07-01 ~ 2020-06-30 |
| Yoo Bin Lee | 11 Ridgecrest N, Scarsdale, NY 10583 | Dentist | 2019-12-01 ~ 2020-11-30 |
| Paul K Chu | 175 W 92nd St Apt 1g, New York, NY 10025-7519 | Dentist | ~ |
| Yoo Kon Kim | 181 Market St, New Britain, CT 06051-1748 | Dentist | 2013-12-01 ~ 2014-11-30 |
Please comment or provide details below to improve the information on LI MA.
| 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).