RICKY F AYALA
Resident Physician


Address: 80 Heller Parkway Apt 1, Newark, NJ 07104

RICKY F AYALA (Credential# 1488324) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is June 28, 2017. The license expiration date date is June 30, 2021. The license status is ACTIVE.

Business Overview

RICKY F AYALA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.057719-RES. The credential type is resident physician. The effective date is June 28, 2017. The expiration date is June 30, 2021. The business address is 80 Heller Parkway Apt 1, Newark, NJ 07104. The current status is active.

Basic Information

Licensee Name RICKY F AYALA
Credential ID 1488324
Credential Number 1.057719-RES
Credential Type Resident Physician
Credential SubCategory RES
Business Address 80 Heller Parkway Apt 1
Newark
NJ 07104
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2017-06-28
Effective Date 2017-06-28
Expiration Date 2021-06-30
Refresh Date 2018-05-07

Other licenses

ID Credential Code Credential Type Issue Term Status
1424289 CSP.0065403 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2017-05-31 2019-03-01 - 2021-02-28 ACTIVE

Office Location

Street Address 80 HELLER PARKWAY APT 1
City NEWARK
State NJ
Zip Code 07104

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Jorge R Perez 11 Bloomfield Avenue, #310, Newark, NJ 07104 Asbestos Abatement Worker 2010-05-01 ~ 2011-04-30
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Milton Aguilar 125 Blomfield Ave, Newark, NJ 07104 Asbestos Abatement Worker 2008-08-08 ~ 2009-08-31
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Competitor

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City NEWARK
Zip Code 07104
License Type Resident Physician
License Type + County Resident Physician + NEWARK

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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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