IBRAHIM SANDOKJI (Credential# 1494014) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2017. The license expiration date date is June 30, 2021. The license status is ACTIVE.
IBRAHIM SANDOKJI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.060062-RES. The credential type is resident physician. The effective date is July 1, 2017. The expiration date is June 30, 2021. The business address is 1102 Avalon Drive, Shelton, CT 06484. The current status is active.
| Licensee Name | IBRAHIM SANDOKJI |
| Credential ID | 1494014 |
| Credential Number | 1.060062-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
1102 Avalon Drive Shelton CT 06484 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-07-01 |
| Effective Date | 2017-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-05-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1426704 | CSP.0065580 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-06-13 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 1428863 | 1.056888 | Physician/Surgeon | 2017-08-17 | 2020-02-01 - 2021-01-31 | ACTIVE |
| Street Address | 1102 Avalon Drive |
| City | Shelton |
| State | CT |
| Zip Code | 06484 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Scott J Kudravy | 2a Garden Ter, Shelton, CT 06484 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Melissa E Filanowski | 265 Mohegan Rd, Shelton, CT 06484 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Danuta Adamson · Chmiel | 101 Dickinson Drive, Shelton, CT 06484 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Sandra E Mercier | 234 Deer Run, Huntington, CT 06484 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Ping Li | 17 Coram Rd 3c, Shelton, CT 06484 | Nail Technician | ~ |
| Victoria Mary Bucci | 53 Isinglass Rd, Shelton, CT 06484 | Master's Level Social Worker | ~ |
| Samuel L Smith | 122 Maple Avenue, Shelton, CT 06484 | Dietitian/nutritionist | 2020-08-01 ~ 2021-07-31 |
| Cindy Hubbell Vidal | 17 Sherwood Lane, Shelton, CT 06484 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Rosa Conners | 189 Coram Avenue, Shelton, CT 06484 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Erica Azzarito | 40 Clinton Drive, Shelton, CT 06484 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Find all Licenses in zip 06484 | |||
| City | Shelton |
| Zip Code | 06484 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + Shelton |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Wael S. Ibrahim | 20 York Street, New Haven, CT 06450 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Ibrahim & Ibrahim Engrs | 42 Border St, Deedham, MA 02026 | Professional Engineer | 1988-03-11 ~ 1989-01-31 |
| Waleed Ne Ibrahim | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2019-06-28 ~ 2022-06-30 |
| Giovanni Ibrahim | 175 Mountain Brook Dr, Cheshire, CT 06410-3563 | Resident Dentist | 2020-07-01 ~ 2021-06-30 |
| Khalid Ibrahim | 555 E 5th Street, Brooklyn, NY 11218 | Physician/surgeon | ~ |
| Ibrahim A Hirbawi | P.o. Box 12098, Jerusalem, 91120 | Physician/surgeon | 2011-02-10 ~ 2012-01-31 |
| Ibrahim I Jabbour | 171 Grandview Ave, Waterbury, CT 06708 | Physician/surgeon | 2019-04-01 ~ 2020-03-31 |
| Sherif Ibrahim | 200 Watson Blvd, Stratford, CT 06615 | Physician/surgeon | 2019-01-01 ~ 2019-12-31 |
| Sherif Ibrahim | 2324 Oak Ridge Dr., Troy, MI 48098 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Ibrahim N Orgun | 44 Craigemore Circle, Avon, CT 06001 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
Please comment or provide details below to improve the information on IBRAHIM SANDOKJI.
| 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).