GIOVANNI IBRAHIM (Credential# 1512470) is licensed (Resident Dentist) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
GIOVANNI IBRAHIM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.012180-RES. The credential type is resident dentist. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 175 Mountain Brook Dr, Cheshire, CT 06410-3563. The current status is active.
| Licensee Name | GIOVANNI IBRAHIM |
| Credential ID | 1512470 |
| Credential Number | 2.012180-RES |
| Credential Type | Resident Dentist |
| Credential SubCategory | RES |
| Business Address |
175 Mountain Brook Dr Cheshire CT 06410-3563 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-06-22 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-05-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1513986 | CSP.0068027 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-05-16 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 1508577 | 2.012251 | Dentist | 2018-06-06 | 2018-06-06 - 2019-01-31 | INACTIVE |
| 687179 | 13.007252 | Dental Hygienist | 2007-11-08 | 2014-02-01 - 2015-01-31 | INACTIVE |
| Street Address | 175 MOUNTAIN BROOK DR |
| City | CHESHIRE |
| State | CT |
| Zip Code | 06410-3563 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| James E Conant | 175 Mountain Brook Dr., Cheshire, CT 06410-3563 | Certified Public Accountant License | 1995-01-01 ~ 1995-12-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mr B's · Bimonte's Pizza Castle | 155 Highland Ave, Cheshire, CT 06410 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Traci L Bonassar | 452 Castle Glenn, Cheshire, CT 06410 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Faith H Morico · Hennessey | 177 Wallingford Rd, Cheshire, CT 06410 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Renee D Kane | 40 Willow St, Cheshire, CT 06410 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Kara Capuano | 20 Renee Court, Cheshire, CT 06410 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Eugenia A Marquez | 22 Currier Way, Cheshire, CT 06410 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Mahnaz M Emamian | 471 West Main St, Cheshire, CT 06410 | Esthetician | ~ |
| Margarita A. Norris | 302 Highland Avenue, Cheshire, CT 06410 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Wendell D Wallace Juedes | 545 Country Club Rd, Cheshire, CT 06410 | Podiatrist | 2020-04-01 ~ 2021-03-31 |
| Hyunjung An | 55 Moneta Ln., Cheshire, CT 06410 | Acupuncturist | ~ |
| Find all Licenses in zip 06410 | |||
| City | CHESHIRE |
| Zip Code | 06410 |
| License Type | Resident Dentist |
| License Type + County | Resident Dentist + CHESHIRE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ibrahim & Ibrahim Engrs | 42 Border St, Deedham, MA 02026 | Professional Engineer | 1988-03-11 ~ 1989-01-31 |
| Wael S. Ibrahim | 20 York Street, New Haven, CT 06450 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Ibrahim Sandokji | 1102 Avalon Drive, Shelton, CT 06484 | Resident Physician | 2017-07-01 ~ 2021-06-30 |
| Ibrahim Sayeed | 8730 114th St Apt 1r, Richmond Hill, NY 11418-2447 | Dentist | 2017-08-23 ~ 2018-07-31 |
| Waleed Ne Ibrahim | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2019-06-28 ~ 2022-06-30 |
| Giovanni's Best | 855 Forest Rd, North Branford, CT 06472 | Bakery | 2018-07-01 ~ 2019-06-30 |
| Giovanni's | 216 White St, Danbury, CT 06810 | Bakery | 2008-07-01 ~ 2009-06-30 |
| Giovanni Constr & Design Inc | 97 Algonquin Dr, Wallingford, CT 06492 | Home Improvement Contractor | ~ 1995-09-01 |
| Maurice L Giovanni · Giovanni Home Builders | 90 Calvin French Rd, Sterling, CT 06377 | New Home Construction Contractor | 2019-10-02 ~ 2021-09-30 |
| Giovanni Tile LLC | 79 Buena Vista Dr, Plantsville, CT 06479-1903 | Home Improvement Contractor | 2019-12-29 ~ 2020-11-30 |
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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).