EDWARD L BALABAN MD (Credential# 158499) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 18, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.
EDWARD L BALABAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0017982. The credential type is controlled substance registration for practitioner. The effective date is March 18, 2013. The expiration date is February 28, 2015. The business address is 1175 Dickinson St, Springfield, MA 01108-3143. The current status is inactive.
| Licensee Name | EDWARD L BALABAN MD |
| Credential ID | 158499 |
| Credential Number | CSP.0017982 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
1175 Dickinson St Springfield MA 01108-3143 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 2013-03-18 |
| Expiration Date | 2015-02-28 |
| Refresh Date | 2016-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 547483 | 1.028942 | Physician/Surgeon | 1988-04-08 | 2012-11-01 - 2013-10-31 | INACTIVE |
| Street Address | 1175 DICKINSON ST |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01108-3143 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sang Lam | 11 Herman Streets, Springfield, MA 01108 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Di Fu | 18 Eldridge St, Springfield, MA 01108 | Hairdresser/cosmetician | ~ |
| Ewanjigi Wangui Wanjigi | 157 Layfred Terrace St, Springfield, MA 01108 | Licensed Practical Nurse | ~ |
| Vy Thanh Tran | 68 Kenwood Park, Springfield, MA 01108 | Nail Technician | ~ |
| David Ji Soo Kim | 38 Whittier St Apt A, Springfield, MA 01108 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-17 ~ 2021-09-30 |
| Frances I Moran | 66 Parkedge Ave, Springfield, MA 01108 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Hwarim Oh | 38 Whittier St, Springfield, MA 01108 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Alice F Thomas | 91 Audubon St, Springfield, MA 01108 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Italian Bread Shop Inc | 187 Orange St, Springfield, MA 01108 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Renee D Mix | 23 Irvington Street, Springfield, MA 01108 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Find all Licenses in zip 01108 | |||
| City | SPRINGFIELD |
| Zip Code | 01108 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SPRINGFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Edward W Akeyson Md | Po Box 189, Durham, CT 06422-0189 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Edward Jk Lee | 291 Queen St, Bristol, CT 06010-6379 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Edward T Sze | 152 Temple St Apt 513, New Haven, CT 06510-2613 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Edward H Kim | 2 Sparrow La, Unionville, CT 06085 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Edward L Osborn | Po Box 245, Torrington, CT 06790-0245 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Edward F Fox Md | 111 Oakridge Rd, Bristol, CT 06010 | Controlled Substance Registration for Practitioner | 1998-03-01 ~ 1999-02-28 |
| Edward Holbrook Md | Po Box 68, Averill Park, NY 12018-0068 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Edward J Zaczynski Md | 150 Hill St, Suffield, CT 06078 | Controlled Substance Registration for Practitioner | 2000-02-29 ~ 2001-02-28 |
| Edward J Miller Md | 333 Cedar St, New Haven, CT 06520-8017 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Edward Y Chay | 64 Robbins St, Waterbury, CT 06708-2613 | Controlled Substance Registration for Practitioner | 2013-04-11 ~ 2015-02-28 |
Please comment or provide details below to improve the information on EDWARD L BALABAN MD.
| 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).