DAVID SHABAZ ALLY ESHAK (Credential# 1675139) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
DAVID SHABAZ ALLY ESHAK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.064539. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 1 Cityplace Dr Ste 570, Saint Louis, MO 63141-7067. The current status is active.
| Licensee Name | DAVID SHABAZ ALLY ESHAK |
| Credential ID | 1675139 |
| Credential Number | 1.064539 |
| Credential Type | Physician/Surgeon |
| Business Address |
1 Cityplace Dr Ste 570 Saint Louis MO 63141-7067 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-11-04 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-02-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1804609 | CSP.0072726 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-11-05 | 2019-11-05 - 2021-02-28 | ACTIVE |
| Street Address | 1 CITYPLACE DR STE 570 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63141-7067 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tracy Lynne Reeder | 1 Cityplace Dr Ste 570, Saint Louis, MO 63141-7067 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Vanessa Kitzis | 1 Cityplace Dr Ste 570, Saint Louis, MO 63141-7067 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Dee Walker Ford | 1 Cityplace Dr Ste 570, Saint Louis, MO 63141-7067 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Mary Ellen Mcdonough | 1 Cityplace Dr Ste 570, Saint Louis, MO 63141-7067 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Steven Branham | 1 Cityplace Dr Ste 570, Saint Louis, MO 63141-7067 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Brett Nathan Whaley | 1 Cityplace Dr Ste 570, Saint Louis, MO 63141-7067 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Timothy Michael Stock | 1 Cityplace Dr Ste 570, Saint Louis, MO 63141-7067 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jason Nguyen | 1 Cityplace Dr Ste 570, Saint Louis, MO 63141-7067 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Kara Diane Skrodzki | 1 Cityplace Dr Ste 570, Saint Louis, MO 63141-7067 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Analiza Salvador Petero | 1 Cityplace Dr Ste 570, Saint Louis, MO 63141-7067 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eboni C January | 910 Morrison Ave, St Louis, MO 63141 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Guy Elise Constant De Gent | One Cityplace Dr, Suite 570, Saint Louis, MO 63141 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| William P Mcmahon | 670 Mason Ridge Center Dr #220, St Louis, MO 63141 | Architect | 2020-08-01 ~ 2021-07-31 |
| Debra Kay Scudder | 12917 Gallagher Road, St. Louis, MO 63141 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Go Live Well | 13035 Olive Blvd Ste #210, Saint Louis, MO 63141 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
| Michael Cummins Cpa PC | Three The Pines Court Ste E, St. Louis, MO 63141 | Certified Public Accountant Firm Permit | 2020-01-01 ~ 2020-12-31 |
| Michael Cummins Cpa | 3 The Pines Ct Ste E, St. Louis, MO 63141 | Certified Public Accountant Certificate | 2020-01-01 ~ 2020-12-31 |
| Kali Marie Boland | 12750 Hezel Lane, Creve Coeur, MO 63141 | Physical Therapist | 2019-11-04 ~ 2020-10-31 |
| Romona Patrice Green | One Cityplace Drive, Saint Louis, MO 63141 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Isabelle Evelyn Condict | 711 Country Manor Lane, Creve Coeur, MO 63141 | Registered Nurse | 2018-05-01 ~ 2019-04-30 |
| Find all Licenses in zip 63141 | |||
| City | SAINT LOUIS |
| Zip Code | 63141 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + SAINT LOUIS |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Insaf Ally | 7622 170th St, Fresh Meadows, NY 11366-1344 | Physician/surgeon | 2017-10-01 ~ 2018-09-30 |
| Learning Ally Inc · Fka Recording Fro The Blind & Dyslexic Inc | 20 Roszel Rd, Princeton, NJ 08540-6206 | Public Charity | 2020-06-01 ~ 2021-05-31 |
| Ally Construction LLC | 11 Dick Finn Rd, New Fairfield, CT 06812-3310 | Home Improvement Contractor | 2015-12-01 ~ 2016-11-30 |
| Ally Roofing LLC | 907 W Richmondville Rd, Cobleskill, NY 12043-6915 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Dina W Eshak | 221 Trumbull St #406, Hartford, CT 06103 | Pharmacy Intern | 2018-08-16 ~ 2021-09-30 |
| Dion Williams-shabaz | 40 Court Street, Windsor, CT 06095 | Medication Administration Certification | 2019-04-26 ~ 2021-04-25 |
| David R Widrow Md | 22 Fifth St, Stamford, CT 06905 | Physician/surgeon | 2002-08-20 ~ 2003-10-31 |
| David G. Srour Md | Rockville, MD 20850 | Physician/surgeon | 2012-07-01 ~ 2013-06-30 |
| David M Renison | Po Box 75, Middletown, CT 06457-0075 | Physician/surgeon | 2013-07-01 ~ 2014-06-30 |
| David S Wilcox | P.o. Box 384, Osterville, MA 02655 | Physician/surgeon | 1996-03-14 ~ 1997-05-31 |
Please comment or provide details below to improve the information on DAVID SHABAZ ALLY ESHAK.
| 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).