PETER B. ILIEV (Credential# 2047884) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is May 26, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
PETER B. ILIEV is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0074120. The credential type is controlled substance registration for practitioner. The effective date is May 26, 2020. The expiration date is February 28, 2021. The business address is 18 Bradhurst Ave, Valhalla, NY 10595-1606. The current status is active.
Licensee Name | PETER B. ILIEV |
Credential ID | 2047884 |
Credential Number | CSP.0074120 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
18 Bradhurst Ave Valhalla NY 10595-1606 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2020-05-26 |
Effective Date | 2020-05-26 |
Expiration Date | 2021-02-28 |
Refresh Date | 2020-05-27 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
968451 | 1.049290 | Physician/Surgeon | 2010-10-21 | 2019-08-12 - 2020-07-31 | ACTIVE IN RENEWAL |
891709 | CSP.0046287 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2009-09-04 | 2013-03-01 - 2015-02-28 | INACTIVE |
973494 | CSP.0049271 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | - | INACTIVE |
Street Address | 18 BRADHURST AVE |
City | VALHALLA |
State | NY |
Zip Code | 10595-1606 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Dessislava D. Buchkova Iliev Md | 18 Bradhurst Ave, Valhalla, NY 10595-1606 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Gina Rogowsky · Atrium Construction | 12 Bradhurst Ave, Valhalla, NY 10595-1606 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Emily R Segal · Reichert | 35 Taylor Road, Valhalla, NY 10595 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
Sahil Munjal | 100 Woods Road, Valhalla, NY 10595 | Resident Physician | 2017-07-01 ~ 2021-06-30 |
Isaac H. Shalom | Westchester Medical Center, New York, NY 10595 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Thomas D Cerabona | 401 Columbus Ave, Valhalla, NY 10595 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Joanne R Ricciardella | 364 Grasslands Road, Valhalla, NY 10595 | Real Estate Broker | 2019-04-01 ~ 2020-03-31 |
Sunny D Mitchell | Dept of Surgery, Valhalla, NY 10595 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Marcon Group Ltd · Gregg D Smolev | 120 Prospect Ave., Valhalla, NY 10595 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
Emma Caitlin Mason | 45 Pamela Lane, Valhalla, NY 10595 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
Katherine Osborn-jones | 115 South Kensico, Valhalla, CT 10595 | Registered Nurse | ~ |
Incoronata Lileika | 21 Locust St., Valhalla, NY 10595 | Audiologist | 2020-03-01 ~ 2021-02-28 |
Find all Licenses in zip 10595 |
City | VALHALLA |
Zip Code | 10595 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + VALHALLA |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Dessislava D. Buchkova Iliev Md | 18 Bradhurst Ave, Valhalla, NY 10595-1606 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Peter Lu Md | 323 E 89th St, New York, NY 10128-5088 | Controlled Substance Registration for Practitioner | 2015-04-24 ~ 2017-02-28 |
W Peter Reyelt Md | Po Box 206, Sharon, CT 06069-0206 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Peter Lee Kim | 3 Fox Hill Ln, Enfield, CT 06082-3816 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Peter Jameson Md | Po Box 448, Bridgewater, CT 06752 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Peter Lee Kim | 20 Front St Apt 501, Hartford, CT 06103-2851 | Controlled Substance Registration for Practitioner | 2020-06-04 ~ 2021-02-28 |
Peter R Later Do | 64 Windward Way, Waterford, CT 06385 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Peter M Petrillo | 4 9th Ave, Branford, CT 06405 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Peter S Yoo | 333 Cedar St Fmb 121, New Haven, CT 06510-3206 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Peter N Broer | New Haven, CT 06515 | Controlled Substance Registration for Practitioner | 2011-04-21 ~ 2013-02-28 |
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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).