DANIEL M DIVACK (Credential# 539694) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 22, 2001. The license expiration date date is July 31, 2002. The license status is INACTIVE.
DANIEL M DIVACK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.010468. The credential type is physician/surgeon. The effective date is October 22, 2001. The expiration date is July 31, 2002. The business address is 1629 Bell Blvd, Bayside, NY 11360. The current status is inactive.
| Licensee Name | DANIEL M DIVACK |
| Credential ID | 539694 |
| Credential Number | 1.010468 |
| Credential Type | Physician/Surgeon |
| Business Address |
1629 Bell Blvd Bayside NY 11360 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1961-10-26 |
| Effective Date | 2001-10-22 |
| Expiration Date | 2002-07-31 |
| Refresh Date | 2009-07-08 |
| Street Address | 1629 BELL BLVD |
| City | BAYSIDE |
| State | NY |
| Zip Code | 11360 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ok Pun Choi | 23-21 Corporl Knndy 3fl, Bayside, NY 11360 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Hee Sun Kim | 214-09 Waters Edge Dr #2, Bayside, NY 11360 | Nail Technician | ~ |
| Hyunjung Choi | 2908 203st #2, Bayside, NY 11360 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Hye Jung Choi-cho | 1654 Bell Blvd. Fl 01, Bayside, NY 11360 | Nail Technician | ~ |
| Dahye Rhee-kim | 209-34 23rd Ave, Bayside, NY 11360 | Nail Technician | ~ |
| Hyunjung Han | 214-15 18th Ave, Bayside, NY 11360 | Hairdresser/cosmetician | ~ |
| Sung Hee Park | 1706 202nd St 2fl, Bayside, NY 11360 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Myeong Hee Song | 13-19 Estates Lane, Bayside, NY 11360 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Kyung Hee Shin | 2908 204th St, Flushing, NY 11360 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Jialing Zhao | 1570 208th St, Bayside, NY 11360 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Find all Licenses in zip 11360 | |||
| City | BAYSIDE |
| Zip Code | 11360 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + BAYSIDE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lonnie M Divack | 13 Gloria Drive, Woodbury, NY 11797 | Physician/surgeon | ~ |
| Joseph W Pawlik Md | 2544 Daniel Island Dr, Daniel Island, SC 29492-8905 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Daniel R Canchola | CT | Physician/surgeon | ~ |
| Daniel Owens | 921 S Adams St, Hinsdale, IL 60521-4315 | Physician/surgeon | ~ |
| Daniel Q. Levin | 69 5th Ave Apt 14g, New York, NY 10003-3009 | Physician/surgeon | 2014-02-19 ~ 2015-02-28 |
| Daniel E Stuckey | Po Box 698, Katy, TX 77492 | Physician/surgeon | 2014-05-01 ~ 2015-04-30 |
| Daniel I Silvershein | Pleasantville, NY 10570 | Physician/surgeon | 2011-08-01 ~ 2012-07-31 |
| Daniel S Ebbs | 788 E Spruce Ave, Fresno, CA 93720-3017 | Physician/surgeon | ~ |
| Daniel Becker | 3 Westview Rd, Brookline, NH 03033-4421 | Physician/surgeon | ~ |
| Daniel A Moses | 16 Bathurst St., NSW 2025 | Physician/surgeon | 2018-01-01 ~ 2018-12-31 |
Please comment or provide details below to improve the information on DANIEL M DIVACK.
| 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).