EDISON R BLANCO (Credential# 549653) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 12, 1995. The license expiration date date is August 31, 1996. The license status is INACTIVE.
EDISON R BLANCO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.031999. The credential type is physician/surgeon. The effective date is June 12, 1995. The expiration date is August 31, 1996. The business address is 147-20 35th Ave 10f, Flushing, NY 11354. The current status is inactive.
Licensee Name | EDISON R BLANCO |
Credential ID | 549653 |
Credential Number | 1.031999 |
Credential Type | Physician/Surgeon |
Business Address |
147-20 35th Ave 10f Flushing NY 11354 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1991-11-22 |
Effective Date | 1995-06-12 |
Expiration Date | 1996-08-31 |
Refresh Date | 2009-07-08 |
Street Address | 147-20 35TH AVE 10F |
City | FLUSHING |
State | NY |
Zip Code | 11354 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Suk Huh | 14923 32nd Ave, Flushing, NY 11354 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Juan Lin | 140-33 34st Ave, Flushing, NY 11354 | Nail Technician | ~ |
Sarah Yejin Park | 14923 32nd Avenue, Flushing, NY 11354 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Xiu Ying Yao | 139-29 34rd Apt#f9, Flushing, NY 11354 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Zhenji Jin | 142-09 37th Ave 3f, Flushing, NY 11354 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Xiaonu Jin | 139-29 34ave Apt 3fl, Flushing, NY 11354 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Sosim Cha | 144-32 35 Ave Apt D3, Flushing, NY 11354 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Fenglian Zhang | 35-22 Union St Apt3b, Flushing, NY 11354 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Young Sun Kim | 35-30 153rd St Apt6a, Flushing, NY 11354 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Ran Lim | 35-10 150th St Apt 2e, Flushing, NY 11354 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Find all Licenses in zip 11354 |
City | FLUSHING |
Zip Code | 11354 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + FLUSHING |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Usha Pai | 6 Daffodil Dr, Edison, NJ 08837 | Physician/surgeon | 2014-02-01 ~ 2015-01-31 |
Jesus Blanco | 76 Crestwood Dr, Gardner, MA 01440 | Physician/surgeon | 1997-09-11 ~ 1998-09-30 |
Cy R Blanco Md | 104 Mildred Pkwy, New Rochelle, NY 10804-2228 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Deepti Dhall | 73 Briar Ave, Edison, NJ 08817 | Physician/surgeon | 2005-10-03 ~ 2006-10-31 |
Jaime A Morales | 4073 Woodbridge Ave, Edison, NJ 08837-3308 | Physician/surgeon | ~ |
Edison H Wong | 801 N Orange Ave, Orlando, FL 32801 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
Charles T Fasanya | 10 Balzano Ct, Edison, NJ 08817-2861 | Physician/surgeon | 2018-02-24 ~ 2018-06-30 |
Mendel Goldfinger | 12 Carmello Drive, Edison, NJ 08817 | Physician/surgeon | ~ |
Pragnesh H Patel | 27 Minebrook Rd, Edison, NJ 08820 | Physician/surgeon | 1981-01-01 ~ 1994-06-30 |
Youming Huan | 1 Payne Ct., Edison, NJ 08820 | Physician/surgeon | 2015-08-01 ~ 2016-07-31 |
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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).