LASHA KHETSURIANI MD (Credential# 555318) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 25, 2001. The license expiration date date is February 28, 2002. The license status is INACTIVE.
LASHA KHETSURIANI MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.037728. The credential type is physician/surgeon. The effective date is January 25, 2001. The expiration date is February 28, 2002. The business address is 255 79th, Brooklyn, NY 11209. The current status is inactive.
| Licensee Name | LASHA KHETSURIANI MD |
| Credential ID | 555318 |
| Credential Number | 1.037728 |
| Credential Type | Physician/Surgeon |
| Business Address |
255 79th Brooklyn NY 11209 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1999-05-07 |
| Effective Date | 2001-01-25 |
| Expiration Date | 2002-02-28 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 219147 | CSP.0028577 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2000-02-29 - 2001-02-28 | INACTIVE |
| Street Address | 255 79TH |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11209 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jennifer T Segalla | 254 85th Street, Brooklyn, NY 11209 | Real Estate Salesperson | 2019-06-01 ~ 2020-05-31 |
| David M Shlosh | 7810 Ridge Boulevard, Brooklyn, NY 11209 | Certified General Real Estate Appraiser | 2020-05-01 ~ 2021-04-30 |
| Moustafa Elhosseni | 1- 74 Street, Brooklyn, NY 11209 | Pharmacist | 2020-03-06 ~ 2022-01-31 |
| Brian Elgart | 107 82 Street, Brooklyn, NY 11209 | Tax Preparer/facilitator Permit | 2020-02-11 ~ 2022-02-28 |
| Stephen A Caliendo | 175 Marine Ave, Brooklyn, NY 11209 | Tax Preparer/facilitator Permit | 2020-02-11 ~ 2022-02-28 |
| Louis M Forte | 24 70th Street, Brooklyn, NY 11209 | Tax Preparer/facilitator Permit | 2020-02-11 ~ 2022-02-28 |
| Nathan L Rumsey | 326 Sterling Dr, Brooklyn, NY 11209 | Professional Engineer | 2019-02-28 ~ 2020-01-31 |
| William A. Warren | 8901 Shore Road, Brooklyn, NY 11209 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
| Jane Kovalyuk | 9205 Ridge Boulevard Apt 4 J, Brooklyn, NY 11209 | Notary Public Appointment | 2004-03-02 ~ 2009-03-31 |
| Amer A Chahine | 332 86th Street, Brooklyn, NY 11209 | Dentist | 2019-12-01 ~ 2020-11-30 |
| Find all Licenses in zip 11209 | |||
| City | BROOKLYN |
| Zip Code | 11209 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + BROOKLYN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lasha Jaiani Md | 912 Jennings Rd, Fairfield, CT 06824-4630 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Lasha Gogokhia | 56 Franklin St, Waterbury, CT 06706-1253 | Resident Physician | 2020-07-06 ~ 2022-06-21 |
| Lasha C Corbett | 68 Bushnell Ave, Oakville, CT 06779-1404 | Psychologist | 2020-02-01 ~ 2021-01-31 |
| Lasha- George Topuridze | 4190 Bedford Ave Apt 6b, Brooklyn, NY 11229-4952 | Registered Nurse | 2017-02-01 ~ 2018-01-31 |
| Courtney Lasha Davis | 7463 Grayson Bridge Cir, Douglasville, GA 30134-6480 | Registered Nurse | 2018-08-01 ~ 2019-07-31 |
| Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
| Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
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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).