LUBUNMI IFABIYI (Credential# 561177) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2005. The license expiration date date is April 30, 2006. The license status is INACTIVE.
LUBUNMI IFABIYI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.043595. The credential type is physician/surgeon. The effective date is July 1, 2005. The expiration date is April 30, 2006. The business address is 344 Britton Ave, Staten Island, NY 10304-3428. The current status is inactive.
Licensee Name | LUBUNMI IFABIYI |
Credential ID | 561177 |
Credential Number | 1.043595 |
Credential Type | Physician/Surgeon |
Business Address |
344 Britton Ave Staten Island NY 10304-3428 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2005-07-01 |
Effective Date | 2005-07-01 |
Expiration Date | 2006-04-30 |
Refresh Date | 2009-07-08 |
Street Address | 344 BRITTON AVE |
City | STATEN ISLAND |
State | NY |
Zip Code | 10304-3428 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Ashley Benvenuto | 36 Wilson Street, Staten Island, NY 10304 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
Joseph J Ruggiero | 60 Duncan St, Staten Isld, NY 10304 | Professional Engineer | 2014-02-01 ~ 2015-01-31 |
Sarah Klobocista | 21 Vista Ave, Staten Island, NY 10304 | Physician Assistant | 2018-11-01 ~ 2019-10-31 |
Boundless Impact Group LLC | 25 Copperleaf Terrace, Staten Island, NY 10304 | Paid Solicitor | 2019-08-13 ~ 2020-08-12 |
Richard J Trieste | 48 Duncan St, Staten Island, NY 10304 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Advanced Technology Select Fund Viii, LLC | 163 Coventry Road, Staten Island, NY 10304 | Securities - Exemptions | 2019-11-12 ~ |
Sabrina J Lauriston | 32 Delaware Street, Staten Island, NY 10304 | Registered Nurse | 2019-08-01 ~ 2020-07-31 |
John B Dimaano | 800 Elbe Ave, Staten Island, NY 10304 | Registered Nurse | 2019-04-01 ~ 2020-03-31 |
Nadezda A Tretyakova | 54 Sunrise Terrace, Staten Island, NY 10304 | Physician/surgeon | 2017-11-01 ~ 2018-10-31 |
Bruce Sosler | 27 Gateway Drive, Staten Island, NY 10304 | Physician/surgeon | 2017-08-01 ~ 2018-07-31 |
Find all Licenses in zip 10304 |
City | STATEN ISLAND |
Zip Code | 10304 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + STATEN ISLAND |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
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 |
Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Nazanin Barzideh Md | North Shore Retina Physician, Pllc, East Hills, NY 11576 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
Barbara M Galko Md | Danbury Office of Physician Services PC, Danbury, CT 06810 | Physician/surgeon | 2010-06-01 ~ 2011-05-31 |
Sajot S Grewal Md | Danbury Office of Physician Services PC, Danbury, CT 06810 | Physician/surgeon | 2004-01-30 ~ 2005-03-31 |
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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).