ILYA BLOKH MD (Credential# 561517) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 7, 2006. The license expiration date date is August 31, 2007. The license status is INACTIVE.
ILYA BLOKH MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.043935. The credential type is physician/surgeon. The effective date is July 7, 2006. The expiration date is August 31, 2007. The business address is 2483 W16th St Apt 8g, Brooklyn, NY 11214. The current status is inactive.
Licensee Name | ILYA BLOKH MD |
Credential ID | 561517 |
Credential Number | 1.043935 |
Credential Type | Physician/Surgeon |
Business Address |
2483 W16th St Apt 8g Brooklyn NY 11214 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2005-11-16 |
Effective Date | 2006-07-07 |
Expiration Date | 2007-08-31 |
Refresh Date | 2009-07-11 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
426198 | CSP.0038715 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-01-05 | 2005-01-05 - 2007-02-28 | INACTIVE |
Street Address | 2483 W16TH ST APT 8G |
City | BROOKLYN |
State | NY |
Zip Code | 11214 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Semai Arsoy | 27 Bay 17th Street, Brooklyn, NY 11214 | Registered Nurse | ~ |
Steven Fuhrman | 1935 Shore Parkway Apt 9-h, Brooklyn, NY 11214 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
Maia Chrelashvili | 2249 83rd St., #b5, Brooklyn, NY 11214 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Kit Ching Lai | 2155 82 St 5n, Brooklyn, NY 11214 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
Rui Kang Chen | 29 Bay 32nd St, Brooklyn, NY 11214 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
Sam S Lo | 215 Bay 46 3 Fl, Brooklyn, NY 11214 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
Ping S Tse | 8109 20 Ave #c1, Brooklyn, NY 11214 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
Jian Ping Huang | 2031 81st Street, Brooklyn, NY 11214 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
Fong Shun Lam | 237 Bay 14 Th St, Brooklyn, NY 11214 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
Shih W Eng | 109 Bay 41 Street, Brooklyn, NY 11214 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
Find all Licenses in zip 11214 |
City | BROOKLYN |
Zip Code | 11214 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + BROOKLYN |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Ilya Michael Averbuch | Po Box 11535, Philadelphia, PA 19116-0535 | Physician/surgeon | 1991-05-24 ~ 1992-03-31 |
Ilya Lim | 1625 Straits Turnpike, Middlebury, CT 06762 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Ilya Fatakhov | 71-11 Yellowstone Blvd Apt. # 2p, Forest Hills, NY 11375-5202 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Andrey Blokh | 2, Ulitsa Raduzhnaya, R.p. Zarechiye, RU 143085 | Medical Marijuana Dispensary Facility Backer | 2020-04-13 ~ 2021-04-13 |
David Roman Blokh | 4132 Homestead Blvd, Westborough, MA 01581-1065 | Medical Marijuana Producer Employee | 2020-05-26 ~ 2021-05-26 |
Ilya Miloslavskiy | 313 6th Ave Apt 1a, New York, NY 10014-4445 | Dentist | 2013-06-03 ~ 2014-06-30 |
Ilya Sapozhnik | 49 Bokee Ct Apt 3a, Brooklyn, NY 11223-6166 | Dentist | 2016-04-19 ~ 2016-11-30 |
Ilya I Garibyan | 55 W 69th St Apt 3a, New York, NY 10023-4723 | Dentist | 2014-05-30 ~ 2015-04-30 |
Ilya Kholodenko | 31 Brook Way, Demarest, NJ 07627 | Professional Engineer | 2004-05-11 ~ 2005-01-31 |
Ilya Khaimov | 14758 78th Ave, Flushing, NY 11367-3433 | Barber | 2020-05-01 ~ 2022-04-30 |
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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).