ROGER G ISHAC (Credential# 562143) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 10, 2006. The license expiration date date is November 30, 2006. The license status is INACTIVE.
ROGER G ISHAC is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.044561. The credential type is physician/surgeon. The effective date is July 10, 2006. The expiration date is November 30, 2006. The business address is 585 N. Railroad Ave, Staten Island, NY 10304. The current status is inactive.
Licensee Name | ROGER G ISHAC |
Credential ID | 562143 |
Credential Number | 1.044561 |
Credential Type | Physician/Surgeon |
Business Address |
585 N. Railroad Ave Staten Island NY 10304 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2006-07-10 |
Effective Date | 2006-07-10 |
Expiration Date | 2006-11-30 |
Refresh Date | 2009-07-08 |
Street Address | 585 N. Railroad Ave |
City | Staten Island |
State | NY |
Zip Code | 10304 |
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 |
---|---|---|---|
Roger Elliott Belson | CT | Physician/surgeon | 1980-06-09 ~ 1984-03-31 |
Roger M Harris | P.o. Box 714, Hartsdale, NY 10530 | Physician/surgeon | 1987-05-01 ~ 1990-03-31 |
Roger El-hachem Md | 28 Butternut Dr, Unionville, CT 06085-1546 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Roger S Beck | 305 Dale Rd, Wethersfield, CT 06109 | Physician/surgeon | 2002-08-26 ~ 2003-10-31 |
Roger E Elias Md | 42 Skyview Rd, Orange, CT 06477-1114 | Physician/surgeon | 2015-04-01 ~ 2016-03-31 |
Roger M Baretz | 120 N Main St, New City, NY 10956 | Physician/surgeon | 2001-10-29 ~ 2002-12-31 |
Roger H Brown | 36 East St, Lenox, MA 01240-2203 | Physician/surgeon | 2018-01-01 ~ 2018-12-31 |
Roger W Moore | 39 Boland Rd, Sharon, CT 06069 | Physician/surgeon | 2004-08-02 ~ 2005-09-30 |
Roger P Castro | 136 South St, Danbury, CT 06810 | Physician/surgeon | 1995-01-09 ~ 1996-02-29 |
Roger R Ayres Md | 177 Post Rd W Ste 5, Westport, CT 06880-4652 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
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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).