EMMA BENJAMIN (Credential# 562586) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2010. The license expiration date date is October 31, 2011. The license status is INACTIVE.
EMMA BENJAMIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.045004. The credential type is physician/surgeon. The effective date is November 1, 2010. The expiration date is October 31, 2011. The business address is 64-11 99 Street, #604, Rego Park, NY 11374. The current status is inactive.
Licensee Name | EMMA BENJAMIN |
Credential ID | 562586 |
Credential Number | 1.045004 |
Credential Type | Physician/Surgeon |
Business Address |
64-11 99 Street, #604 Rego Park NY 11374 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2006-12-28 |
Effective Date | 2010-11-01 |
Expiration Date | 2011-10-31 |
Refresh Date | 2012-02-08 |
Street Address | 64-11 99 Street, #604 |
City | Rego Park |
State | NY |
Zip Code | 11374 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Keyur Patel | 9745 Queens Blvd, Rego Park, NY 11374 | Physician/surgeon | ~ |
Jing Li | 9940 63rd Rd Apt 7g, Rego Park, NY 11374 | Nail Technician | ~ |
Eugene Khananov | 9931 64th B-17, Rego Park, NY 11374 | Architect | 2020-08-01 ~ 2021-07-31 |
Mi Ja Kim | 6541 Booth St Apt 1a, Rego Park, NY 11374 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Helen Tuzio | 85-18 65th Dr, Rego Park, NY 11374 | Veterinarian | 2020-04-19 ~ 2021-03-31 |
Carlo Lacanilao Maniago | 6406 Fleet St. Apt 6a Rego Park, New York, NY 11374 | Registered Nurse | ~ |
Hui Fang Liu | 6150 Wetherole Street First Floor, Rego Park, NY 11374 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
Michael Kandchorov | 65-09 99st, Rego Park, NY 11374 | Pharmacist | 2020-03-13 ~ 2022-01-31 |
Fiana I Yaroslavskaya | 99-52 66 Road #9 Z, Rego Park, NY 11374 | Physical Therapist | 2020-04-01 ~ 2021-03-31 |
Eduard R Ilyasov | 97-40 62 Drive, Apt 7d, Rego Park, NY 11374 | Pharmacist | 2020-02-18 ~ 2022-01-31 |
Find all Licenses in zip 11374 |
City | Rego Park |
Zip Code | 11374 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + Rego Park |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Emma E Diaz | Emma Diaz, Tampa, FL 33626 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Heather Emma April Hume | 48 Burling Ln Apt 213, New Rochelle, NY 10801-5632 | Physician/surgeon | ~ |
Leonard J Emma | 1775 Richmond Ave, Staten Island, NY 10314 | Physician/surgeon | 1998-12-18 ~ 1999-09-30 |
Diana Marie Pintus-emma | 837 Sheldon Ave, Staten Island, NY 10309-2437 | Physician/surgeon | 1985-04-09 ~ 1986-02-28 |
Benjamin Richard Jacobs | CT | Physician/surgeon | ~ 1992-03-31 |
Benjamin Stein | 161 Madison Ave, New York, NY 10016 | Physician/surgeon | ~ |
Benjamin F Gruenbaum | 546 Riverside Dr, Fairfield, CT 06824 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Benjamin J Sadock | 930 Park Ave, New York, NY 10028 | Physician/surgeon | 2016-01-01 ~ 2016-12-31 |
Benjamin R Doolittle Md | 95 Hillside Rd, Kensington, CT 06037 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Benjamin A Hagendorf | 80 Seymour Street, Hartford, CT 06102 | Physician/surgeon | ~ |
Please comment or provide details below to improve the information on EMMA BENJAMIN.
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).