IRA J NOVSAM (Credential# 700512) is licensed (Dentist) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2019. The license expiration date date is August 31, 2020. The license status is RETIRED.
IRA J NOVSAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.004541. The credential type is dentist. The effective date is September 1, 2019. The expiration date is August 31, 2020. The business address is 114 Blueberry Dr., Stamford, CT 06902. The current status is retired.
| Licensee Name | IRA J NOVSAM |
| Credential ID | 700512 |
| Credential Number | 2.004541 |
| Credential Type | Dentist |
| Business Address |
114 Blueberry Dr. Stamford CT 06902 |
| Business Type | INDIVIDUAL |
| Status | RETIRED - RETIRED FROM PROFESSION |
| Active | 1 |
| Issue Date | 1973-04-28 |
| Effective Date | 2019-09-01 |
| Expiration Date | 2020-08-31 |
| Refresh Date | 2019-08-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 144186 | CSP.0005989 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-03-01 - 2017-02-28 | INACTIVE |
| Street Address | 114 Blueberry Dr. |
| City | Stamford |
| State | CT |
| Zip Code | 06902 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jeris Maydeli Flores | 153 Fairfield Av, Stamford, CT 06902 | Nail Technician | ~ |
| Reynaldo De La Cruz | 64 Brookside Drive, Stamford, CT 06902 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Darren J Petillo | 5 Hundley Court, Stamford, CT 06902 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Antonios Restaurant | 405 West Main St, Stamford, CT 06902 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Edward Smith | 184 Fairfield Ave., Stamford, CT 06902 | Home Improvement Contractor | ~ |
| Margaret A Dorrance | 24c Hamilton Court, Stamford, CT 06902 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Carolyn Maguire | 48 Nelson St, Stamford, CT 06902 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Evelyne Joassin | 17 George St., Stamford, CT 06902 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Andrea Bynoe | 34 Melrose Pl, Stamford, CT 06902 | Notary Public Appointment | 1994-04-06 ~ 1999-04-30 |
| Ravi K Ahuja | 296 Westover Rd, Stamford, CT 06902 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06902 | |||
| City | Stamford |
| Zip Code | 06902 |
| License Type | Dentist |
| License Type + County | Dentist + Stamford |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ana L Roca | 331 2nd Ave # 2, Garwood, NJ 07027-1004 | Dentist | ~ |
| Su J Lee | 480 2nd Ave Apt 10a, New York, NY 10016-9140 | Dentist | 2016-07-12 ~ 2017-03-31 |
| Narinderjit Mahal | CT | Dentist | ~ |
| Priscila M Guzman | CT | Dentist | ~ |
| Paul K Chu | 175 W 92nd St Apt 1g, New York, NY 10025-7519 | Dentist | ~ |
| John P Dow | 15 Mt. Joy Ave, Scarsdale, NY 10583 | Dentist | 2019-08-01 ~ 2020-07-31 |
| Su Jung Kim | 111 Park St Apt 12t, New Haven, CT 06511-5421 | Dentist | ~ |
| Daeun Hur | 480 2nd Ave Apt 10a, New York, NY 10016-9140 | Dentist | 2018-06-20 ~ 2018-11-30 |
| Guy L J Zagryn | Po Box 424, Old Saybrook, CT 06475-0424 | Dentist | 2013-04-01 ~ 2014-03-31 |
| Heeyeon Lee | 520 2nd Ave Apt 13c, New York, NY 10016-8621 | Dentist | 2014-04-01 ~ 2015-04-30 |
Please comment or provide details below to improve the information on IRA J NOVSAM.
| 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).