ALI BANKI DO
Physician/surgeon


Address: 15 Concord Street, Glastonbury, CT 06033

ALI BANKI DO (Credential# 923171) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.

Business Overview

ALI BANKI DO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.048744-DO. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 15 Concord Street, Glastonbury, CT 06033. The current status is active.

Basic Information

Licensee Name ALI BANKI DO
Credential ID 923171
Credential Number 1.048744-DO
Credential Type Physician/Surgeon
Credential SubCategory DO
Business Address 15 Concord Street
Glastonbury
CT 06033
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2010-05-24
Effective Date 2020-06-01
Expiration Date 2021-05-31
Refresh Date 2020-03-16

Other licenses

ID Credential Code Credential Type Issue Term Status
944618 CSP.0048169 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2010-07-27 2019-03-01 - 2021-02-28 ACTIVE
446361 CSP.0039941 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2006-09-12 2006-09-12 - 2007-02-28 INACTIVE

Office Location

Street Address 15 CONCORD STREET
City GLASTONBURY
State CT
Zip Code 06033

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Sophie C Gomez · Pirog 81 Three Mile Rd, Glastonbury, CT 06033 Licensed Practical Nurse 2020-07-01 ~ 2021-06-30
Jennifer R Briones 90 Deerfield Drive, Glastonbury, CT 06033 Registered Nurse 2020-07-01 ~ 2021-06-30
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Competitor

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City GLASTONBURY
Zip Code 06033
License Type Physician/Surgeon
License Type + County Physician/Surgeon + GLASTONBURY

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Dataset Information

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).

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