GUNAWAN KARTIKA (Credential# 950415) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2011. The license expiration date date is July 31, 2012. The license status is INACTIVE.
GUNAWAN KARTIKA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.049241. The credential type is physician/surgeon. The effective date is August 1, 2011. The expiration date is July 31, 2012. The business address is 466 Mason Ave, Staten Island, NY 10305-2222. The current status is inactive.
Licensee Name | GUNAWAN KARTIKA |
Credential ID | 950415 |
Credential Number | 1.049241 |
Credential Type | Physician/Surgeon |
Business Address |
466 Mason Ave Staten Island NY 10305-2222 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2010-09-27 |
Effective Date | 2011-08-01 |
Expiration Date | 2012-07-31 |
Refresh Date | 2012-11-02 |
Street Address | 466 MASON AVE |
City | STATEN ISLAND |
State | NY |
Zip Code | 10305-2222 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jerry Cammarata | 185 Maryland Ave, Staten Island, NY 10305 | Speech and Language Pathologist | 2020-04-01 ~ 2021-03-31 |
Christine Xt Zhu | 65 Alex Circle, Staten Island, NY 10305 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
Greg E Voccola | 5083 Rathbun Rd, Cazenovia, NY 10305 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
Joseph Early | 559 Nugent Avenue, Staten Island, NY 10305 | Physician Assistant | 2019-10-11 ~ 2020-10-31 |
Mohammad Saeed | 18 Father Capodanno Blvd, Staten Island, NY 10305 | Tax Preparer/facilitator Permit | 2019-01-02 ~ 2021-01-31 |
Sunila Mehrotra | 390 Maryland Avenue, #3a, Staten Island, NY 10305 | Physician/surgeon | 1978-03-28 ~ 1982-10-31 |
Salah Eldin Mohamed | 110 Belair Road, Staten Island, NY 10305 | Physician/surgeon | 2017-02-15 ~ 2017-10-31 |
Monika Peters | 495 Clifton Ave, Staten Island, NY 10305 | Registered Nurse - Temporary | 2017-09-15 ~ 2018-01-12 |
Maria I Sola | 43 Xenia Street, Staten Island, NY 10305 | Master's Level Social Worker | 2015-03-04 ~ 2016-03-31 |
Ronald S Lopes | 36 Bella Vista Court, Staten Island, NY 10305 | Home Inspector | 2014-03-19 ~ 2015-06-30 |
Find all Licenses in zip 10305 |
City | STATEN ISLAND |
Zip Code | 10305 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + STATEN ISLAND |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Felona Gunawan | 400 Blake St. Apt 3305, New Haven, CT 06515 | Resident Physician | 2017-07-01 ~ 2021-06-30 |
Johannes K Gunawan | 39 Monroe Street; Apartment #1, New York, NY 10002 | Pharmacist | 2014-02-01 ~ 2018-01-31 |
Joyce N Gunawan | 30640 Ratekin Drive, Union City, CA 94587 | Dentist | 2006-06-20 ~ 2007-05-31 |
Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
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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).