CAROLINA I BORZ BABA MD (Credential# 991534) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2020. The license expiration date date is July 31, 2021. The license status is ACTIVE.
CAROLINA I BORZ BABA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.049725. The credential type is physician/surgeon. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is 640 Oak. Ave, Cheshire, CT 06410. The current status is active.
| Licensee Name | CAROLINA I BORZ BABA MD |
| Credential ID | 991534 |
| Credential Number | 1.049725 |
| Credential Type | Physician/Surgeon |
| Business Address |
640 Oak. Ave Cheshire CT 06410 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2011-04-14 |
| Effective Date | 2020-08-01 |
| Expiration Date | 2021-07-31 |
| Refresh Date | 2020-06-24 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 995720 | CSP.0050054 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2011-05-05 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 640 Oak. Ave |
| City | Cheshire |
| State | CT |
| Zip Code | 06410 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mr B's · Bimonte's Pizza Castle | 155 Highland Ave, Cheshire, CT 06410 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Traci L Bonassar | 452 Castle Glenn, Cheshire, CT 06410 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Faith H Morico · Hennessey | 177 Wallingford Rd, Cheshire, CT 06410 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Renee D Kane | 40 Willow St, Cheshire, CT 06410 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Kara Capuano | 20 Renee Court, Cheshire, CT 06410 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Eugenia A Marquez | 22 Currier Way, Cheshire, CT 06410 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Mahnaz M Emamian | 471 West Main St, Cheshire, CT 06410 | Esthetician | ~ |
| Margarita A. Norris | 302 Highland Avenue, Cheshire, CT 06410 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Wendell D Wallace Juedes | 545 Country Club Rd, Cheshire, CT 06410 | Podiatrist | 2020-04-01 ~ 2021-03-31 |
| Hyunjung An | 55 Moneta Ln., Cheshire, CT 06410 | Acupuncturist | ~ |
| Find all Licenses in zip 06410 | |||
| City | Cheshire |
| Zip Code | 06410 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Cheshire |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Baba Limousine, LLC | 19 Sachem St, Norwalk, CT 06850-2516 | Fha Motor Passenger Carrier Vehicle (z Plate) | 2019-04-01 ~ 2021-03-31 |
| Baba Petroleum LLC | 957 Foxon Rd, East Haven, CT 06513-1841 | Lottery Sales Agent | 2020-01-07 ~ 2021-03-31 |
| Carolina Pombar | 205 W 76th St Apt 504, New York, NY 10023-8225 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
| Baba Ghannouj | 172 White St, Danbury, CT 06810 | Bakery | ~ |
| Carolina Ionete | 55 Lake Avenue, Worcester, MA 01655 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Carolina A Klein | 193 Clinton Avenue, Brooklyn, NY 11205 | Physician/surgeon | 2008-12-15 ~ 2009-12-31 |
| Carolina K Smith Md | 953 Main St Suite 212, Manchester, CT 06040 | Physician/surgeon | 2007-10-31 ~ 2008-11-30 |
| Carolina Maria Montes | Bako Diagnostics, Alpharetta, GA 30005 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Carolina Quintana Grijalba | 19 A Ardmore Road, West Hartford, CT 06119 | Physician/surgeon | 2017-08-18 ~ 2018-05-31 |
| Baba Black Lager | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2018-02-20 ~ 2021-02-18 |
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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).