KHURAM R. GHUMMAN (Credential# 1149142) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
KHURAM R. GHUMMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.051860. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 13 Church Street, East Granby, CT 06026. The current status is active.
| Licensee Name | KHURAM R. GHUMMAN |
| Credential ID | 1149142 |
| Credential Number | 1.051860 |
| Credential Type | Physician/Surgeon |
| Business Address |
13 Church Street East Granby CT 06026 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2013-04-17 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-04-14 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1160263 | CSP.0054602 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-05-07 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 13 Church Street |
| City | East Granby |
| State | CT |
| Zip Code | 06026 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lori R Maglieri | 8 Longview Dr, East Granby, CT 06026 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Donna R Baker-gilroy · Baker | 48 Hatchet Hill Lane, East Granby, CT 06026 | Professional Counselor | 2020-09-01 ~ 2021-08-31 |
| Steven R Porter | 31 Ford St Apt 2, East Granby, CT 06026 | Youth Camp Director | 2020-06-22 ~ |
| Keith Mckinney | 8 Schoolhouse Landing, East Granby, CT 06026 | Medication Administration Certification | 2020-06-22 ~ 2022-06-22 |
| Jill Mcgarry Lnm | 12 Southwood Ln, East Granby, CT 06026 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Fun Miller | 5 Old Church Rd, East Granby, CT 06026 | Nail Technician | 2020-06-13 ~ 2021-09-30 |
| Patricia A Moon | 32 Brighton Drive, East Granby, CT 06026 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Sydney Rose Jeanloz | 135 Spoonville Rd, East Granby, CT 06026 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Megan M Rosol | 7 Sage Lane, East Granby, CT 06026 | Real Estate Salesperson | 2020-06-05 ~ 2021-05-31 |
| Vanessa Martin | 7 Stark Drive, East Granby, CT 06026 | Esthetician | ~ |
| Find all Licenses in zip 06026 | |||
| City | East Granby |
| Zip Code | 06026 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + East Granby |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Khuram Arif | 408 Wrangler Way, Clous, NM 88101 | Physician/surgeon | 2004-05-24 ~ 2004-09-30 |
| Moez Ghumman | 34 Capri Dr, Johnston, RI 02919-3313 | Pharmacy Intern | 2017-02-07 ~ 2020-09-30 |
| Khuram A Syed | 281 Gardner Avenue, New London, CT 06320 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| Harsimran Kaur Ghumman | 10 Nanni Dr, Winsted, CT 06098-2106 | Pharmacy Technician | 2017-10-20 ~ 2018-03-31 |
| Ajeet Ghumman | 71 John Olds Dr Apt 1, Manchester, CT 06042 | Controlled Substance Registration for Practitioner | 2006-12-13 ~ 2007-02-28 |
| Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| 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 |
| Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
| John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Please comment or provide details below to improve the information on KHURAM R. GHUMMAN.
| 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).