SHIHAB MASRUR (Credential# 1151232) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
SHIHAB MASRUR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.052284. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 64 Robbins Street, Waterbury, CT 06708. The current status is active.
Licensee Name | SHIHAB MASRUR |
Credential ID | 1151232 |
Credential Number | 1.052284 |
Credential Type | Physician/Surgeon |
Business Address |
64 Robbins Street Waterbury CT 06708 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2013-07-26 |
Effective Date | 2020-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2020-01-06 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1177610 | CSP.0055797 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-08-05 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 64 Robbins street |
City | waterbury |
State | CT |
Zip Code | 06708 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Priyanka J Shetty | 64 Robbins Street, Waterbury, CT 06478 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
Alexandra J Sanowski-bell | 64 Robbins Street, Waterbury, CT 06708 | Resident Physician | 2016-06-28 ~ 2022-06-27 |
Sepehr Karimi | 64 Robbins Street, Waterbury, CT 06708 | Resident Physician | 2017-06-26 ~ 2022-06-27 |
Daniel R Slack | 64 Robbins Street, Waterbury, CT 06708 | Resident Physician | 2016-06-28 ~ 2021-06-27 |
Robert M. Kimmel Jr. | 64 Robbins Street, Waterbury, CT 06708 | Resident Physician | 2016-06-28 ~ 2021-06-27 |
Remy A Sirken | 64 Robbins Street, Waterbury, CT 06708 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Justin B Lundbye Md | 64 Robbins Street, Waterbury, CT 06708 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Dahlia Am Thorpe | 64 Robbins Street, Waterbury, CT 06708 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Danise M Schiliro | 64 Robbins Street, Waterbury, CT 06708 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Jacque D Ciarlo | 64 Robbins Street, Waterbury, CT 06708 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Find all Licenses in the same address |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Lee Ann M Soden · Schmacher | 925 Oronoke Rd, Waterbury, CT 06708 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Sega Ready Mix | 310 Chase River Rd, Waterbury, CT 06708 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Mary F Chinn | 24 Taft Pointe Unit 47, Waterbury, CT 06708 | Notary Public Appointment | 2005-09-01 ~ 2010-08-31 |
Joseph Silva | 65 Dixie Ave., Waterbury, CT 06708 | Medication Administration Certification | 2020-06-03 ~ 2022-06-02 |
Mandy M Desjarlais | 171 Herschel Ave, Waterbury, CT 06708 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
Francisco J Colon Rodriguez LLC | 55 Eastern Ave Apt42, Waterbury, CT 06708 | Home Improvement Contractor | 2020-06-24 ~ 2020-11-30 |
Morgan Sunyoung Heo | 1249 West Main Street, Waterbury, CT 06708 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Peter Mmangisa Chonga | 119 Taft Pt, Waterbury, CT 06708 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Xuemei Li | 28 Cronin Dr, Waterbury, CT 06708 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Tasheaka R Jones | 151 Park Terr, Waterbury, CT 06708 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 06708 |
City | waterbury |
Zip Code | 06708 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + waterbury |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Shihab Uddin | 176 Dean St, Valley Stream, NY 11580-4912 | Professional Engineer | ~ |
Malak Shihab | 180 Jennings Road, Fairfield, CT 06825 | Notary Public Appointment | 2007-09-12 ~ 2012-09-30 |
Sara S Shihab | 1015 Whalley Ave, D8, New Haven, CT 06515 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
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 |
Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
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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).