HATEM FIKRY AHMED HAMED (Credential# 1166587) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
HATEM FIKRY AHMED HAMED is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0054783. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is Acuerdo Con Dios, Mariposa, CA 95338. The current status is active.
Licensee Name | HATEM FIKRY AHMED HAMED |
Credential ID | 1166587 |
Credential Number | CSP.0054783 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
Acuerdo Con Dios Mariposa CA 95338 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2013-06-04 |
Effective Date | 2019-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2018-12-28 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1136647 | 1.051743 | Physician/Surgeon | 2013-04-01 | 2019-12-01 - 2020-11-30 | ACTIVE |
973221 | CSP.0049252 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-10-09 - | INACTIVE |
Street Address | Acuerdo Con Dios |
City | Mariposa |
State | CA |
Zip Code | 95338 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Sarah Elizabeth English | 4979 7th St., Mariposa, CA 95338 | Registered Nurse | 2019-09-09 ~ 2020-09-30 |
Krista S Bondshu | Pob 808, Mariposa, CA 95338 | Physical Therapist Assistant | ~ 2006-11-01 |
Diane E Maxon | 7115 Hites Cove Rd, Mariposa, CA 95338 | Registered Nurse | 1996-02-08 ~ 1997-02-28 |
Dana L Burley · Mitkowski | 7037 Hites Cove Rd, Mariposa, CA 95338-9640 | Registered Nurse | 2019-07-01 ~ 2020-06-30 |
City | Mariposa |
Zip Code | 95338 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Mariposa |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Fikry B Salib | 144 West Lane, Stamford, CT 06905 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Ahmed S Ahmed | 2 Monterey Building, Hershey, PA 17033-2229 | Controlled Substance Registration for Practitioner | 2015-05-11 ~ 2017-02-28 |
Hamed Kordbacheh | 130 Division St, Derby, CT 06418 | Controlled Substance Registration for Practitioner | 2019-05-06 ~ 2021-02-28 |
Kamal A Hamed | 16 Pony Lane, Flemington, NJ 08822 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Hamed Ghorbani-moghaddam | Mgm Family Dental, Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Hamed Emami | Yale New Haven Hospital, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Ahmed Saad | Avon, CT 06001 | Controlled Substance Registration for Practitioner | 2016-08-01 ~ 2017-02-28 |
E H S Ahmed Md | 114 East Ave, Norwalk, CT 06851 | Controlled Substance Registration for Practitioner | 1993-05-10 ~ 1995-06-01 |
Ahmed A Elgohary | 865 Mix Ave Apt T2, Hamden, CT 06514-2155 | Controlled Substance Registration for Practitioner | 2012-03-12 ~ 2013-02-28 |
Abdelsalam M Ahmed Md | 77 Oak St, Watertown, CT 06795-2742 | Controlled Substance Registration for Practitioner | 2009-04-16 ~ 2011-02-28 |
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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).