FUAD MAKKOUK (Credential# 1171258) 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.
FUAD MAKKOUK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0055171. 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 5804 Taylor Draper Cv, Austin, TX 78759-3968. The current status is active.
| Licensee Name | FUAD MAKKOUK |
| Credential ID | 1171258 |
| Credential Number | CSP.0055171 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
5804 Taylor Draper Cv Austin TX 78759-3968 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2013-07-01 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-18 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1404390 | 1.056429 | Physician/Surgeon | 2017-05-10 | 2019-05-01 - 2020-04-30 | ACTIVE |
| Street Address | 5804 TAYLOR DRAPER CV |
| City | AUSTIN |
| State | TX |
| Zip Code | 78759-3968 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Collabip, Inc. | 9606 North Mopac Expressway, Austin, TX 78759 | Securities - Exemptions | 2020-04-29 ~ |
| Esha Kacker | 7401 Blue Beach Cove, Austin, TX 78759 | Registered Nurse | 2017-09-27 ~ 2018-04-30 |
| Traci A Humble | 10708 Yucca Drive, Austin, TX 78759 | Registered Nurse | 2016-02-01 ~ 2017-01-31 |
| Tzishean Chiueh | 7783 Yaupon Drive, Austin, TX 78759 | Professional Engineer | 2001-02-01 ~ 2002-01-31 |
| William E Garrett | 405 S Dale Mabry Hwy, Austin, TX 78759 | Real Estate Broker | ~ |
| Biscayne Aquaculture Inc | 4900 Spicewood Springs Rd, Austin, TX 78759 | Major Contractor | 2011-07-01 ~ 2012-06-30 |
| Barbara Tuttle | 4206 Zuni Drive, Austin, TX 78759 | Licensed Clinical Social Worker | 1995-07-17 ~ 1996-08-31 |
| Kimberly S Alch | 10430 Morado Circle, Austin, TX 78759 | Registered Nurse | 1998-05-04 ~ 1999-05-31 |
| Smart Choice Drug Store | 4030 West Braker Lane; Suite #400, Austin, TX 78759 | Nonresident Pharmacy | 2007-09-12 ~ 2008-08-31 |
| Sridevi Thambi | Austin, TX 78759 | Physical Therapist | 2019-08-01 ~ 2020-07-31 |
| Find all Licenses in zip 78759 | |||
| City | AUSTIN |
| Zip Code | 78759 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + AUSTIN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Al Hasan Makkouk | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Fuad M Hajiabdi | 831 Blanchette Dr, East Lansing, MI 48823-1819 | Controlled Substance Registration for Practitioner | 2017-05-30 ~ 2019-02-28 |
| Fuad Alkhoury | House Staff Office M 136, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
| Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
| Qi Che Md | Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Hae J Kim Pa | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-31 ~ 2009-02-28 |
| Min Jin Kim | 639 4th Ave Apt 5c, Brooklyn, NY 11232-1048 | Controlled Substance Registration for Practitioner | 2012-05-10 ~ 2013-02-28 |
| Erin K Fee | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Arundati Rao | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on FUAD MAKKOUK.
| 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).