OMAR MALICK (Credential# 1172288) 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.
OMAR MALICK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.052264. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 2908 20th St Nw, Canton, OH 44708-2968. The current status is active.
| Licensee Name | OMAR MALICK |
| Credential ID | 1172288 |
| Credential Number | 1.052264 |
| Credential Type | Physician/Surgeon |
| Business Address |
2908 20th St Nw Canton OH 44708-2968 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2013-07-24 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-02-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1176635 | CSP.0055735 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-07-26 | 2019-04-11 - 2021-02-28 | ACTIVE |
| Street Address | 2908 20TH ST NW |
| City | CANTON |
| State | OH |
| Zip Code | 44708-2968 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| James F King | 1330 Timken Mercy Drive, Canton, OH 44708 | Physician/surgeon | 1968-09-20 ~ 1981-11-30 |
| Makilzhan Shanmugam | 2634 Glenmont Drive, Nw, Canton, OH 44708 | Physician/surgeon | 2004-12-22 ~ 2005-10-31 |
| Saira Bano | 2631 Greenview Circle Nw, Canton, OH 44708 | Physician/surgeon | 2006-04-10 ~ 2007-01-31 |
| Heather M Monaghan | 5224 Trent Rd Nw, Canton, OH 44708-3243 | Registered Nurse | 2012-01-10 ~ 2012-07-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Laurie E Dunford | 483 Dowd Ave., Canton, CT 06019 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Emma Wertheim | 14 N Mountain Rd, Canton, CT 06019-2016 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Christine M Jencik | 71 Cherrybrook Road, Canton, CT 06019 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Marie B Valley | P.o. Box 284, Canton, CT 06019 | Dental Hygienist | 2020-07-01 ~ 2021-06-30 |
| Vincent Funeral Home | 120 Albany Tpke, Canton, CT 06019-2506 | Crematory | 2020-07-01 ~ 2021-06-30 |
| Robert R Celmer | 23 Queens Peak, Canton, CT 06019-2611 | Architect | 2020-08-01 ~ 2021-07-31 |
| Stephen S Burgess | 275 Barbourtown Rd, Canton, CT 06019 | Architect | 2020-08-01 ~ 2021-07-31 |
| Nicole Chiasson-lashgari | 8 Crown Pt, Canton, CT 06019-2644 | Esthetician | ~ |
| Dawn L Drauss | 312 Albany Tpke, Canton, CT 06019-2517 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Frank Skobel | 4535 Dressler Rd Nw, Canton, OH 44718-2545 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in CANTON | |||
| City | CANTON |
| Zip Code | 44708 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + CANTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Omar Ezziddin | 772 Main St, Wilbraham, MA 01095-2652 | Physician/surgeon | ~ |
| Arif M Omar | P.o. Box 66, Clarksburg, WV 26302 | Physician/surgeon | 2017-04-01 ~ 2018-03-31 |
| Omar Faruk | 125 Liberty St, Springfield, MA 01103 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Omar Hasan Md | 36 Oakmont Dr, Falmouth, ME 04105-1175 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Omar S Faridi | 202 Cherry St, Milford, CT 06460-3502 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Amed H Omar | 208 Austinville, Decatur, AL 35601 | Physician/surgeon | 1981-01-01 ~ 1993-06-30 |
| Omar Dawood | 225 Bush St., San Francisco, CA 94104 | Physician/surgeon | 2016-11-30 ~ 2017-11-30 |
| Omar E. Ali | 8809 23rd Ave Apt 2f, Brooklyn, NY 11214-5701 | Physician/surgeon | 2011-04-04 ~ 2011-12-31 |
| Willie Omar Siu | 1220 Broadway Rm 502, New York, NY 10001-4312 | Physician/surgeon | 2018-03-22 ~ 2019-02-28 |
| Tariq Omar Lescouflair | 220 Liberty Street, Columbus, OH 43215 | Physician/surgeon | ~ |
Please comment or provide details below to improve the information on OMAR MALICK.
| 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).