IBRAHIM I JABBOUR (Credential# 1248646) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2019. The license expiration date date is March 31, 2020. The license status is ACTIVE.
IBRAHIM I JABBOUR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.053881. The credential type is physician/surgeon. The effective date is April 1, 2019. The expiration date is March 31, 2020. The business address is 171 Grandview Ave, Waterbury, CT 06708. The current status is active.
| Licensee Name | IBRAHIM I JABBOUR |
| Credential ID | 1248646 |
| Credential Number | 1.053881 |
| Credential Type | Physician/Surgeon |
| Business Address |
171 Grandview Ave Waterbury CT 06708 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-03-02 |
| Effective Date | 2019-04-01 |
| Expiration Date | 2020-03-31 |
| Refresh Date | 2019-03-13 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1084395 | CSP.0053249 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2012-08-13 | 2017-06-05 - 2019-02-28 | LAPSED |
| Street Address | 171 Grandview Ave |
| City | WATERBURY |
| State | CT |
| Zip Code | 06708 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ronald B Weir Dds | 171 Grandview Ave, Waterbury, CT 06708 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jerome O Sugar | 171 Grandview Ave, Waterbury, CT 06708-2517 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Erwin H Bernbach Dpm | 171 Grandview Ave, Waterbury, CT 06708 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Arvind Prabhat Md | 171 Grandview Ave, Waterbury, CT 06708 | Controlled Substance Registration for Practitioner | 2003-03-24 ~ 2004-02-28 |
| 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 |
|---|---|---|---|
| Ihsan I Jabbour | 171 Grandview Ave Ste 105, Waterbury, CT 06708-2519 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Joseph M Jabbour | 2 Fifith Avenue, New York, NY 10011 | Physician/surgeon | 2004-05-05 ~ 2005-05-31 |
| Jabbour Nakhoul | 34 Timrod Rd, West Hartford, CT 06107 | Physician/surgeon | 1996-08-28 ~ 1997-10-31 |
| George Jabbour | 298 Laconia Avenue, Staten Island, NY 10305 | Physician/surgeon | 2008-02-01 ~ 2009-02-28 |
| Ibrahim & Ibrahim Engrs | 42 Border St, Deedham, MA 02026 | Professional Engineer | 1988-03-11 ~ 1989-01-31 |
| Khalid Ibrahim | 555 E 5th Street, Brooklyn, NY 11218 | Physician/surgeon | ~ |
| Ibrahim A Hirbawi | P.o. Box 12098, Jerusalem, 91120 | Physician/surgeon | 2011-02-10 ~ 2012-01-31 |
| Ibrahim N Orgun | 44 Craigemore Circle, Avon, CT 06001 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Sherif Ibrahim | 200 Watson Blvd, Stratford, CT 06615 | Physician/surgeon | 2019-01-01 ~ 2019-12-31 |
| Fadi Ibrahim | 150 Collins Street, Memphis, TN 38112 | Physician/surgeon | 2011-02-01 ~ 2012-01-31 |
Please comment or provide details below to improve the information on IBRAHIM I JABBOUR.
| 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).