SHABANA AZAM
Dentist


Address: 100 Augusta Rd Apt 108, Panama City Beach, FL 32407-0228

SHABANA AZAM (Credential# 1265662) is licensed (Dentist) with Connecticut Department of Consumer Protection. The license effective date is March 2, 2015. The license expiration date date is March 31, 2016. The license status is INACTIVE.

Business Overview

SHABANA AZAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.011354. The credential type is dentist. The effective date is March 2, 2015. The expiration date is March 31, 2016. The business address is 100 Augusta Rd Apt 108, Panama City Beach, FL 32407-0228. The current status is inactive.

Basic Information

Licensee Name SHABANA AZAM
Credential ID 1265662
Credential Number 2.011354
Credential Type Dentist
Business Address 100 Augusta Rd Apt 108
Panama City Beach
FL 32407-0228
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2015-03-02
Effective Date 2015-03-02
Expiration Date 2016-03-31
Refresh Date 2016-07-08

Other licenses

ID Credential Code Credential Type Issue Term Status
1180220 CSP.0055945 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2014-02-14 2014-02-14 - 2015-02-28 INACTIVE

Office Location

Street Address 100 AUGUSTA RD APT 108
City PANAMA CITY BEACH
State FL
Zip Code 32407-0228

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Amy G. Bradley 300 Augusta Rd, Panama City Beach, FL 32407 Master's Level Social Worker 2018-11-01 ~ 2019-11-30
Salena Diane Jerkins 9809 Clarence Street, Panama City Beach, FL 32407 Registered Nurse 2018-11-26 ~ 2019-09-30
Richard L Giffin 1625 Vernna Cir, Panama City Beach, FL 32407 Registered Nurse - Temporary 2010-10-18 ~ 2011-02-15
Libby D Cardwell 7104 Big Daddy Drive, Panama City Beach, FL 32407 Registered Nurse 2005-05-27 ~ 2006-02-28
Emilien O Loiselle Jr Po Box 7235, Laguana Beach, FL 32407 Tv & Radio Electronic Technician ~
Hannah Jewell Matherne 300 S Glades Trl, Panama City Beach, FL 32407-2456 Controlled Substance Registration for Practitioner 2017-02-16 ~ 2019-02-28
Rebecca L Mason 152 Heritage Cir, Panama City Beach, FL 32407-2724 Registered Nurse - Temporary 2014-04-21 ~ 2014-08-18
Gay Ann Wunder 208 Seahorse Way, Panama City Beach, FL 32407-4511 Registered Nurse 2017-12-12 ~ 2018-05-31
We Build The Wall Inc 7940 Front Beach Rd, Panama City Beach, FL 32407-4817 Public Charity 2019-02-21 ~ 2020-11-30
Latino Alberto Rodriguez 7150 W Highway 98 Unit 2301, Panama City Beach, FL 32407-4904 Controlled Substance Registration for Practitioner 2018-12-07 ~ 2021-02-28
Find all Licenses in zip 32407

Competitor

Search similar business entities

City PANAMA CITY BEACH
Zip Code 32407
License Type Dentist
License Type + County Dentist + PANAMA CITY BEACH

Similar businesses

Licensee Name Office Address Credential Effective / Expiration
Shabana Y Master 68 Ridgeview Way, Ellington, CT 06029-3799 Registered Nurse 2019-10-01 ~ 2020-09-30
Emad Abdullah Shabana Al Nahdah,villa Alsalhiah Villa9, Dammam, SA 31311 Physician/surgeon ~
Zain Azam 73 Acushnet Ave Apt 2, Springfield, MA 01105-2547 Pharmacist 2020-03-16 ~ 2022-01-31
Shabana Hamid · Rose Daycare 51 Alenier St, Hamden, CT 06514-4409 Family Child Care Home 2018-03-01 ~ 2022-02-28
Saba Azam 277 Windsorville Rd, Ellington, CT 06029 Pharmacy Intern 2019-09-16 ~ 2023-09-30
Samia Azam 60 Old Town Rd Unit 199, Vernon, CT 06066-6411 Radiographer 2017-12-01 ~ 2018-11-30
Qazi T Azam 520 Cromwell Ave, Rocky Hill, CT 06067 Real Estate Salesperson 1996-06-01 ~ 1997-05-31
Shofiqule Azam 8935 209th St, Queens Village, NY 11427-2222 Professional Engineer 2013-03-12 ~ 2014-01-31
Iram S Azam 15 Alexander Drive, North Haven, CT 06473 Occupational Therapist 2017-08-01 ~ 2019-07-31
Shahraj Fabrics Pvt Ltd 147/148 M Quaid-e-azam, Kote Lakhpat Lahore Manufacturer of Bedding & Upholstered Furniture 2010-05-01 ~ 2011-04-30

Improve Information

Please comment or provide details below to improve the information on SHABANA AZAM.

Dataset Information

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).

Trending Searches