KHAWAJA A SIDDIQUE (Credential# 1276431) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2017. The license expiration date date is April 30, 2018. The license status is INACTIVE.
KHAWAJA A SIDDIQUE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.054399. The credential type is physician/surgeon. The effective date is May 1, 2017. The expiration date is April 30, 2018. The business address is 110 Saint Andrews Ln, Glen Cove, NY 11542-2203. The current status is inactive.
| Licensee Name | KHAWAJA A SIDDIQUE |
| Credential ID | 1276431 |
| Credential Number | 1.054399 |
| Credential Type | Physician/Surgeon |
| Business Address |
110 Saint Andrews Ln Glen Cove NY 11542-2203 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2015-07-20 |
| Effective Date | 2017-05-01 |
| Expiration Date | 2018-04-30 |
| Refresh Date | 2018-08-03 |
| Street Address | 110 SAINT ANDREWS LN |
| City | GLEN COVE |
| State | NY |
| Zip Code | 11542-2203 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Godfrey Aneke | 110 Saint Andrews Ln, Glen Cove, NY 11542-2203 | Controlled Substance Registration for Practitioner | 2019-07-05 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Christine Brown | 13 Club Road, Glen Cove, NY 11542 | Pharmacy Technician | 2020-04-01 ~ 2021-03-31 |
| Richard A Royce | 115 Mcloughlin St, Glen Cove, NY 11542 | Professional Engineer | 2019-03-11 ~ 2020-01-31 |
| Gloria Shkolnik | 1335 Avalon Square, Glen Cove., NY 11542 | Pharmacist | 2018-02-08 ~ 2020-01-31 |
| Katia Duque | 77 Walnut Rd, Glen Cove, NY 11542 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Karen Ann Luciano | 6 Cambridge Street, Glen Cove, NY 11542 | Notary Public Appointment | 2018-05-01 ~ 2023-04-30 |
| Philip C Gavosto | 16 Beatrice Lane, Glen Cove, NY 11542 | Architect | 2019-08-01 ~ 2020-07-31 |
| Michael Graziosi | 63 Woolsey Ave, Glen Cove, NY 11542 | Architect | 2019-08-01 ~ 2020-07-31 |
| Robert Derek Purcell | 22 Pembroke Drive, Glen Cove, NY 11542 | Architect | 2019-08-01 ~ 2020-07-31 |
| Hugh Gambino | 16 Frost Pond Rd, Glen Cove, NY 11542 | Home Improvement Contractor | 2002-09-27 ~ 2003-11-30 |
| Neal Gupta | 1 Pond View Drive, Glen Cove, NY 11542 | Physician/surgeon | ~ |
| Find all Licenses in zip 11542 | |||
| City | GLEN COVE |
| Zip Code | 11542 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + GLEN COVE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tuba Khawaja | 267 Grant St, Bridgeport, CT 06610-2805 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Imran T Khawaja | 1904 Stearns Hill, Waltham, MA 02154 | Physician/surgeon | 1992-02-24 ~ 1993-01-31 |
| Mohammed Siddique · M Siddique Painting | 125 Railroad St, New Milford, CT 06776-2717 | Home Improvement Contractor | 2017-12-01 ~ 2018-11-30 |
| Ayesha Sundus Siddique | 80 Seymour St, Po Box 5037, Hartford, CT 06102-5037 | Resident Physician | 2017-07-01 ~ 2021-06-30 |
| Uneza Khawaja | 24 Hospital Ave, Danbury, CT 06810-6099 | Resident Physician | 2019-06-20 ~ 2022-06-30 |
| Khawaja Brothers | 550 Middlebury Rd, Middlebury, CT 06762 | Retail Dairy Store | 2019-10-04 ~ 2021-06-30 |
| Osama Siddique | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
| Noor A Siddique | 16708 Highland Ave Fl 3, Jamaica, NY 11432-2626 | Professional Engineer | ~ |
| Tanvir A Siddique | 8705 166th St Apt 4g, Jamaica, NY 11432-3605 | Professional Engineer | 2015-02-19 ~ 2016-01-31 |
| Saad Siddique | 454 Woodland Street, Manchester, CT 06042 | Emergency Medical Technician | ~ |
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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).