HAYDAR AL-DABBAGH (Credential# 1384375) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.
HAYDAR AL-DABBAGH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0064200. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 660 Locust St Apt B7, Mount Vernon, NY 10552-2663. The current status is lapsed.
| Licensee Name | HAYDAR AL-DABBAGH |
| Credential ID | 1384375 |
| Credential Number | CSP.0064200 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
660 Locust St Apt B7 Mount Vernon NY 10552-2663 |
| Business Type | INDIVIDUAL |
| Status | LAPSED |
| Active | 1 |
| Issue Date | 2016-10-15 |
| Effective Date | 2017-03-01 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2019-03-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1381817 | 1.055819 | Physician/Surgeon | 2016-10-13 | 2016-10-13 - 2017-09-30 | INACTIVE |
| Street Address | 660 LOCUST ST APT B7 |
| City | MOUNT VERNON |
| State | NY |
| Zip Code | 10552-2663 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Claudia M Spencer | 180 Pearsall Dr#1e, Mt Vernon, NY 10552 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Celeste M Bruno | 108 E. Birch St, Mt. Vernon, NY 10552 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Brenda L Thomas | 9 Chesterwood Avenue, Mt. Vernon, NY 10552 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Valeta V Bryant | 27 Vernon Place, Mt. Vernon, NY 10552 | Licensed Practical Nurse | 2020-06-01 ~ 2021-05-31 |
| Nadia Antoine-williams | 395 Gramatan Ave, Mt Vernon, NY 10552 | Registered Nurse - Temporary | 2020-04-14 ~ 2020-08-12 |
| Millicent R Thomas | 205 Bradley Avenue, Mount Vernon, NY 10552 | Licensed Practical Nurse | 2020-05-01 ~ 2021-04-30 |
| Alyssa Marie Sequinot | 531 E. Lincoln Ave Apt #1l, Mount Vernon, NY 10552 | Registered Nurse - Temporary | 2020-03-10 ~ 2020-07-08 |
| Tenille T Cameron | 211 Westchester Ave, Mount Vernon, NY 10552 | Licensed Practical Nurse | ~ |
| Eldorine F Manning | 58 Parkway South, Mt Vernon, NY 10552 | Licensed Practical Nurse | 2020-04-01 ~ 2021-03-31 |
| Idesta Adams | 80 William Street, Mount Vernon, NY 10552 | Notary Public Appointment | 2019-12-12 ~ 2024-12-31 |
| Find all Licenses in zip 10552 | |||
| City | MOUNT VERNON |
| Zip Code | 10552 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MOUNT VERNON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Samir A Haydar Do | 1 Gateledge Drive, Cape Elizabeth, ME 04107 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| 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 |
| Min Jin Kim | 639 4th Ave Apt 5c, Brooklyn, NY 11232-1048 | Controlled Substance Registration for Practitioner | 2012-05-10 ~ 2013-02-28 |
| Huu Duc D Luu | 630 Mix Ave Apt 6p, Hamden, CT 06514-2320 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Hae J Kim Pa | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-31 ~ 2009-02-28 |
| Arundati Rao | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Qi Che Md | Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Erin K Fee | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Eun-ju Lee | 360 State St, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Please comment or provide details below to improve the information on HAYDAR AL-DABBAGH.
| 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).