SHADY SAMIR HENIEN (Credential# 1396309) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 11, 2020. The license expiration date date is October 31, 2020. The license status is ACTIVE.
SHADY SAMIR HENIEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.056074. The credential type is physician/surgeon. The effective date is March 11, 2020. The expiration date is October 31, 2020. The business address is 372 Benefit St Apt 1, Providence, RI 02903-2923. The current status is active.
| Licensee Name | SHADY SAMIR HENIEN |
| Credential ID | 1396309 |
| Credential Number | 1.056074 |
| Credential Type | Physician/Surgeon |
| Business Address |
372 Benefit St Apt 1 Providence RI 02903-2923 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-01-12 |
| Effective Date | 2020-03-11 |
| Expiration Date | 2020-10-31 |
| Refresh Date | 2020-03-11 |
| Street Address | 372 BENEFIT ST APT 1 |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02903-2923 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hareem Park | 10 Park Row West, Providence, RI 02903 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Ian Baldwin | 755 Westminster St, Providence, RI 02903 | Architect | ~ |
| Michael J Viveiros | 111 Chestnut St, Providence, RI 02903 | Architect | 2020-08-01 ~ 2021-07-31 |
| Tamara Handerson | 100 Exchange Street, #802, Providence, RI 02903 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Citizens Bank, National Association | One Citizens Plaza, Providence, RI 02903 | Ct Bank Office | 1999-06-17 ~ |
| Nautic Carepathrx Co-invest, L.p. | 50 Kennedy Plaza, Fl12, Providence, RI 02903 | Securities - Exemptions | 2020-04-03 ~ |
| James L Mckeon | One Chestnut Street # 107, Providence, RI 02903 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Angeline M Gingerella | 1 West Exchanges Street Omni Residences, Providence, RI 02903 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Jason Domenic Dollard | 482 West Fountain Street, Providence, RI 02903 | Marital and Family Therapist | 2020-03-01 ~ 2021-02-28 |
| Edward F. Mc Crory | 40 Westminster Street 600, Providence, RI 02903 | Certified Public Accountant License | 2019-01-01 ~ 2019-12-31 |
| Find all Licenses in zip 02903 | |||
| City | PROVIDENCE |
| Zip Code | 02903 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + PROVIDENCE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Samir Gautam | 15 Barberry Ln, Woodbridge, CT 06525 | Physician/surgeon | 2019-07-01 ~ 2020-06-30 |
| Samir W Aziz | 40 Pleasant St, Ansonia, CT 06401 | Physician/surgeon | 2005-03-11 ~ 2006-03-31 |
| Samir C Jethwa | 629d Lowther Rd, Lewisberry, PA 17339-9222 | Physician/surgeon | 2013-12-02 ~ 2014-12-31 |
| Samir G Artoul | C/o Med-dent Bsns, Clive, IA 50325 | Physician/surgeon | 2002-05-02 ~ 2003-02-28 |
| Samir Patel | 40 Prospect Ave, Apt 2f, Bldg. 1, Norwalk, CT 06850 | Physician/surgeon | 2002-08-16 ~ 2003-06-30 |
| Samir A Fahmy | 58 Wildwood Terrace, Watchung, NJ 07069 | Physician/surgeon | 2016-01-01 ~ 2016-12-31 |
| Samir Samarany | 6112 Town Walk Dr, Hamden, CT 06518 | Physician/surgeon | 2014-04-09 ~ 2014-09-30 |
| Samir A Ahmad | 15724 Sambuca Circle, Austin, TX 78728 | Physician/surgeon | 1999-11-17 ~ 2001-01-31 |
| Samir Malkani Md | 109 Town Farm Road, Sutton, MA 01590 | Physician/surgeon | 2003-07-21 ~ 2004-08-31 |
| Samir G. Chaudhari Md | 375 Emerson Plz Unit 1212, Altamonte Springs, FL 32701-3479 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
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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).