SAMER MURAD FADL (Credential# 1396405) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
SAMER MURAD FADL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.056234. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 111 Bittersweet Cir, Venetia, PA 15367-1041. The current status is active.
Licensee Name | SAMER MURAD FADL |
Credential ID | 1396405 |
Credential Number | 1.056234 |
Credential Type | Physician/Surgeon |
Business Address |
111 Bittersweet Cir Venetia PA 15367-1041 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2017-03-01 |
Effective Date | 2020-04-01 |
Expiration Date | 2021-03-31 |
Refresh Date | 2020-03-02 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
2041107 | CSP.0073839 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2020-04-29 | 2020-04-29 - 2021-02-28 | ACTIVE |
951929 | CSP.0048773 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2011-06-01 | 2011-06-01 - 2013-02-28 | INACTIVE |
Street Address | 111 BITTERSWEET CIR |
City | VENETIA |
State | PA |
Zip Code | 15367-1041 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Stephanie M Cotugno | 104 Springbrooke Drive, Venetia, PA 15367 | Pharmacist | 2018-02-01 ~ 2020-01-31 |
Susan E Luddy | 102 Teaberry Lane, Venetia, PA 15367 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
Douglas Cervenak | 215 Fox Run Dr, Venetia, PA 15367 | Professional Engineer | 1997-02-01 ~ 1998-01-31 |
Mary Ann O'malley | 197 Scott Lane, Venetia, PA 15367 | Registered Nurse | 2009-01-23 ~ 2010-02-28 |
Norma L Bouchard | 101 Shadycrest Court, Venetia, PA 15367 | Dental Hygienist | 2008-09-17 ~ 2009-09-30 |
Thomas G Ali | 110 Edge Water Court, Venetia, PA 15367 | Professional Engineer | 2000-02-01 ~ 2001-01-31 |
Thomas Lawton Mertz | 103 Country Corners Cir, Venetia, PA 15367-1165 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Leonard James Ducouer | 883 Bebout Rd, Venetia, PA 15367-1215 | Registered Nurse | 2019-04-25 ~ 2020-02-29 |
City | VENETIA |
Zip Code | 15367 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + VENETIA |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Tarig G Fadl | 20 Jacalyn Rd, Saunderstown, RI 02874 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
Samer Alshaeba | 95 Scovill St, Waterbury, CT 06706-1113 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Yasemin Z Murad | 1244 E. 69th St., Brooklyn, NY 11234 | Physician/surgeon | 2007-04-25 ~ 2008-02-29 |
Samer M Kamal | 34890 Middlecourt, Beaumont, CA 92223 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Samer S Kasbari Md | 148 Weekeepeemee Road, Woodbury, CT 06798 | Physician/surgeon | 2005-01-24 ~ 2006-03-31 |
Samer N Khader | 25 Bank Street, White Plains, NY 10606 | Physician/surgeon | 2009-02-23 ~ 2010-03-31 |
Joseph C Murad · Joe Murad Carpentry & Remodeling | 27 Perry Dr, New Milford, CT 06776-4232 | Home Improvement Contractor | 2019-01-25 ~ 2019-11-30 |
Haris Farooq Murad | 20 York St., New Haven, CT 06510-3220 | Resident Physician | 2016-06-27 ~ 2020-06-30 |
Murad Mustafa Khan | 300 George St Ste 901, New Haven, CT 06511-6662 | Resident Physician | 2019-06-11 ~ 2023-06-30 |
Mohammad Samer Younes | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2017-07-01 ~ 2020-06-30 |
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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).