AZIZ AHMED SOOMRO (Credential# 1401001) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
AZIZ AHMED SOOMRO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.056346. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 1 S Greeley Ave Ste 302, Chappaqua, NY 10514-3346. The current status is active.
Licensee Name | AZIZ AHMED SOOMRO |
Credential ID | 1401001 |
Credential Number | 1.056346 |
Credential Type | Physician/Surgeon |
Business Address |
1 S Greeley Ave Ste 302 Chappaqua NY 10514-3346 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2017-04-05 |
Effective Date | 2020-06-01 |
Expiration Date | 2021-05-31 |
Refresh Date | 2020-05-21 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1417803 | CSP.0065202 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-04-13 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 1 S GREELEY AVE STE 302 |
City | CHAPPAQUA |
State | NY |
Zip Code | 10514-3346 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
James David Shorser | 480 Bedford Road Suite 4202, Chappaqua, NY 10514 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Sheryl Manasse | 5 Walden Hill, Chappaqua, NY 10514 | Master's Level Social Worker | 2020-08-01 ~ 2021-07-31 |
Ross A Cole Briskman | 26 Douglas Rd, Chappaqua, NY 10514 | Architect | 2020-08-01 ~ 2021-07-31 |
Eric M Dorsch | 37 Aldridge Road, Chappaqua, NY 10514 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
Lauren R Safran | 6 Chappaqua Mountain Road, Chappaqua, NY 10514 | Licensed Clinical Social Worker | 2020-06-01 ~ 2021-05-31 |
Stacy Weinberg | 75 High Way, Chappaqua, NY 10514 | Real Estate Salesperson | 2019-06-01 ~ 2020-05-31 |
Rita H Stern | Raveis 75 N Greeley Ave, Chappaqua, NY 10514 | Real Estate Salesperson | 2017-06-01 ~ 2018-05-31 |
Samuel Goldfarb | 2 Sunset Drive North, Chappaqua, NY 10514 | Notary Public Appointment | 2015-05-29 ~ 2020-05-31 |
John Panzone | 42 Hardscrabble Hill Road 42 Hardscrabble Hill Roa, Chappaqua, NY 10514 | Physician/surgeon | ~ |
Boris Usherenko | 480 Bedford Road, Chappaqua, NY 10514 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Find all Licenses in zip 10514 |
City | CHAPPAQUA |
Zip Code | 10514 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + CHAPPAQUA |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Aziz Ahmed | 5 Sunrise Ln, Scarsdale, NY 10583 | Physician/surgeon | 2013-01-01 ~ 2013-12-31 |
Amna Aziz | 320 Pomfret St, Putnam, CT 06260-1836 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Rehan Aziz | 1 Brittany Ln, Unionville, CT 06085-1416 | Physician/surgeon | 2016-05-01 ~ 2017-04-30 |
Aziz Khan | 47 Avonwood Rd, Avon, CT 06001 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Wesam Aziz | 17806 W. Interstate 10, San Antonio, TX 78256 | Physician/surgeon | ~ |
Samir W Aziz | 40 Pleasant St, Ansonia, CT 06401 | Physician/surgeon | 2005-03-11 ~ 2006-03-31 |
Aliya Aziz Khan | 35 Harrington Ave, Shrewsbury, MA 01545 | Physician/surgeon | ~ |
Waseem I Aziz | 53 Charles Street, New Britain, CT 06051 | Physician/surgeon | 1994-03-14 ~ 1995-03-31 |
Zeba Aziz | 17 Executive Park Dr Ne Ste 520, Atlanta, GA 30329-2222 | Physician/surgeon | 2017-11-01 ~ 2018-10-31 |
Sanya Aziz Virani | 4802 10th Ave, Brooklyn, NY 11219-2916 | Physician/surgeon | 2020-03-23 ~ 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).