WAHILA ALAM (Credential# 1426161) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
WAHILA ALAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.056905. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is Medical Staff Services Office/uconn Health, Farmington, CT 06030. The current status is active.
| Licensee Name | WAHILA ALAM |
| Credential ID | 1426161 |
| Credential Number | 1.056905 |
| Credential Type | Physician/Surgeon |
| Business Address |
Medical Staff Services Office/uconn Health Farmington CT 06030 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-08-18 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-12-09 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1458921 | CSP.0067037 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-10-31 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | Medical Staff Services Office/Uconn Health |
| City | Farmington |
| State | CT |
| Zip Code | 06030 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eric Anthony Brueckner | 263 Farmington Ave., Farmington, CT 06030 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Derrick B Bremang | Residency Program, Farmington, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-06-30 |
| David M Shafer | Uconn Health Center, Farmington, CT 06030 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Michael J Murphy | Dept of Dermatology, Farmington, CT 06030 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Richard F Kaplan | Univ. of Ct., Farmington, CT 06030 | Psychologist | 2020-06-01 ~ 2021-05-31 |
| Nicholas George Vitale | 22 Woods Drive, Norwich, CT 06030 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| Bruce E Gould | Univ of Conn Health Center, Farmington, CT 06030 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Vinayak M Sathe | Uconn Health Center,263 Farmington Ave, Farmington, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Shobhana Pathani | Department of Medicine, 263 Farmington Ave, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Patricia L Almeida | John Dempsey Hospital, Farmington, CT 06030 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Find all Licenses in zip 06030 | |||
| City | Farmington |
| Zip Code | 06030 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Farmington |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Piyal Alam | 80-59 222nd St, Hollis Hills, NY 11427 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Ehsan Alam Md | 1604 Medical Dr, Laurinburg, NC 28352-5524 | Physician/surgeon | 2014-03-01 ~ 2015-02-28 |
| Nasir Alam Bhatti | 9 Dutch Village, Albany, NY 12204 | Physician/surgeon | ~ 1999-10-31 |
| Bilal Kamal Alam | 8 Kimball Court, Burlington, MA 01803 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Syed Areej Alam | 220 Linden Street, Scranton, PA 18503 | Physician/surgeon | 2019-09-24 ~ 2020-08-31 |
| Junaid Alam Md | C/0 Medical Education Brpt Hospital, Bridgeport, CT 06610 | Physician/surgeon | 1999-08-11 ~ 2000-06-30 |
| Alam Grocery | 410 Ferry St, New Haven, CT 06513-3618 | Lottery Sales Agent | 2020-04-01 ~ 2021-03-31 |
| Ruhaniyah Y Alam | 297 George St Apt 5e, New Haven, CT 06511-6622 | Pharmacist | 2018-02-01 ~ 2020-01-31 |
| Md J Alam | 113 Wildbrook Ln, Vestavia Hills, AL 35216-6123 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Sajjad B Alam | 310 Paxton Wy, Glastonbury, CT 06033 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Please comment or provide details below to improve the information on WAHILA ALAM.
| 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).