SHANZA IHSAN (Credential# 1427465) 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.
SHANZA IHSAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.056942. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 754 Clinton Ave, Bridgeport, CT 06604. The current status is active.
| Licensee Name | SHANZA IHSAN |
| Credential ID | 1427465 |
| Credential Number | 1.056942 |
| Credential Type | Physician/Surgeon |
| Business Address |
754 Clinton Ave Bridgeport CT 06604 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-08-24 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-05-18 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1468198 | CSP.0067257 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-12-22 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 1271082 | CSP.0059673 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-04-14 | 2017-06-11 - 2019-02-28 | LAPSED |
| 1497035 | CSP.0067578 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-03-08 | 2018-03-08 - 2019-02-28 | LAPSED |
| Street Address | 754 CLINTON AVE |
| City | bridgeport |
| State | CT |
| Zip Code | 06604 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Syed Ali Qamer | 754 Clinton Ave, Bridgeport, CT 06604-2301 | Controlled Substance Registration for Practitioner | 2019-08-05 ~ 2021-02-28 |
| Awais Malik Md | 754 Clinton Ave, Bridgeport, CT 06604 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Famous Pizza | 430 Park Avenue, Bridgeport, CT 06604 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Yishuang Chen | 15 Cottege Pl, Bridgeport, CT 06604 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Yazhen Yang | 670 W Taft Ave, Bridgeport, CT 06604 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Mai Hoang Diep | 1450 North Ave., Bridgeport, CT 06604 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Kayleen Barrios | 324 Benham Avenue, Bridgeport, CT 06604 | Hairdresser/cosmetician | ~ |
| Mbrk Construction LLC | 2450 North Ave, Bridgeport, CT 06604 | Home Improvement Contractor | 2020-06-18 ~ 2020-11-30 |
| Leovigilda Navarro-vasquez | 168 Pacific St, Bridgeport, CT 06604 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Katherine H Szilagyi-fletcher · Szilagyi | 615 West Taft Ave, Bridgeport, CT 06604 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Shakeema Demetria Barnes | 508 Harral Ave Apt #129, Bridgeport, CT 06604 | Licensed Practical Nurse | 2020-06-22 ~ 2021-03-31 |
| Margaret I Dennehy | 51 Bancroft Ave, Bridgeport, CT 06604 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Find all Licenses in zip 06604 | |||
| City | bridgeport |
| Zip Code | 06604 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + bridgeport |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ihsan I Jabbour | 171 Grandview Ave Ste 105, Waterbury, CT 06708-2519 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Ihsan F Shanti | 3411 Wayne Ave #8-i, Bronx, NY 10467 | Physician/surgeon | 1997-06-24 ~ 1998-04-30 |
| Ihsan N M Al-sabbagh | 5 Perryridge Rd, Greenwich, CT 06830-4608 | Resident Physician | 2020-06-22 ~ 2021-06-28 |
| Ihsan B Akin | 10 Windsor Oval, Old Saybrook, CT 06475 | Architect | 2019-08-01 ~ 2020-07-31 |
| Muhammad Ihsan | 601 79 Th Street, Brooklyn, NY 11209 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Ihsan Rkabi · Lourdes Variety | 609 Fairfield Avenue, Bridgeport, CT 06604 | Grocery Beer | 2005-03-14 ~ 2006-03-13 |
| Ihsan Al-khalil | 473 Long Hill Road, Guilford, CT 06437 | Controlled Substance Registration for Practitioner | 1995-09-27 ~ 1997-02-28 |
| Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
Please comment or provide details below to improve the information on SHANZA IHSAN.
| 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).