DENA MAURICE BARSOUM (Credential# 1490196) 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.
DENA MAURICE BARSOUM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.060898. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 33 Cornell Dr, Bardonia, NY 10954. The current status is active.
| Licensee Name | DENA MAURICE BARSOUM |
| Credential ID | 1490196 |
| Credential Number | 1.060898 |
| Credential Type | Physician/Surgeon |
| Business Address |
33 Cornell Dr Bardonia NY 10954 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-05-16 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-03-24 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1512854 | CSP.0067996 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-05-16 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 33 Cornell Dr |
| City | Bardonia |
| State | NY |
| Zip Code | 10954 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gregg Manzione | 2 Essex Court, Nanuet, NY 10954 | Certified General Real Estate Appraiser | 2020-05-01 ~ 2021-04-30 |
| Helene S Worob | 96 Briar Rd, Nanuet, NY 10954 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Lauren R Schneider | 1351 Washington Blvd Ste 101, Stamford, CT 10954 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Cindy Moran | 28 Bridge Rd, Nanuet, NY 10954 | Physician Assistant | 2020-03-19 ~ 2021-02-28 |
| Margaret A Baker | 75 Village Green, Bardonia, NY 10954 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Cool Pool Inc | 85 S Pascack Road, Nanuet, NY 10954 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Carmen Soliman | 9 Kings Ct, Nanuet, NY 10954 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| John-paul Y Sergio | 53 Eagle Ridge Way, Nanuet, NY 10954 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Annie Kang | 318 Arlington Court, Bardonia, NY 10954 | Occupational Therapist | ~ |
| Mark R Sanders | 368 Route 304, Bardonia, NY 10954 | Naturopathic Physician | 2019-12-01 ~ 2020-11-30 |
| Find all Licenses in zip 10954 | |||
| City | Bardonia |
| Zip Code | 10954 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Bardonia |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Dena J Springer | 9 Washington Ave., Hamden, CT 06518 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Dena Cw Ross Md | 23 Fallon Rd, Pawcatuck, CT 06379-2443 | Physician/surgeon | 2012-05-01 ~ 2013-04-30 |
| Dena Asaad Reiter | 2800 Main Street, Bridgeport, CT 06606 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Maurice R Harton | 80 Broad St, Danielson, CT 06239 | Physician/surgeon | 1995-01-09 ~ 1996-01-31 |
| Maurice D Richardson | 1 Greenwich Pl, Shelton, CT 06484-7603 | Physician/surgeon | 2019-06-01 ~ 2020-05-31 |
| Maurice S Harte | 122 Brook Run La, Stamford, CT 06905 | Physician/surgeon | 2011-11-01 ~ 2012-10-31 |
| Maurice J Whalen | 5601 Challisford Ln, Charlotte, NC 28226-2627 | Physician/surgeon | 1995-11-30 ~ 1996-12-31 |
| Maurice R Poplausky | 61 Country Ridge Dr., Rye Brook, NY 10573 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Maurice Levinsky | 1425 Noble Ave, Bridgeport, CT 06610 | Physician/surgeon | 1995-09-06 ~ 1996-10-31 |
| Maurice Rappaport | 1120 Mckendrie St, San Jose, CA 95126 | Physician/surgeon | 1993-12-20 ~ 1995-02-28 |
Please comment or provide details below to improve the information on DENA MAURICE BARSOUM.
| 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).