KHALID KHALID (Credential# 1490780) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2017. The license expiration date date is June 30, 2020. The license status is ACTIVE.
KHALID KHALID is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.058882-RES. The credential type is resident physician. The effective date is July 1, 2017. The expiration date is June 30, 2020. The business address is 275 Winchester Ave Apt 105, New Haven, CT 06511-1988. The current status is active.
| Licensee Name | KHALID KHALID |
| Credential ID | 1490780 |
| Credential Number | 1.058882-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
275 Winchester Ave Apt 105 New Haven CT 06511-1988 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-07-01 |
| Effective Date | 2017-07-01 |
| Expiration Date | 2020-06-30 |
| Refresh Date | 2019-05-16 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1408084 | 1.056354 | Physician/Surgeon | 2017-04-06 | 2017-04-06 - 2018-03-31 | INACTIVE |
| Street Address | 275 WINCHESTER AVE APT 105 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511-1988 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Montessori School On Edgewood Inc. | 230 Edgewood Avenue, New Haven, CT 06511 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Therese Parks · Visel Drug Store | 264 Munson St, New Haven, CT 06511 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dazjia Monet Green | 115 Edgewood Ave Apt 64, New Haven, CT 06511 | Registered Nurse | 2020-06-27 ~ 2021-05-31 |
| Carol Yam | 343 Humphrey St, New Haven, CT 06511 | Registered Nurse | ~ |
| Marwan S Haddad | 38 Lincoln Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mary Lou Gaeta Md | 558 Chapel Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Cary M Tucker | 64 Bishop St, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Frank J Pannenborg | 505 Ellsworth Ave, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Crystal E Gooding | 26 Woodland Street, New Haven, CT 06511 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Kieran Jones | 260 Crown St Unit 1f, New Haven, CT 06511 | Registered Nurse | ~ |
| Find all Licenses in zip 06511 | |||
| City | NEW HAVEN |
| Zip Code | 06511 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Khalid Al-dasuqi | 20 York Street, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Khalid M Khan | 527 Main Avenue, Norwalk, CT 06851 | Retail Gasoline Dealer | 2003-11-01 ~ 2004-10-31 |
| Khalid and Mannan LLC | 380 New Hartford Road, Barkhamsted, CT 06063 | Bakery | 2002-07-01 ~ 2003-06-30 |
| Khalid At Shalaby | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2018-06-28 ~ 2021-06-30 |
| Khalid Ibrahim | 555 E 5th Street, Brooklyn, NY 11218 | Physician/surgeon | ~ |
| Khalid M Sultan | 777 N Macquesten, Mt Vernon, NY 10552 | Physician/surgeon | 1996-06-03 ~ 1997-05-31 |
| Khalid Moussa Md | Po Box 3092, Augusta, ME 04330 | Physician/surgeon | 2007-11-29 ~ 2009-01-31 |
| Khalid H Syed | 4 Sills Ct., Warwick, NY 10990 | Physician/surgeon | 2009-12-01 ~ 2010-11-30 |
| Nazneen Khalid | P O Box 650-157, Fresh Meadows, NY 11365 | Physician/surgeon | 1993-04-23 ~ 1994-05-31 |
| Khalid B Ali | 502 West 8th Street, Julesburg, CO 80737 | Physician/surgeon | 1995-01-17 ~ 1996-02-29 |
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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).