IRFAN HUSSAIN (Credential# 1491762) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
IRFAN HUSSAIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.059497-RES. The credential type is resident physician. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 1 Lake Pl, New Haven, CT 06511-3615. The current status is active.
| Licensee Name | IRFAN HUSSAIN |
| Credential ID | 1491762 |
| Credential Number | 1.059497-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
1 Lake Pl New Haven CT 06511-3615 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-06-26 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1646033 | CSP.0070592 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-04-09 | 2019-04-09 - 2021-02-28 | ACTIVE |
| Street Address | 1 LAKE PL |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511-3615 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sameer Khan | 3 Lake Pl Fl 2, New Haven, CT 06511-3615 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Claire Smith | 65 Lake Pl Apt 2, New Haven, CT 06511-3615 | Athletic Trainer | 2016-12-01 ~ 2017-11-30 |
| Jessica A Roberts | 35 North Lake Dr, Hamden, CT 06511-3615 | Real Estate Salesperson | 2010-06-01 ~ 2011-05-31 |
| Roslyn A Shanklin | 93 Lake Pl, New Haven, CT 06511-3615 | Emergency Medical Responder | 2010-10-20 ~ 2013-04-01 |
| Carly E Manecke | 51 Lake Pl Apt B, New Haven, CT 06511-3615 | Registered Nurse | 2011-09-01 ~ 2012-08-31 |
| Aditya Mahalingam-dhingra | 71 Lake Pl, New Haven, CT 06511-3615 | Emergency Medical Technician | 2010-07-29 ~ 2012-04-01 |
| 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 |
|---|---|---|---|
| Yasin Hussain | 20 York St, New Haven, CT 06510 | Resident Physician | 2019-07-02 ~ 2021-06-30 |
| Mohammed A Hussain | 160 Evergreen Rd Apt 11b, Edison, NJ 08837-2476 | Resident Physician | 2016-07-01 ~ 2018-06-30 |
| Saad M Hussain | 123 York Street, New Haven, CT 06511 | Resident Physician | 2017-07-01 ~ 2018-06-30 |
| Omar Hussain | 3023 Baltz St, Philadelphia, PA 19121-4405 | Resident Physician | 2019-07-26 ~ 2021-06-30 |
| Nadeen Nizar Hussain | 20 York Street, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Aatif Hussain | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-06-28 ~ 2023-06-30 |
| Hussain Handicrafts | F60, 1st Phase, Boranada Industrial Area, Jodhpur, I2 342012 | Manufacturer of Bedding & Upholstered Furniture | 2020-04-16 ~ 2021-04-30 |
| Irfan A Khan | 7 Maiden Lane, Wilbraham, MA 01095 | Physician/surgeon | 2002-06-10 ~ 2003-01-31 |
| Irfan Munir | 1916 Sam Rittenberg, Charleston, SC 29407 | Physician/surgeon | 1995-03-17 ~ 1996-03-31 |
| Ghazi G Hussain | 25 Capwell Ave, Pawtucket, RI 02860-5623 | Physician/surgeon | 2016-05-01 ~ 2017-04-30 |
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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).