KEVIN KAMAL HANNAWA (Credential# 1508625) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
KEVIN KAMAL HANNAWA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0067823. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 5333 Mcauley Dr., Ypsilanti, MI 48197. The current status is active.
| Licensee Name | KEVIN KAMAL HANNAWA |
| Credential ID | 1508625 |
| Credential Number | CSP.0067823 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
5333 Mcauley Dr. Ypsilanti MI 48197 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-04-24 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-31 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1489576 | 1.060349 | Physician/Surgeon | 2018-04-16 | 2019-04-01 - 2020-03-31 | ACTIVE |
| Street Address | 5333 McAuley Dr. |
| City | Ypsilanti |
| State | MI |
| Zip Code | 48197 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nader Roy Mohtadi | 5333 Mcauley Dr., Ypsilanti, MI 48197 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Richard Allan Bowerman | 5333 Mcauley Dr., Ypsilanti, MI 48197 | Physician/surgeon | 2018-05-04 ~ 2018-12-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carl C Blackwood | 5613 Hampshire Lane, Ypsilanti, MI 48197 | Advanced Practice Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Alyssa K Copeland | 8808 Amaranth Lane, Ypsilanti, MI 48197 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Marcie M Moore | 200 W Michigan Ave, Ypsilanti, MI 48197 | Registered Nurse | 2016-04-01 ~ 2017-03-31 |
| Ave Maria College of The Americas | 300 W Forest Ave., Ypsilanti, MI 48197 | Public Charity-exempt From Financial Requirements | ~ |
| Eastern Michigan University Foundation | 1349 S. Huron Street, Ypsilanti, MI 48197 | Public Charity-exempt From Financial Requirements | ~ |
| Opal C Williams | 4125 Hawks Cove, Ann Arbor, MI 48197 | Registered Nurse | 2004-07-12 ~ 2005-08-31 |
| Noreen Taylor | P.o. Box 972271, Ypsilanti, MI 48197 | Licensed Practical Nurse | 1984-05-30 ~ 1991-08-31 |
| Regina M Crincoli | 4855 Lakeridge St, Ypsilanti, MI 48197 | Registered Nurse | 2006-05-25 ~ 2007-07-31 |
| Douglas J Holcomb | 1455 Roosevelt, Ypsilanti, MI 48197 | Electrical Unlimited Journeyperson | ~ |
| Donald R Stout | 461 Brookside Rd, Ypsilanti, MI 48197 | Electrical Unlimited Journeyperson | ~ |
| Find all Licenses in zip 48197 | |||
| City | Ypsilanti |
| Zip Code | 48197 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Ypsilanti |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kamal J Khiani Md | 750 Quinnipiac Ave Apt 3, New Haven, CT 06513-3367 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Kamal C Shoukri Md | 23 Village View Ln, Unionville, CT 06085 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kamal Addagatla | Department of Surgery, Stamford, CT 06902-3628 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Kamal A Hamed | 16 Pony Lane, Flemington, NJ 08822 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Salma Kamal | 100 Avalon Dr,unit 4203, Shelton, CT 06484 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kevin J Twohig | Kevin J Twohig Md, North Haven, CT 06473 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kevin K Lee | 20 York St Tmp 209, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Kevin C Cline | 5 Stonybrook Rd, Norwalk, CT 06851-2310 | Controlled Substance Registration for Practitioner | 2019-04-05 ~ 2021-02-28 |
| Kevin D Cross Dds | 410 Saybrook Rd Ste 202, Middletown, CT 06457-4777 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kevin S Frank Dmd | 35 Pleasant St, Meriden, CT 06450 | Controlled Substance Registration for Practitioner | 2015-07-14 ~ 2017-02-28 |
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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).