OSAMA SIDDIQUE (Credential# 1511770) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2018. The license expiration date date is June 30, 2021. The license status is ACTIVE.
OSAMA SIDDIQUE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.060701-RES. The credential type is resident physician. The effective date is July 1, 2018. The expiration date is June 30, 2021. The business address is 263 Farmington Avenue, Farmington, CT 06030-1921. The current status is active.
| Licensee Name | OSAMA SIDDIQUE |
| Credential ID | 1511770 |
| Credential Number | 1.060701-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
263 Farmington Avenue Farmington CT 06030-1921 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-07-01 |
| Effective Date | 2018-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2018-05-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1519285 | CSP.0068482 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-05-31 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 263 Farmington Avenue |
| City | Farmington |
| State | CT |
| Zip Code | 06030-1921 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Davis Aasen | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
| Christopher D Lemoine | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
| Dylan Buller | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
| Jennifer Lindelof | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
| Colin J Pavano | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
| Barrett B Torre | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
| Samantha Slattery | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
| Ethan A Miller | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2020-06-28 ~ 2024-06-30 |
| Patrick Bergamo | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2020-06-28 ~ 2024-06-30 |
| Shriya Gupta | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2020-06-28 ~ 2024-06-30 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hady Eltayeby | 263 Farmington Avenue, Ct, Farmington, CT 06030-1921 | Controlled Substance Registration for Practitioner | ~ |
| Hassaan Aftab | 263 Farmington Ave, Farmington, CT 06030-1921 | Resident Physician | 2019-07-01 ~ 2021-06-30 |
| Adriana Kahn | 263 Farmington Ave, Farmington, CT 06030-1921 | Resident Physician | 2018-06-28 ~ 2021-06-30 |
| Shinya U. Amano | 263 Farmington Ave, Farmington, CT 06030-1921 | Resident Physician | 2019-05-23 ~ 2019-06-06 |
| Mathur Prateek | 263 Farmington Ave, Farmington, CT 06030-1921 | Resident Physician | 2019-01-02 ~ 2019-01-24 |
| Kenneth Aguirre | 263 Farmington Ave, Farmington, CT 06030-1921 | Resident Physician | 2018-11-08 ~ 2018-11-17 |
| Nick M Feo | 263 Farmington Ave, Farmington, CT 06030-1921 | Resident Physician | 2018-10-01 ~ 2018-10-14 |
| Rabeea Nazir | 263 Farmington Ave, Farmington, CT 06030-1921 | Resident Physician | 2018-09-30 ~ 2018-10-13 |
| Jacob Jabbour | 263 Farmington Ave, Farmington, CT 06030-1921 | Resident Physician | 2018-09-17 ~ 2018-09-28 |
| Natalie Godfrey | 263 Farmington Ave, Farmington, CT 06030-1921 | Resident Physician | 2018-08-13 ~ 2018-08-24 |
| Find all Licenses in zip 06030-1921 | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eric Anthony Brueckner | 263 Farmington Ave., Farmington, CT 06030 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Derrick B Bremang | Residency Program, Farmington, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-06-30 |
| David M Shafer | Uconn Health Center, Farmington, CT 06030 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Michael J Murphy | Dept of Dermatology, Farmington, CT 06030 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Richard F Kaplan | Univ. of Ct., Farmington, CT 06030 | Psychologist | 2020-06-01 ~ 2021-05-31 |
| Nicholas George Vitale | 22 Woods Drive, Norwich, CT 06030 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| Bruce E Gould | Univ of Conn Health Center, Farmington, CT 06030 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Vinayak M Sathe | Uconn Health Center,263 Farmington Ave, Farmington, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Shobhana Pathani | Department of Medicine, 263 Farmington Ave, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Patricia L Almeida | John Dempsey Hospital, Farmington, CT 06030 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Find all Licenses in zip 06030 | |||
| City | Farmington |
| Zip Code | 06030 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + Farmington |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ayesha Sundus Siddique | 80 Seymour St, Po Box 5037, Hartford, CT 06102-5037 | Resident Physician | 2017-07-01 ~ 2021-06-30 |
| Mohammed Siddique · M Siddique Painting | 125 Railroad St, New Milford, CT 06776-2717 | Home Improvement Contractor | 2017-12-01 ~ 2018-11-30 |
| Khawaja A Siddique | 110 Saint Andrews Ln, Glen Cove, NY 11542-2203 | Physician/surgeon | 2017-05-01 ~ 2018-04-30 |
| Osama Zaidat | 8830 Walnut Trail, Sylvania, OH 43560 | Physician/surgeon | 2017-10-01 ~ 2018-09-30 |
| Osama Ramzi Kandalaft | 360 State St Apt 1615, New Haven, CT 06510-3613 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Saad Siddique | 454 Woodland Street, Manchester, CT 06042 | Emergency Medical Technician | ~ |
| Tanvir A Siddique | 8705 166th St Apt 4g, Jamaica, NY 11432-3605 | Professional Engineer | 2015-02-19 ~ 2016-01-31 |
| Ilyas Siddique | 73 Parkwest Dr, Vernon, CT 06066-2950 | Real Estate Salesperson | 2019-06-01 ~ 2020-05-31 |
| Noor A Siddique | 16708 Highland Ave Fl 3, Jamaica, NY 11432-2626 | Professional Engineer | ~ |
| Md F Siddique · Cdw Consultants | 111 Speen Street, Su, Framingham, MA 01701 | Asbestos Consultant-inspector | 1997-07-21 ~ 1998-04-30 |
Please comment or provide details below to improve the information on OSAMA SIDDIQUE.
| 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).