FIRAS KADDOUH (Credential# 1611400) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
FIRAS KADDOUH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.062254. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 22 Gold St Apt 427, New Haven, CT 06519. The current status is active.
| Licensee Name | FIRAS KADDOUH |
| Credential ID | 1611400 |
| Credential Number | 1.062254 |
| Credential Type | Physician/Surgeon |
| Business Address |
22 Gold St Apt 427 New Haven CT 06519 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-01-11 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-03-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1627772 | CSP.0070141 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-01-23 | 2019-01-23 - 2021-02-28 | ACTIVE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Firas Kaddouh | 20 York St, LLCi 1004, New Haven, CT 06510 | Resident Physician | 2019-07-01 ~ 2020-06-30 |
| Street Address | 22 GOLD ST APT 427 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06519 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vinod H Srihari Md | 34 Park St Cmhc, New Haven, CT 06519 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Monica Brito Salinas | 111 Kimberly Ave., New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-02-28 |
| Walter Mathis | 34 Park St., New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kimberly Pizza · Emmanuel Zorgias | 34 Kimberly Ave, New Haven, CT 06519 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Slawomir Piascik | 51 Longhini Lane, New Haven, CT 06519 | Asbestos Abatement Supervisor | 2020-08-01 ~ 2021-07-31 |
| Margaret T Boron | 428 Columbus Ave, New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Laura Ann Dicola | Connecticut Mental Health Center Law & Psychiatry, New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Elizabeth Parson | 689 Congress Ave, New Haven, CT 06519 | Medication Administration Certification | 2020-08-05 ~ 2022-08-04 |
| Alejandra Lopez Cervantes | 10 Hedge St, New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-20 ~ 2021-08-31 |
| Deicy Alexandra Urena Dagua | 267 Howard Ave, New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-20 ~ 2021-10-31 |
| Find all Licenses in zip 06519 | |||
| City | NEW HAVEN |
| Zip Code | 06519 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Firas A Hamdi | 17 Prentiss Dr, Hopewell Juntion, NY 12533 | Physician/surgeon | 2009-07-08 ~ 2010-06-30 |
| Mohamad Firas Barbour | 3113 E Spaulding Ave, Pueblo, CO 81008 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Firas Almahasneh | 80 Seymour St, Hartford, CT 06102-8000 | Controlled Substance Registration for Practitioner | 2011-08-08 ~ 2013-02-28 |
| Firas Elsahili · Bayamon Market | 616 William St, Bridgeport, CT 06608-1527 | Grocery Beer | 2012-03-09 ~ 2013-03-08 |
| Firas Haddad · Frank's Construction | 55 Scenic Dr, Poughkeepsie, NY 12603-5529 | Home Improvement Contractor | 2014-12-01 ~ 2015-11-30 |
| Firas Atchoo | 12 Mountain View Dr, West Hartford, CT 06117-3009 | Real Estate Broker | 2014-06-04 ~ 2015-03-31 |
| Firas Al-ali | 1 Akron General Ave Ste 1510, Akron, OH 44307-2432 | Controlled Substance Registration for Practitioner | 2019-11-04 ~ 2021-02-28 |
| Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
| Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Please comment or provide details below to improve the information on FIRAS KADDOUH.
| 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).