YOUSSEF KHAWAJA MD (Credential# 163115) 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.
YOUSSEF KHAWAJA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0021951. 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 16 Cornerstone, Plantsville, CT 06479. The current status is active.
| Licensee Name | YOUSSEF KHAWAJA MD |
| Credential ID | 163115 |
| Credential Number | CSP.0021951 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
16 Cornerstone Plantsville CT 06479 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-03-01 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-25 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 551132 | 1.033533 | Physician/Surgeon | 1994-02-25 | 2019-11-01 - 2020-10-31 | ACTIVE |
| Street Address | 16 CORNERSTONE |
| City | PLANTSVILLE |
| State | CT |
| Zip Code | 06479 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Karen Slonus | 9 Wilbur St, Plantsville, CT 06479 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Ann-kristin Friedrich | 77 Carter Lane, Plantsville, CT 06479 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Trevor Steskla | 1157 Marion Ave, Plantsville, CT 06479 | Heating, Piping & Cooling Limited Journeyperson | ~ |
| Rebecca L Fernandes | 29 Fleetwood Rd, Plantsville, CT 06479 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Pawan K Karanam | 33 Hubeny Drive, Plantsville, CT 06479 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Charles A Moss | 105 Roxbury Rd, Plantsville, CT 06479 | Architect | 2020-08-01 ~ 2021-07-31 |
| Marceille M Crookes | 30 Hillside Ave, Plantsville, CT 06479 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Lino L Gelada | 221 Burritt Street, Plantsville, CT 06479 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Tony's Restaurant & Pizza Palace | 1315 Meriden Wtby Rd, Plantsville, CT 06479 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Richard Oulundsen II | 924 Prospect Street, Plantsville, CT 06479 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Find all Licenses in zip 06479 | |||
| City | PLANTSVILLE |
| Zip Code | 06479 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + PLANTSVILLE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Shazah Khawaja Md | 2536 46th St Fl 1, Astoria, NY 11103-1107 | Controlled Substance Registration for Practitioner | 2014-01-03 ~ 2015-02-28 |
| Zeeshan Khawaja Md | 200 Kensington Avenue, New Britain, CT 06051 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Shumyla Saeed-khawaja Md | 200 Kensington Ave Unit B, New Britain, CT 06051-3920 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Mark Youssef | 206 Spring St Apt #15, Naugatuck, CT 06770 | Controlled Substance Registration for Practitioner | 2015-07-09 ~ 2017-02-28 |
| Samuel J Youssef | 554 Boston Post Rd # 254, Orange, CT 06477-3341 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Nagy A Youssef | 4640 La Pointe, Evans, GA 30809 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Khawaja Brothers | 550 Middlebury Rd, Middlebury, CT 06762 | Retail Dairy Store | 2019-10-04 ~ 2021-06-30 |
| Youssef Abdelaziz · Windsor Taxi | 1162 Enfield St, Enfield, CT 06082-4326 | Operator of Weighing & Measuring Devices | 2014-01-30 ~ 2014-07-31 |
| Leading The Way With Dr. Michael Youssef Inc. | 1781 Peachtree Street Ne, Atlanta, GA 30309 | Public Charity-exempt From Financial Requirements | ~ |
| Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
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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).