FAHAD JUBOORI (Credential# 1645972) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
FAHAD JUBOORI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.063684. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 40 Sunrise Dr, Manchester, CT 06040-9306. The current status is active.
| Licensee Name | FAHAD JUBOORI |
| Credential ID | 1645972 |
| Credential Number | 1.063684 |
| Credential Type | Physician/Surgeon |
| Business Address |
40 Sunrise Dr Manchester CT 06040-9306 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-06-13 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-02-14 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1668776 | CSP.0071569 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-06-14 | 2019-06-14 - 2021-02-28 | ACTIVE |
| Street Address | 40 SUNRISE DR |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06040-9306 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mary Fosuah Nketia | 61 Cougar Drive, Manchester, CT 06040 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| New Seasons Inc. | 164 East Center Street, Manchester, CT 06040 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Kaylen Lam | 60 Chlistone Lane, Manchester, CT 06040 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Matilde Altamirano | 415 Gardner Street, Manchester, CT 06040 | Nail Technician | 2020-06-27 ~ 2022-04-30 |
| Meilan Meilan Chen | 174 Middle Tpke, Manchester, CT 06040 | Nail Technician | ~ |
| Prince Acheampong | 32 Bigelow Street, Manchester, CT 06040 | Notary Public Appointment | ~ |
| Erin C Boyle | 470 Porter Street, Manchester, CT 06040 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dejone Mitchell | 64 Ruby Dr Apt. P, Manchester, CT 06040 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Andrea H Clifford | 116 Longview Drive, Manchester, CT 06040 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Tabia Thornton-bey | 103 Walek Farms Road, Manchester, CT 06040 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06040 | |||
| City | MANCHESTER |
| Zip Code | 06040 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + MANCHESTER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Fahad Ghias | 384 Oakley Avenue, Elmont, NY 11003 | Physician/surgeon | 2017-09-06 ~ 2018-09-30 |
| Fahad Syed Hassan | 129 York St Apt 4b, New Haven, CT 06511-5605 | Resident Physician | 2015-06-25 ~ 2019-06-30 |
| Nadeen Fahad Alturki | 20 York St Rm 226, New Haven, CT 06510-3220 | Resident Physician | 2020-06-09 ~ 2021-06-30 |
| Fadi Fahad | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Mohammed Al Juboori | 246 Irene St, Chicopee, MA 01020 | Pharmacy Intern | 2019-09-06 ~ 2023-09-30 |
| Fahad A Khan | 64 Oxford Dr Apt C7, Glastonbury, CT 06033-1362 | Engineer-in-training | 2013-02-05 ~ 2023-02-05 |
| Fahad H Usmani | 50 Rachel Ter, Piscataway, NJ 08854-5326 | Engineer-in-training | 2011-02-15 ~ 2021-02-15 |
| Fahad Fateh | 10734 156th St Apt 1, Jamaica, NY 11433-1928 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Fahad Khan | 11 Norden Place, Norwalk, CT 06855 | Pharmacy Technician | 2020-05-21 ~ 2021-03-31 |
| Fahad Faruqi | 20 York St, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 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).