HISHAM ALWAKKAA (Credential# 1647133) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2019. The license expiration date date is June 30, 2023. The license status is ACTIVE.
HISHAM ALWAKKAA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.062587-RES. The credential type is resident physician. The effective date is July 1, 2019. The expiration date is June 30, 2023. The business address is 2800 Main St, Bridgeport, CT 06606. The current status is active.
| Licensee Name | HISHAM ALWAKKAA |
| Credential ID | 1647133 |
| Credential Number | 1.062587-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
2800 Main St Bridgeport CT 06606 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-07-01 |
| Effective Date | 2019-07-01 |
| Expiration Date | 2023-06-30 |
| Refresh Date | 2019-04-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1790379 | CSP.0072520 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-10-01 | 2019-10-01 - 2021-02-28 | ACTIVE |
| Street Address | 2800 MAIN ST |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06606 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vahab Nemati | 2800 Main St, Bridgeport, CT 06606-4201 | Resident Physician | 2020-07-01 ~ 2024-06-30 |
| Federico Delgado-hernandez | 2800 Main St, Bridgeport, CT 06606-4201 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
| Maria Morel Almonte | 2800 Main St, Bridgeport, CT 06606-4201 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
| Saumya Batra | 2800 Main St, Bridgeport, CT 06606-4201 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
| Lyndsay Hauser | 2800 Main St, Bridgeport, CT 06606-4201 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
| Buadi Tandoh | 2800 Main St, Bridgeport, CT 06606-4201 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
| Jason Xenakis | 2800 Main St, Bridgeport, CT 06606-4201 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
| Sergio Reyes Salcedo | 2800 Main St, Bridgeport, CT 06606-4201 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
| Mahmoud Abdelrahman | 2800 Main St, Bridgeport, CT 06606-4201 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
| Justyna Michalik | 2800 Main St, Bridgeport, CT 06606-4201 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Julia Lopez | 147 Rocton Ave, Bridgeport, CT 06606 | Nail Technician | ~ |
| Sonia M Lozada | 207 Jackson Avenue, Bridgeport, CT 06606 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Angelo Preci · E&j Package Store | 4500 Main Street, Bridgeport, CT 06606 | Package Store Liquor | 2020-07-15 ~ 2021-07-14 |
| Sarah Akinosho Ogunbiyi | 438 Chopsey Hill Rd, Bridgeport, CT 06606 | Medication Administration Certification | 2020-05-04 ~ 2022-05-03 |
| Luz Aida Mora | 435 High Ridge Drive, Bridgeport, CT 06606 | Professional Counselor | ~ |
| Hortensia E Wright | 376 Funston Ave, Bridgeport, CT 06606 | Licensed Practical Nurse | 2020-06-01 ~ 2021-05-31 |
| Jacqueline Moffatt | 173 Queen Street, Bridgeport, CT 06606 | Master's Level Social Worker | ~ |
| Marisa L Drapp | 9b Patricia Road, Bridgeport, CT 06606 | Real Estate Salesperson | ~ |
| Robert D Meeker | 57 Alexander Avenue, Bridgeport, CT 06606 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| D'andria L Young | 394 Indian Ave, Bridgeport, CT 06606 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Find all Licenses in zip 06606 | |||
| City | BRIDGEPORT |
| Zip Code | 06606 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + BRIDGEPORT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hisham Assem | 20 York St, New Haven, CT 06510 | Resident Physician | 2019-07-17 ~ 2021-06-30 |
| Hisham M Hafez | 22 Farley Rd, Hollis, NH 03049 | Physician/surgeon | 1995-01-27 ~ 1996-03-31 |
| Hisham Mohammed Alomar | 80 Barrett Street, Apt#9, Northampton, MA 01060 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
| Hisham Adel Noureddin Al Kukhun | 412 Gulf St Unit B, Milford, CT 06460-7201 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Dr Hisham N Ashkouri | 138 Danehill Rd, Newton, MA 02461 | Architect | 2012-08-01 ~ 2013-07-31 |
| Hisham H Deeb | 640 Arboreal Ct, Johns Creek, GA 30022-5295 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Hisham S Ritaey | 11 Clearview Ave, Bristol, CT 06010-6833 | Controlled Substance Registration for Practitioner | 2010-07-28 ~ 2011-02-28 |
| Hisham K Al-eboudi | 378b Park Rd Apt C2, West Hartford, CT 06119-1932 | Emergency Medical Technician | 2013-07-01 ~ 2016-07-01 |
| Hisham A Kadhim | 29 Hawthorne Ave, Hamden, CT 06517-1824 | Lottery Or Otb Service Provider Employee | 2011-12-02 ~ 2012-12-31 |
| Hisham A Al-arshani | 27 Maple Ridge Dr, Farmington, CT 06032-2603 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).