HAREEM PARK (Credential# 1650228) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2020. The license expiration date date is August 31, 2021. The license status is ACTIVE.
HAREEM PARK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.063856. The credential type is physician/surgeon. The effective date is September 1, 2020. The expiration date is August 31, 2021. The business address is 10 Park Row West, Providence, RI 02903. The current status is active.
| Licensee Name | HAREEM PARK |
| Credential ID | 1650228 |
| Credential Number | 1.063856 |
| Credential Type | Physician/Surgeon |
| Business Address |
10 Park Row West Providence RI 02903 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-07-05 |
| Effective Date | 2020-09-01 |
| Expiration Date | 2021-08-31 |
| Refresh Date | 2020-06-24 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1674115 | CSP.0071836 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-07-08 | 2019-07-08 - 2021-02-28 | ACTIVE |
| Street Address | 10 Park Row West |
| City | Providence |
| State | RI |
| Zip Code | 02903 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicholas D. Gagnon | 10 Park Row West, Providence, RI 02903 | Certified Public Accountant Certificate | 2020-01-01 ~ 2020-12-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ian Baldwin | 755 Westminster St, Providence, RI 02903 | Architect | ~ |
| Michael J Viveiros | 111 Chestnut St, Providence, RI 02903 | Architect | 2020-08-01 ~ 2021-07-31 |
| Tamara Handerson | 100 Exchange Street, #802, Providence, RI 02903 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Citizens Bank, National Association | One Citizens Plaza, Providence, RI 02903 | Ct Bank Office | 1999-06-17 ~ |
| Nautic Carepathrx Co-invest, L.p. | 50 Kennedy Plaza, Fl12, Providence, RI 02903 | Securities - Exemptions | 2020-04-03 ~ |
| James L Mckeon | One Chestnut Street # 107, Providence, RI 02903 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Angeline M Gingerella | 1 West Exchanges Street Omni Residences, Providence, RI 02903 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Jason Domenic Dollard | 482 West Fountain Street, Providence, RI 02903 | Marital and Family Therapist | 2020-03-01 ~ 2021-02-28 |
| Edward F. Mc Crory | 40 Westminster Street 600, Providence, RI 02903 | Certified Public Accountant License | 2019-01-01 ~ 2019-12-31 |
| Victor P Ferrarini | Po Box 23111, Providence, RI 02903 | Professional Engineer | 2014-03-21 ~ 2015-01-31 |
| Find all Licenses in zip 02903 | |||
| City | Providence |
| Zip Code | 02903 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Providence |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alan H Spiro | 350 N Deere Park Dr, Highland Park, IL 60035 | Physician/surgeon | 1992-07-23 ~ 1993-07-31 |
| Mark Andrew Ciagne | 3850 Park Nicollet Blvd, St. Louis Park, MN 55416 | Physician/surgeon | 2019-06-12 ~ 2020-03-31 |
| Hareem A Powell | 49 Townsend Ter, New Haven, CT 06512-3130 | Radiographer | 2020-02-01 ~ 2021-01-31 |
| Mikhail Amoashiy | 256 Floral Park Way, Floral Park, NY 11001 | Physician/surgeon | 1997-10-27 ~ 1998-12-31 |
| Steven J Balsamo | 523 Clifton Park, Clifton Park, NY 12065 | Physician/surgeon | 2013-01-01 ~ 2013-12-31 |
| Anh T Dao | 24 Park Pl Apt 9h, Hartford, CT 06106-5022 | Physician/surgeon | 2015-11-01 ~ 2016-10-31 |
| In Soon Kim | 71-14 Little Nec Pk, Floral Park, NY 11004 | Physician/surgeon | 2008-05-27 ~ 2009-02-28 |
| Sam S Ahn Md | 111 Park St Apt 11a, New Haven, CT 06511 | Physician/surgeon | 2007-01-26 ~ 2008-02-29 |
| Ali Maziad | 2 Park Pl Apt 11g, Hartford, CT 06106-5012 | Physician/surgeon | 2014-10-10 ~ 2015-03-31 |
| Swarup Kumar | 24 Park Pl Apt 9f, Hartford, CT 06106-5022 | Physician/surgeon | ~ |
Please comment or provide details below to improve the information on HAREEM PARK.
| 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).