SAMIRA SUGULE (Credential# 1653092) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is June 24, 2019. The license expiration date date is June 30, 2022. The license status is ACTIVE.
SAMIRA SUGULE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.062758-RES. The credential type is resident physician. The effective date is June 24, 2019. The expiration date is June 30, 2022. The business address is 11803 Zumbrota St Ne, Blaine, MN 55449-5675. The current status is active.
| Licensee Name | SAMIRA SUGULE |
| Credential ID | 1653092 |
| Credential Number | 1.062758-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
11803 Zumbrota St Ne Blaine MN 55449-5675 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-06-24 |
| Effective Date | 2019-06-24 |
| Expiration Date | 2022-06-30 |
| Refresh Date | 2019-05-01 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1657562 | CSP.0070997 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-05-16 | 2019-05-16 - 2021-02-28 | ACTIVE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Samira Sugule | 11803 Zumbrota Street Ne, Blaine, MN 55449 | Resident Physician | 2019-06-24 ~ 2022-06-30 |
| Street Address | 11803 ZUMBROTA ST NE |
| City | BLAINE |
| State | MN |
| Zip Code | 55449-5675 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Samira Sugule | 11803 Zumbrota Street Ne, Blaine, MN 55449 | Resident Physician | 2019-06-24 ~ 2022-06-30 |
| Gerald R Chartrand | 2078-129th Ct Ne, Blaine, MN 55449 | Professional Engineer | 2016-03-29 ~ 2017-01-31 |
| Amber N Donley | 1855 130th Ln Ne, Minneapolis, MN 55449-4902 | Registered Nurse | 2014-01-01 ~ 2014-12-31 |
| Rochelle L Swensen | 2879 Edison St Ne Unit G, Blaine, MN 55449-5167 | Registered Nurse | 2015-12-01 ~ 2016-11-30 |
| Janet Nelson | 9114 Bataan St Ne, Minneapolis, MN 55449-5615 | Certified Residential Real Estate Appraiser | 2016-05-01 ~ 2017-04-30 |
| Centershots Ministries Inc | 9340 Bataan St Ne, Blaine, MN 55449-5619 | Public Charity | 2010-12-01 ~ 2011-11-30 |
| Keshwar P Ramdular | 2701 Deer Rdg Ne, Minneapolis, MN 55449-5903 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Sean A Tewalt | 2890 Rice Creek Pkwy Ne, Minneapolis, MN 55449-6778 | Professional Engineer | 2016-11-15 ~ 2018-01-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Linda Diana Campbell | 1074 Harrison Avenue, Blaine, WA 98230 | Registered Nurse | 2020-03-13 ~ 2021-02-28 |
| Phyllis G Dermer | 419 Patterson Town Road, Blaine, TN 37709 | Pharmacist | 2018-02-01 ~ 2020-01-31 |
| Rhonda S Pierce | 9298 Central Ave. N.e., Blaine, MN 55434-3425 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Jon Marvin Strahan Jr | 610 A St Apt 2, Blaine, WA 98230-5178 | Registered Nurse - Temporary | 2019-02-26 ~ 2019-06-26 |
| Jackalyn Renae Bargman | 700 120th Ave Ne, Blaine, MN 55434-3019 | Registered Nurse | 2018-01-01 ~ 2018-12-31 |
| Kristin Leigh Kosminskas | 12817 Polk St Ne, Blaine, MN 55434-3269 | Registered Nurse - Temporary | 2017-03-20 ~ 2017-07-17 |
| Kyle P Nielson | 1300 Boblett St # 374, Blaine, WA 98230-9716 | Physician/surgeon | 2016-02-01 ~ 2017-01-31 |
| Calvin Jay Payne | Po Box 2850, Blaine, WA 98230 | Professional Engineer | 2011-02-01 ~ 2012-01-31 |
| Marci Rae F Jerez | 43 Lunn Rd, Blaine, ME 04734-4112 | Hairdresser/cosmetician | 2014-05-01 ~ 2016-04-30 |
| Ned Warren Belt | 430 Riddle Lane, Blaine, TN 37709 | Professional Engineer | 2010-02-01 ~ 2011-01-31 |
| Find all Licenses in BLAINE | |||
| City | BLAINE |
| Zip Code | 55449 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + BLAINE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Samira Rathnayake | 20 York Street, New Haven, CT 06510 | Resident Physician | 2017-07-01 ~ 2018-06-30 |
| Samira S Solomon | 200 Retreat Ave, Hartford, CT 06106 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Samira Yasmin Khera | 141 Guilford Schoolhouse Road, New Paltz, NY 12561 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Samira Mawla | 171 Flagler Ave, Stratford, CT 06614 | Pharmacy Technician | 2020-04-01 ~ 2021-03-31 |
| Samira Fisayo | 725 Nortontown Rd, Guilford, CT 06437 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Samira Ayati | 165 E 89th St. #3f, New York, NY 10128 | Professional Engineer | ~ |
| Samira Elshehabi | 3 E Industrial Rd, Branford, CT 06405-6508 | Public Weigher | 2012-07-01 ~ 2013-06-30 |
| Samira N Chagares | 372 West Ave., Darien, CT 06820 | Hairdresser/cosmetician | 2019-04-01 ~ 2021-03-31 |
| Samira S Ghazi | 543 Clinton Avenue, Bridgeport, CT 06605 | Pharmacy Technician | 2017-04-01 ~ 2018-03-31 |
| Samira Baghai | 95 Cranbury Dr, Trumbull, CT 06611 | Real Estate Salesperson | 2009-06-01 ~ 2010-05-31 |
Please comment or provide details below to improve the information on SAMIRA SUGULE.
| 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).