OMAR HUSSAIN (Credential# 1658084) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 26, 2019. The license expiration date date is June 30, 2021. The license status is ACTIVE.
OMAR HUSSAIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.063440-RES. The credential type is resident physician. The effective date is July 26, 2019. The expiration date is June 30, 2021. The business address is 3023 Baltz St, Philadelphia, PA 19121-4405. The current status is active.
| Licensee Name | OMAR HUSSAIN |
| Credential ID | 1658084 |
| Credential Number | 1.063440-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
3023 Baltz St Philadelphia PA 19121-4405 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-07-01 |
| Effective Date | 2019-07-26 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-05-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1654174 | CSP.0070776 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-05-06 | 2019-05-06 - 2021-02-28 | ACTIVE |
| 1628781 | 1.062533 | Physician/Surgeon | 2019-04-02 | 2019-04-02 - 2019-09-30 | INACTIVE |
| Street Address | 3023 BALTZ ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19121-4405 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Beverly M Belton | 1315 N 29th St, Philadelphia, PA 19121 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Girard College Alumni Association | 2101 South College Avenue, Philadelphia, PA 19121 | Public Charity-exempt From Financial Requirements | ~ |
| Girard College Development Fund | 2101 South College Avenue, Philadelphia, PA 19121 | Public Charity-exempt From Financial Requirements | ~ |
| Olufunmilayo A Onitiri | 2044 N Gratz St, Philadelphia, PA 19121-1545 | Registered Nurse | 2012-01-10 ~ 1989-04-30 |
| Natasha Spencer | 1909 W Wilt St, Philadelphia, PA 19121-2212 | Registered Nurse | 2020-05-01 ~ 2021-05-31 |
| Candi S Jump | 3131 W Thompson St, Philadelphia, PA 19121-4420 | Physician/surgeon | 2012-08-01 ~ 2013-07-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eagles Autism Challenge Inc | 1 Novacare Way, Philadelphia, PA 19145-5900 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Trustees of The University of Pennsylvania | 3451 Walnut St, Philadelphia, PA 19104-6205 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Community Legal Services Inc · Cls; Community Legal Services of Philadelphia | 1424 Chestnut St, Philadelphia, PA 19102-2556 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| American Law Institute (the) · Ali; Ali Cle | 4025 Chestnut St, Philadelphia, PA 19104-3080 | Public Charity | 2019-06-21 ~ 2020-05-31 |
| The Pennsylvania Horticultural Society | 100 N 20th St Fl 5, Philadelphia, PA 19103-1455 | Public Charity | 2019-06-11 ~ 2020-05-31 |
| Catholic Foundation of Greater Philadelphia (the) | 100 N 20th St Ste 301, Philadelphia, PA 19103-1454 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Institute for Cancer Research | 3509 N Broad St Rm 936, Philadelphia, PA 19140-4105 | Public Charity | 2020-03-12 ~ 2020-05-31 |
| Childrens Hospital of Philadelphia Foundation | 3401 Civic Center Blvd., Philadelphia, PA 19104-4319 | Public Charity | 2019-07-23 ~ 2020-05-31 |
| National Museum of American Jewish History · Nmajh | 101 S Independence Mall E, Philadelphia, PA 19106-2517 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Academy of Natural Sciences of Philadelphia (the) | 1900 Benjamin Franklin Pkwy, Philadelphia, PA 19103-1101 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Find all Licenses in PHILADELPHIA | |||
| City | PHILADELPHIA |
| Zip Code | 19121 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + PHILADELPHIA |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Yasin Hussain | 20 York St, New Haven, CT 06510 | Resident Physician | 2019-07-02 ~ 2021-06-30 |
| Mohammed A Hussain | 160 Evergreen Rd Apt 11b, Edison, NJ 08837-2476 | Resident Physician | 2016-07-01 ~ 2018-06-30 |
| Irfan Hussain | 1 Lake Pl, New Haven, CT 06511-3615 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Saad M Hussain | 123 York Street, New Haven, CT 06511 | Resident Physician | 2017-07-01 ~ 2018-06-30 |
| Nadeen Nizar Hussain | 20 York Street, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Omar A Farrukh | 10 Frederick St Apt 104, Hartford, CT 06105-4559 | Resident Physician | 2020-07-01 ~ 2022-06-30 |
| Omar T Sobh | 18 Kimberly Dr, Shelton, CT 06484-5773 | Resident Physician | 2019-06-24 ~ 2023-06-30 |
| Omar Hussein | 20 York St, New Haven, CT 06510 | Resident Physician | 2019-03-01 ~ 2019-03-31 |
| Aatif Hussain | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-06-28 ~ 2023-06-30 |
| Omar Tm Ahmed | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2020-06-28 ~ 2023-06-30 |
Please comment or provide details below to improve the information on OMAR HUSSAIN.
| 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).