ABDELRAHMAN ABDELAZIM (Credential# 1790247) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is October 15, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
ABDELRAHMAN ABDELAZIM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0072518. The credential type is controlled substance registration for practitioner. The effective date is October 15, 2019. The expiration date is February 28, 2021. The business address is 2800 Main Street, 3rd Floor Med Ed, Bridgeport, CT 06606. The current status is active.
| Licensee Name | ABDELRAHMAN ABDELAZIM |
| Credential ID | 1790247 |
| Credential Number | CSP.0072518 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
2800 Main Street, 3rd Floor Med Ed Bridgeport CT 06606 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-10-15 |
| Effective Date | 2019-10-15 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-10-17 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1488078 | 1.057649-RES | Resident Physician | 2017-07-01 | 2017-07-01 - 2020-06-30 | ACTIVE |
| Street Address | 2800 Main Street, 3rd Floor Med Ed |
| City | Bridgeport |
| State | CT |
| Zip Code | 06606 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Swachchhanda Songmen | 2800 Main Street, 3rd Floor Med Ed, Bridgeport, CT 06606 | Resident Physician | 2017-07-01 ~ 2022-06-30 |
| Mohammed Elsadany | 2800 Main Street, 3rd Floor Med Ed, Bridgeport, CT 06606 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Kyle Maurer | 2800 Main Street, 3rd Floor Med Ed, Bridgeport, CT 06606 | Resident Physician | 2017-07-01 ~ 2021-06-30 |
| Sofi Danilova | 2800 Main Street, 3rd Floor Med Ed, Bridgeport, CT 06606 | Resident Physician | 2017-07-01 ~ 2021-05-03 |
| Feras Jalab | 2800 Main Street, 3rd Floor Med Ed, Bridgeport, CT 06606 | Resident Physician | 2017-07-01 ~ 2020-06-30 |
| Jose Pichardo | 2800 Main Street, 3rd Floor Med Ed, Bridgeport, CT 06606 | Resident Physician | 2017-07-01 ~ 2020-06-30 |
| Mishbah Azmath | 2800 Main Street, 3rd Floor Med Ed, Bridgeport, CT 06606 | Resident Physician | 2017-07-01 ~ 2020-06-30 |
| Sanil Mathew Skaria | 2800 Main Street, 3rd Floor Med Ed, Bridgeport, CT 06606 | Resident Physician | 2017-07-01 ~ 2020-06-30 |
| Fabricio Hernandez Delima | 2800 Main Street, 3rd Floor Med Ed, Bridgeport, CT 06606 | Resident Physician | 2017-07-01 ~ 2020-06-30 |
| Divyansh Bajaj | 2800 Main Street, 3rd Floor Med Ed, Bridgeport, CT 06606 | Resident Physician | 2017-07-01 ~ 2020-06-30 |
| 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 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Bridgeport |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
| Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
| Qi Che Md | Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Erin K Fee | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Huu Duc D Luu | 630 Mix Ave Apt 6p, Hamden, CT 06514-2320 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Hae J Kim Pa | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-31 ~ 2009-02-28 |
| Min Jin Kim | 639 4th Ave Apt 5c, Brooklyn, NY 11232-1048 | Controlled Substance Registration for Practitioner | 2012-05-10 ~ 2013-02-28 |
| Arundati Rao | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Abdelazim Mostafa Elshazly | 17 Elmwood Street, Stamford, CT 06902 | Notary Public Appointment | 2015-09-02 ~ 2020-09-30 |
| Mai T Pho | 88 Linden St #2, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
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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).