GAHIE NAM (Credential# 1806541) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 7, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
GAHIE NAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.065437. The credential type is physician/surgeon. The effective date is May 7, 2020. The expiration date is May 31, 2021. The business address is 593 Eddy St, Providence, RI 02903-4923. The current status is active.
| Licensee Name | GAHIE NAM |
| Credential ID | 1806541 |
| Credential Number | 1.065437 |
| Credential Type | Physician/Surgeon |
| Business Address |
593 Eddy St Providence RI 02903-4923 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-05-07 |
| Effective Date | 2020-05-07 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-05-07 |
| Street Address | 593 EDDY ST |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02903-4923 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lifespan Pharmacy LLC Store #001 | 593 Eddy St, Providence, RI 02903-4923 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
| Karen A Rosene-montella | 593 Eddy St, Providence, RI 02903-4923 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| David Byungjin Choi | 593 Eddy St Dept Neurosurgery, Providence, RI 02903-4923 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hareem Park | 10 Park Row West, Providence, RI 02903 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| 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 |
| 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 |
|---|---|---|---|
| Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
| Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
| John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Nazanin Barzideh Md | North Shore Retina Physician, Pllc, East Hills, NY 11576 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
| Barbara M Galko Md | Danbury Office of Physician Services PC, Danbury, CT 06810 | Physician/surgeon | 2010-06-01 ~ 2011-05-31 |
| Sajot S Grewal Md | Danbury Office of Physician Services PC, Danbury, CT 06810 | Physician/surgeon | 2004-01-30 ~ 2005-03-31 |
Please comment or provide details below to improve the information on GAHIE NAM.
| 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).