OMAR EZZIDDIN (Credential# 2044464) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license status is PENDING.
OMAR EZZIDDIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1. The credential type is physician/surgeon. The business address is 772 Main St, Wilbraham, MA 01095-2652. The current status is pending.
Licensee Name | OMAR EZZIDDIN |
Credential ID | 2044464 |
Credential Number | 1 |
Credential Type | Physician/Surgeon |
Business Address |
772 Main St Wilbraham MA 01095-2652 |
Business Type | INDIVIDUAL |
Status | PENDING - PENDING |
Refresh Date | 2020-05-14 |
Street Address | 772 MAIN ST |
City | WILBRAHAM |
State | MA |
Zip Code | 01095-2652 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Kara Elizabeth Gasteyer | 6 Victoria Court, Wilbraham, MA 01095 | Emergency Medical Technician | ~ |
Ethan Michael Gasteyer | 40 Shirley Street, Wilbraham, MA 01095 | Emergency Medical Technician | ~ |
Anne M Grady | 692 Stony Hill Road, Wilbraham, MA 01095 | Registered Nurse | 2019-01-01 ~ 2019-12-31 |
Bryant A Chouinard | 5 Oldwood Rd, Wilbraham, MA 01095 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Michael F Egan | 22 Fernwood Drive, Wilbraham, MA 01095 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Janice A Mitchell | P.o. Box 101, Wilbraham, MA 01095 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
Paul A Huijing | P.o. Box 516, Wilbraham, MA 01095 | Professional Engineer | 2020-05-05 ~ 2021-01-31 |
Dang Ngo | 38 Weston Street, Wilbraham, MA 01095 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Katlyn E O'brien | 416 Soule Road, Wilbraham, MA 01095 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Marie A Bienvenue | 3 Evergreen Circle, Wilbraham, MA 01095 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
Find all Licenses in zip 01095 |
City | WILBRAHAM |
Zip Code | 01095 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + WILBRAHAM |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Arif M Omar | P.o. Box 66, Clarksburg, WV 26302 | Physician/surgeon | 2017-04-01 ~ 2018-03-31 |
Omar Dawood | 225 Bush St., San Francisco, CA 94104 | Physician/surgeon | 2016-11-30 ~ 2017-11-30 |
Omar E. Ali | 8809 23rd Ave Apt 2f, Brooklyn, NY 11214-5701 | Physician/surgeon | 2011-04-04 ~ 2011-12-31 |
Amed H Omar | 208 Austinville, Decatur, AL 35601 | Physician/surgeon | 1981-01-01 ~ 1993-06-30 |
Omar S Faridi | 202 Cherry St, Milford, CT 06460-3502 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Omar Faruk | 125 Liberty St, Springfield, MA 01103 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
Omar Hasan Md | 36 Oakmont Dr, Falmouth, ME 04105-1175 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Willie Omar Siu | 1220 Broadway Rm 502, New York, NY 10001-4312 | Physician/surgeon | 2018-03-22 ~ 2019-02-28 |
Omar Malick | 2908 20th St Nw, Canton, OH 44708-2968 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Omar Khan | 5514 31st Ave, Woodside, NY 11377-1612 | Physician/surgeon | 2015-03-02 ~ 2016-03-31 |
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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).