BASSEM HANNA MD (Credential# 377227) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2006. The license expiration date date is February 28, 2007. The license status is INACTIVE.
BASSEM HANNA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0035499. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2006. The expiration date is February 28, 2007. The business address is Family Practice Residency Program, Stamford, CT 06904. The current status is inactive.
| Licensee Name | BASSEM HANNA MD |
| Credential ID | 377227 |
| Credential Number | CSP.0035499 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
Family Practice Residency Program Stamford CT 06904 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2004-08-13 |
| Effective Date | 2006-03-01 |
| Expiration Date | 2007-02-28 |
| Refresh Date | 2009-01-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 561373 | 1.043791 | Physician/Surgeon | 2005-09-06 | 2005-09-06 - 2006-07-31 | INACTIVE |
| Street Address | FAMILY PRACTICE RESIDENCY PROGRAM |
| City | STAMFORD |
| State | CT |
| Zip Code | 06904 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cleopatra Gordon-pusey | Family Practice Residency Program, Stamford, CT 06904 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Neela Patel Md | Family Practice Residency Program, Stamford, CT 06904 | Physician/surgeon | 2006-09-01 ~ 2007-09-30 |
| Amanda Malone | Family Practice Residency Program, Stamford, CT 06904 | Physician/surgeon | 2006-06-26 ~ 2007-06-30 |
| Gerald Levens | Family Practice Residency Program, Stamford, CT 06904 | Controlled Substance Registration for Practitioner | 2006-03-22 ~ 2007-02-28 |
| Shephali Patel Md | Family Practice Residency Program, Stamford, CT 06904 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Moris Rabanipour Md | Family Practice Residency Program, Stamford, CT 06904 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Asif Sarfraz Md | Family Practice Residency Program, Stamford, CT 06904 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Ruben Zorrilla | Family Practice Residency Program, Stamford, CT 06904 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kwok Ming S Lo | Bennett Cancer Center, Stamford, CT 06904 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Shahrzad Mohammadi Md | The Stamford Hospital, Stamford, CT 06904 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Elaine Colandro | 217 Southfield Ave, Stamford, CT 06904 | Hairdresser/cosmetician | 2020-06-01 ~ 2022-05-31 |
| Carla-vanessa Ruiz | 112 Pine Hill Avenue 2, Stamford, CT 06904 | Notary Public Appointment | 2013-08-01 ~ 2018-07-31 |
| Gerald L Vincent | P O Box 904, Stamford, CT 06904 | Real Estate Broker | 2019-04-01 ~ 2020-03-31 |
| Angelico F Fontaine | P.o. Box 122, Stamford, CT 06904 | Licensed Practical Nurse | 2020-05-01 ~ 2021-04-30 |
| Sonia Laureano | 84 Toros Ave, Stamford, CT 06904 | Family Child Care Substitute | ~ |
| John F Revay | 100 Maple Tree Avenue Apt C, Stamford, CT 06904 | Certified Public Accountant Certificate | 2020-01-01 ~ 2020-12-31 |
| Michael's Fine Painting LLC | P.o Box 196, Stamford, CT 06904 | Home Improvement Contractor | 2019-03-06 ~ 2019-11-30 |
| Gustavo Held | Box 10957, Stamford, CT 06904 | Notary Public Appointment | 1987-07-01 ~ 1992-03-31 |
| Find all Licenses in zip 06904 | |||
| City | STAMFORD |
| Zip Code | 06904 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + STAMFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Bassem W Ghali | 3501 Stringfellow Ct, Fairfax, VA 22033-1502 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Leon D Hanna Dds | 61 4th St, Stamford, CT 06905-5010 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Peter S Hanna | 14 Fourth St, Danbury, CT 06810 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Shirley Hanna | 107 Old Towne Rd, Cheshire, CT 06410 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Hanna Yoon Kim | 20 Masterton Rd, Bronxville, NY 10708-4804 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mina Se Hanna | Apartment 3-j, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| George Hanna | 601 Plymouth Colony, Branford, CT 06405 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Christine Marie Hanna | 65 Goodwin Cir, Hartford, CT 06105-5204 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Julia Hanna Hermanowski | 24 Hospital Ave., Danbury, CT 06810 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Hanna B Slim | 465 Buckland Hills Dr Apt 30124, Manchester, CT 06042-9124 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Please comment or provide details below to improve the information on BASSEM HANNA MD.
| 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).