FADI M HAMMOUD MD (Credential# 421600) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
FADI M HAMMOUD MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0038550. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 2 Trap Falls Rd, Shelton, CT 06484-4616. The current status is active.
| Licensee Name | FADI M HAMMOUD MD |
| Credential ID | 421600 |
| Credential Number | CSP.0038550 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
2 Trap Falls Rd Shelton CT 06484-4616 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2005-11-15 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2018-12-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 561482 | 1.043900 | Physician/Surgeon | 2005-10-26 | 2019-12-01 - 2020-11-30 | ACTIVE |
| Street Address | 2 Trap Falls Rd |
| City | Shelton |
| State | CT |
| Zip Code | 06484-4616 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael Safian Dds | 2 Trap Falls Rd, Shelton, CT 06484-4616 | Dental Anesthesia/conscious Sedation Permit | 2020-09-01 ~ 2021-08-31 |
| Recovery Network of Programs Inc | 2 Trap Falls Rd, Shelton, CT 06484-4603 | Public Charity | 2020-06-01 ~ 2021-05-31 |
| Lisa S Rome | 2 Trap Falls Rd, Shelton, CT 06484-4616 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| In Focus Iv | 2 Trap Falls Rd, Shelton, CT 06484-4603 | Optical Selling Permit | 2019-09-01 ~ 2020-08-31 |
| Equity Office Property · John O'neill | 2 Trap Falls Rd, Shelton, CT 06484 | Operator of Weighing & Measuring Devices | 2001-08-07 ~ 2002-07-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Edward M Jordan | 2 Trap Falls Rd Ste 312, Shelton, CT 06484-4616 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Progressive Institute, LLC | 2 Trap Falls Rd Ste 120, Shelton, CT 06484-4616 | Psychiatric Outpatient Clinic | 2019-01-03 ~ 2022-09-30 |
| Phyliss H Shapiro | 2 Trap Falls Rd Ste 510, Shelton, CT 06484-4616 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Northeast Private Client Group LLC | 2 Trap Falls Rd Ste 312, Shelton, CT 06484-4616 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Scott J Kudravy | 2a Garden Ter, Shelton, CT 06484 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Melissa E Filanowski | 265 Mohegan Rd, Shelton, CT 06484 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Danuta Adamson · Chmiel | 101 Dickinson Drive, Shelton, CT 06484 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Sandra E Mercier | 234 Deer Run, Huntington, CT 06484 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Ping Li | 17 Coram Rd 3c, Shelton, CT 06484 | Nail Technician | ~ |
| Victoria Mary Bucci | 53 Isinglass Rd, Shelton, CT 06484 | Master's Level Social Worker | ~ |
| Samuel L Smith | 122 Maple Avenue, Shelton, CT 06484 | Dietitian/nutritionist | 2020-08-01 ~ 2021-07-31 |
| Cindy Hubbell Vidal | 17 Sherwood Lane, Shelton, CT 06484 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Rosa Conners | 189 Coram Avenue, Shelton, CT 06484 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Erica Azzarito | 40 Clinton Drive, Shelton, CT 06484 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Find all Licenses in zip 06484 | |||
| City | Shelton |
| Zip Code | 06484 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Shelton |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Fadi A Al-khayer Md | 97 Cardinal Way, So Windsor, CT 06074 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Fadi Hammami | 2 Pembroke Hl, Farmington, CT 06032-1461 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Fadi Abou-nukta | Hospital of St.raphael, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Fadi Aldaas | 510 East Main Street, Apt. 228, Stratford, CT 06615-7554 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Fadi Haddad | 8275 Royall Oaks Dr., Granite Bay, CA 95746 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Fadi Fahad | 263 Farmington Ave, Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | ~ |
| 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 |
| Huu Duc D Luu | 630 Mix Ave Apt 6p, Hamden, CT 06514-2320 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Qi Che Md | Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
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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).