FABIAN G HOSEIN DDS
Controlled Substance Registration for Practitioner


Address: 10816 N David Ct, Peria, IL 61615

FABIAN G HOSEIN DDS (Credential# 433872) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2007. The license expiration date date is February 29, 2008. The license status is INACTIVE.

Business Overview

FABIAN G HOSEIN DDS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0038992. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2007. The expiration date is February 29, 2008. The business address is 10816 N David Ct, Peria, IL 61615. The current status is inactive.

Basic Information

Licensee Name FABIAN G HOSEIN DDS
Credential ID 433872
Credential Number CSP.0038992
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 10816 N David Ct
Peria
IL 61615
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2006-04-07
Effective Date 2007-03-01
Expiration Date 2008-02-29
Refresh Date 2009-02-05

Other licenses

ID Credential Code Credential Type Issue Term Status
704018 2.009566 Dentist 2006-03-06 2006-12-08 - 2008-01-31 INACTIVE

Office Location

Street Address 10816 N DAVID CT
City PERIA
State IL
Zip Code 61615

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Lorraine S Fox 9909 North Blacksoil Lane, Peoria, IL 61615 Massage Therapist 1996-09-13 ~ 1997-11-30
Qst Environmental Inc 8901 N Industrial Rd, Peoria, IL 61615-1589 Professional Engineering Corporation 1998-09-22 ~ 1999-09-22
Carrie Sue Garrett 3430 W Grimson Ave, Peoria, IL 61615-3705 Registered Nurse 2019-10-01 ~ 2020-09-30
Bianca Junker 3417 W Reservoir Blvd, Peoria, IL 61615-4039 Registered Nurse 2019-08-01 ~ 2020-07-31
Sumati Kuntal 5901 N Aspen Wood Dr Apt 5305, Peoria, IL 61615-8430 Dentist 2013-01-09 ~ 2013-07-31
Unlimited Grace Media Inc 8607 State Route 91, Peoria, IL 61615-9506 Public Charity 2018-12-01 ~ 2019-05-31
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Competitor

Search similar business entities

City PERIA
Zip Code 61615
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + PERIA

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Dataset Information

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).

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