YOUNUS F MASIH MD (Credential# 542928) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
YOUNUS F MASIH MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.019095. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 15 Palomba Dr, Enfield, CT 06082-3888. The current status is active.
| Licensee Name | YOUNUS F MASIH MD |
| Credential ID | 542928 |
| Credential Number | 1.019095 |
| Credential Type | Physician/Surgeon |
| Business Address |
15 Palomba Dr Enfield CT 06082-3888 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1977-08-30 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-01-21 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 148052 | CSP.0003319 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 307621 | CSP.0032121 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2011-12-28 - 2013-02-28 | INACTIVE | |
| 324292 | CSP.0032846 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2011-03-01 - 2013-02-28 | INACTIVE | |
| 156652 | CSP.0016525 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2002-03-01 - 2003-02-28 | INACTIVE | |
| 159012 | CSP.0019116 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1992-12-30 - 1995-01-01 | INACTIVE |
| Street Address | 15 PALOMBA DR |
| City | ENFIELD |
| State | CT |
| Zip Code | 06082-3888 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Enfield Ambulatory Care Center LLC · Enfield Ambulatory Care Center | 15 Palomba Dr, Enfield, CT 06082-3888 | Outpatient Clinic | 2013-04-01 ~ 2017-03-31 |
| Medical Center Pharmacy LLC Dba Able Care Pharmacy | 15 Palomba Dr, Enfield, CT 06082-3888 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2014-07-01 ~ 2015-06-30 |
| Virginia P Riggs Md | 15 Palomba Dr, Enfield, CT 06082 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Paul L Filippini | 15 Palomba Dr, Enfield, CT 06082 | Physician/surgeon | 2005-09-01 ~ 2006-10-31 |
| Medical Center Pharmacy | 15 Palomba Dr, Enfield, CT 06082 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2003-07-01 ~ 2004-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kaitlyn A Pelligrinelli | 38 Haynes St, Enfield, CT 06082 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Sharon M Smith | 11 Eleanor Rd, Enfield, CT 06082 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Kerry A Tanguay · Lang | 11 Somers Road, Enfield, CT 06082 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Colleen E Galbraith | 12 Southview St, Enfield, CT 06082 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Paul F Misbach | 502 Taylor Road, Enfield, CT 06082 | Real Estate Salesperson | ~ |
| Catherine R Mcculloch | 84 Wynwood Drive, Enfield, CT 06082 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Phillip G Seidel | 318 North Maple St, Enfield, CT 06082 | Optician | 2020-05-01 ~ 2021-04-30 |
| Matthew Crossen | 19 Elan Street, Enfield, CT 06082 | Real Estate Salesperson | 2020-06-19 ~ 2021-05-31 |
| Baco's Pizza Inc | 410 Enfield St, Enfield, CT 06082 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Jessica G Martin | 72 Belmont Ave, Enfield, CT 06082 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Find all Licenses in zip 06082 | |||
| City | ENFIELD |
| Zip Code | 06082 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + ENFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nalini Y Masih | 11 Alexander Lane, Suffield, CT 06078 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Mohammad A Younus | 287 Grant St, Bridgeport, CT 06610-2805 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Rohit Masih | 71 Congress St, Hartford, CT 06114 | Controlled Substance Registration for Practitioner | 2019-09-05 ~ 2021-02-28 |
| Noor Younus Syed | 455 High Street, Bethlehem, PA 18018 | Behavior Analyst | 2019-08-01 ~ 2020-07-31 |
| Rusk Masih · University of Hartford | 44 Belle Woods Dr, Glastonbury, CT 06033 | Professional Engineer | 1989-02-27 ~ 1990-01-31 |
| M Younus Samadzada · Clough Harbour&assocs | 11 Rosemary Drive, Schenectady, NY 12304 | Professional Engineer | 1993-01-19 ~ 1994-01-31 |
| 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 |
| Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
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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).