SHAGUSTA HASAN MD
Physician/surgeon


Address: 19 Sunswept Drive, New Fairfield, CT 06812

SHAGUSTA HASAN MD (Credential# 549065) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 11, 1999. The license expiration date date is April 30, 2000. The license status is INACTIVE.

Business Overview

SHAGUSTA HASAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.031296. The credential type is physician/surgeon. The effective date is March 11, 1999. The expiration date is April 30, 2000. The business address is 19 Sunswept Drive, New Fairfield, CT 06812. The current status is inactive.

Basic Information

Licensee Name SHAGUSTA HASAN MD
Credential ID 549065
Credential Number 1.031296
Credential Type Physician/Surgeon
Business Address 19 Sunswept Drive
New Fairfield
CT 06812
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1991-01-11
Effective Date 1999-03-11
Expiration Date 2000-04-30
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
157939 CSP.0019799 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1998-03-01 - 1999-02-28 INACTIVE

Office Location

Street Address 19 SUNSWEPT DRIVE
City NEW FAIRFIELD
State CT
Zip Code 06812

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Suzanne Michele Ford 19 Sunswept Drive, New Fairfield, CT 06812 Notary Public Appointment 2017-12-01 ~ 2022-11-30

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Elizabeth Pepin 16 Cloverleaf Drive, New Fairfield, CT 06812 Notary Public Appointment ~
Antoinett L Crawford 60 Beaver Bog, New Fairfield, CT 06812 Hairdresser/cosmetician 2020-07-01 ~ 2022-06-30
Goodie Shoppe LLC (the) 1 Brush Hill Rd, New Fairfield, CT 06812 Operator of Weighing & Measuring Devices 2020-08-01 ~ 2021-07-31
Jeffrey R Logel · Fairwood Wine & Liquor 17 Route 39 Shaw's Plaza, New Fairfield, CT 06812 Package Store Liquor 2020-08-11 ~ 2021-08-10
Joseph G Dimyan 1 Lloyd Avenue, New Fairfield, CT 06812 Real Estate Salesperson 2020-06-24 ~ 2021-05-31
Melanie Porter 2 High Trail Ci Rd, New Fairfield, CT 06812 Behavior Analyst 2020-07-01 ~ 2021-06-30
Dara E O'toole 15 Muller Street, New Fairfield, CT 06812 Radiographer 2020-08-01 ~ 2021-07-31
Anita Michelle Thompson 15 Bauer Road, New Fairfield, CT 06812 Registered Nurse ~
Maureen Salerno · Schully 4 Old Orchard Road, New Fairfield, CT 06812 Licensed Clinical Social Worker 2020-09-01 ~ 2021-08-31
John N Devito IIi IIi 9 Cloverleaf Drive, New Fairfield, CT 06812 Notary Public Appointment 2020-10-01 ~ 2025-09-30
Find all Licenses in zip 06812

Competitor

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City NEW FAIRFIELD
Zip Code 06812
License Type Physician/Surgeon
License Type + County Physician/Surgeon + NEW FAIRFIELD

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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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