ISSAM A AWAD (Credential# 550418) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2011. The license expiration date date is September 30, 2012. The license status is INACTIVE.
ISSAM A AWAD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.032818. The credential type is physician/surgeon. The effective date is October 1, 2011. The expiration date is September 30, 2012. The business address is 5801 S Ellis Ave, Chicago, IL 60637-5418. The current status is inactive.
| Licensee Name | ISSAM A AWAD |
| Credential ID | 550418 |
| Credential Number | 1.032818 |
| Credential Type | Physician/Surgeon |
| Business Address |
5801 S Ellis Ave Chicago IL 60637-5418 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1993-03-05 |
| Effective Date | 2011-10-01 |
| Expiration Date | 2012-09-30 |
| Refresh Date | 2013-01-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 163043 | CSP.0021044 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2000-02-29 - 2001-02-28 | INACTIVE |
| Street Address | 5801 S ELLIS AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60637-5418 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| University of Chicago | 5801 S Ellis Ave, Chicago, IL 60637-5418 | Public Charity-exempt From Financial Requirements | 2014-10-29 ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jacqueline Moses Brown | 6223 S. Eberhart, Chicago, IL 60637 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Iazsmin Bauer Ventura | University of Chicago, 5841 S Maryland Ave, Chicago, IL 60637 | Physician/surgeon | 2018-10-10 ~ 2019-04-30 |
| Bernard Wittels Md | 5632 S. Kimbark Ave, Chicago, IL 60637 | Physician/surgeon | 2013-01-01 ~ 2013-12-31 |
| Wendy B Posner | 5533 South Kimbark, Chicago, IL 60637 | Licensed Clinical Social Worker | 2004-04-19 ~ 2005-06-30 |
| Robert L Walton Jr | 5841 S Maryland Ave, Chicago, IL 60637 | Physician/surgeon | 1993-08-25 ~ 1994-05-31 |
| Sunny H Baek | Apt 303s, Chicago, IL 60637 | Pharmacist | 1995-08-25 ~ 1996-01-31 |
| University of Chicago Medical Center Dcam Outpatient Pharmacy | 5758 S Maryland Ave # Mc9041, Chicago, IL 60637-1426 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
| Coalition Application Inc · Coalition for Access, Affortability, and Success | 1101 E 58th St, Chicago, IL 60637-1511 | Public Charity | 2018-10-15 ~ 2019-05-31 |
| Sarah Margaret Urbut | 1157 E 56th St Apt 3, Chicago, IL 60637-1531 | Controlled Substance Registration for Practitioner | 2019-06-05 ~ 2021-02-28 |
| Nora O Segar | 5825 S Dorchester Ave Apt 4w, Chicago, IL 60637-1701 | Controlled Substance Registration for Practitioner | 2020-04-13 ~ 2021-02-28 |
| Find all Licenses in zip 60637 | |||
| City | CHICAGO |
| Zip Code | 60637 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + CHICAGO |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Issam M Almashharawi Md | 170 Hillside Ave#6g, Waterbury, CT 06710 | Physician/surgeon | 2003-11-25 ~ 2004-02-29 |
| Issam S Obeid | 1 Brookfield Ave, Corner Brook Nl Canada, A2H6J7 | Physician/surgeon | 2014-10-01 ~ 2015-09-30 |
| Ahmed Awad | 822 Marlowe Rd, Cherry Hill, NJ 08003 | Physician/surgeon | 2011-01-01 ~ 2011-12-31 |
| Oday S.h Awad | 20 Manhattan Place, Cliffside Park, NJ 07010 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| John N Awad | Orthopaedic Speciatly Group, Fairfield, CT 06825 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Issam Darwiche Kanaan | 119 Winchester Dr, Liverpool, NY 13088 | Pharmacist | ~ |
| Issam J Bahou | 71183 Oak Tree Lane, Romeo, MI 48065 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Issam Abuhannd · Hanna Construction | 199 Laurel St, East Haven, CT 06512-1556 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Youssif S Awad | 19 Ackerman Ave, Suffern, NY 10901 | Pharmacist | ~ |
| John R Awad | 24 Elton Ct, Uncasville, CT 06382-2090 | Pharmacy Intern | 2015-09-15 ~ 2019-09-30 |
Please comment or provide details below to improve the information on ISSAM A AWAD.
| 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).