MICHAEL IHSAAN (Credential# 554330) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 13, 1999. The license expiration date date is October 31, 2000. The license status is INACTIVE.
MICHAEL IHSAAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.036739. The credential type is physician/surgeon. The effective date is October 13, 1999. The expiration date is October 31, 2000. The business address is 195 South Street, Jamaica Plain, MA 02130. The current status is inactive.
| Licensee Name | MICHAEL IHSAAN |
| Credential ID | 554330 |
| Credential Number | 1.036739 |
| Credential Type | Physician/Surgeon |
| Business Address |
195 South Street Jamaica Plain MA 02130 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1998-03-27 |
| Effective Date | 1999-10-13 |
| Expiration Date | 2000-10-31 |
| Refresh Date | 2009-07-08 |
| Street Address | 195 SOUTH STREET |
| City | JAMAICA PLAIN |
| State | MA |
| Zip Code | 02130 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cynthia Ann Nichols | 3611 Washington Street Unit B627, Boston, MA 02130 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Claire L Fellman | 90 Forest Hill St #3, Jamaica Plain, MA 02130 | Landscape Architect | 2019-01-30 ~ 2019-07-31 |
| Ginger Mills | 150 South Huntington Avenue, Boston, MA 02130 | Psychologist | ~ |
| Paolo Bidin | 227a Lamartine Street, Jamaica Plain, MA 02130 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Joaquin Q Camara-quintana | 101 South Huntington Ave, Jamaica Plain, MA 02130 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Community Servings · Pie In The Sky | 18 Marbury Terrace, Jamaica Plain, MA 02130 | Public Charity | 2020-06-01 ~ 2021-05-31 |
| Michael J Hart | 28 Grovenor Rd, Jamaica Plain, MA 02130 | Temporary Certified General Real Estate Appraiser | 2019-09-03 ~ 2020-03-03 |
| Lauren L Forni | 3611 Washington Street Unit B430, Boston, MA 02130 | Pharmacist | 2020-02-03 ~ 2022-01-31 |
| Jill Canora | 3 Edge Hill St, Boston, MA 02130 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Shannon F Manzi | 202 Chestnut Ave, Jamaica Plain, MA 02130 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Find all Licenses in zip 02130 | |||
| City | JAMAICA PLAIN |
| Zip Code | 02130 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + JAMAICA PLAIN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael F Salvana | P.o.box 233, Lee Center, NY 13363-0233 | Physician/surgeon | 2006-08-11 ~ 2007-08-31 |
| Michael W Berg | Rr 3 Box 175, Los Fresnos, TX 78566 | Physician/surgeon | 2003-12-22 ~ 2005-02-28 |
| Michael D Savarese | P.o.box 142, Roxbury, CT 06783-0142 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Michael Schwartz | Stamford, CT 06903-2828 | Physician/surgeon | 2013-01-01 ~ 2013-12-31 |
| Michael D Gribetz | Po Box 650, New Hartford, NY 13413-0650 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Michael E Tom | 926 Quinnipiac Ave Apt 9, New Haven, CT 06513-3349 | Physician/surgeon | 2012-06-01 ~ 2013-05-31 |
| Michael E Ripps | 344 Third Ave, New York, NY 10010 | Physician/surgeon | 2011-08-01 ~ 2012-07-31 |
| Michael E Perkins | 79 Doe Run, Tolland, CT 06084 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Michael L May | P.o. Box 320757, Los Gatos, CA 95032 | Physician/surgeon | 2005-03-28 ~ 2006-04-30 |
| Michael S Komarow | 755 2nd Ave Fl 2, New York, NY 10017-5977 | Physician/surgeon | 2013-04-01 ~ 2014-03-31 |
Please comment or provide details below to improve the information on MICHAEL IHSAAN.
| 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).