AMIR T EKANEJ MD (Credential# 559272) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 11, 2004. The license expiration date date is April 30, 2005. The license status is INACTIVE.
AMIR T EKANEJ MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.041689. The credential type is physician/surgeon. The effective date is March 11, 2004. The expiration date is April 30, 2005. The business address is 152 Congdon St Apt 2, Providence, RI 02906. The current status is inactive.
Licensee Name | AMIR T EKANEJ MD |
Credential ID | 559272 |
Credential Number | 1.041689 |
Credential Type | Physician/Surgeon |
Business Address |
152 Congdon St Apt 2 Providence RI 02906 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2003-07-21 |
Effective Date | 2004-03-11 |
Expiration Date | 2005-04-30 |
Refresh Date | 2009-07-11 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
346458 | CSP.0033917 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-02-29 - 2005-02-28 | INACTIVE |
Street Address | 152 CONGDON ST APT 2 |
City | PROVIDENCE |
State | RI |
Zip Code | 02906 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
The Stephen C. Rose Legacy Foundation · The Steve Fund | 138 Governor Street, Providence, RI 02906 | Public Charity | 2020-06-12 ~ 2021-11-30 |
Moriah Connor | 211 Waterman Street, Unit 20, Providence, RI 02906 | Behavior Analyst | ~ |
Elizabeth Burns | 198 Camp Street, Providence, RI 02906 | Licensed Clinical Social Worker | ~ |
Christine Montross | 345 Blackstone Blvd, Providence, RI 02906 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Susan Dickstein | 196 Freeman Parkway, Providence, RI 02906 | Psychologist | 2020-07-01 ~ 2021-06-30 |
Victoria S Karlsen | 415 Angell St, Providence, RI 02906 | Behavior Analyst | ~ |
John W O'bell Md | 14 Rose Ct., Providence, RI 02906 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Alexandria Hanul Simon | 323 Angell Street, Providence, RI 02906 | Emergency Medical Technician | ~ |
Molly A Moran | 202 Sixth Street, Providence, RI 02906 | Advanced Practice Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Simon M Cornelissen | 45 Balton Rd, Providence, RI 02906 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Find all Licenses in zip 02906 |
City | PROVIDENCE |
Zip Code | 02906 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + PROVIDENCE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Amir Garakani Md | 208 Valley Rd, New Canaan, CT 06840-3812 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Amir Levine Md | 993 Amsterdam Ave., New York, NY 10025 | Physician/surgeon | 2010-04-01 ~ 2011-03-31 |
Amir Friedman | 15305 Sw 74 Ct, Miami, FL 33157 | Physician/surgeon | 2004-01-08 ~ 2004-06-30 |
Amir A Faridi | 5-7n 9th Avenue #e6, Mt Vernon, NY 10550 | Physician/surgeon | ~ 1998-05-31 |
Amir Tulchinsky Md | 103 Timberwood Rd, West Hartford, CT 06117 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Amir Ahmad Md | 39 Maple Hill Ave, Newington, CT 06111-2720 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Igal M Amir | 6233 Townwalk Dr, Hamden, CT 06518 | Physician/surgeon | 1997-01-10 ~ 1998-02-28 |
Amir Shuja | 1987 Alcova Ridge Dr, Las Vegas, NV 89135-1551 | Physician/surgeon | 2011-06-01 ~ 2012-05-31 |
Amir R. Nasir | Lotus Cosmetic Surgery Ct, Westport, CT 06880 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Amir Hossein Hariri | 11218 La Maida St Apt 201, North Hollywood, CA 91601-4595 | Physician/surgeon | ~ |
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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).