QASSEM KISHAWI
Physician/surgeon


Address: 105 South Farms Drive, Manchester, CT 06040

QASSEM KISHAWI (Credential# 559388) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2019. The license expiration date date is October 31, 2020. The license status is ACTIVE.

Business Overview

QASSEM KISHAWI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.041805. The credential type is physician/surgeon. The effective date is November 1, 2019. The expiration date is October 31, 2020. The business address is 105 South Farms Drive, Manchester, CT 06040. The current status is active.

Basic Information

Licensee Name QASSEM KISHAWI
Credential ID 559388
Credential Number 1.041805
Credential Type Physician/Surgeon
Business Address 105 South Farms Drive
Manchester
CT 06040
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2003-08-26
Effective Date 2019-11-01
Expiration Date 2020-10-31
Refresh Date 2019-10-29

Office Location

Street Address 105 SOUTH FARMS DRIVE
City Manchester
State CT
Zip Code 06040

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Mary Fosuah Nketia 61 Cougar Drive, Manchester, CT 06040 Registered Nurse 2020-08-01 ~ 2021-07-31
New Seasons Inc. 164 East Center Street, Manchester, CT 06040 Public Charity 2019-06-01 ~ 2020-05-31
Kaylen Lam 60 Chlistone Lane, Manchester, CT 06040 Combination Nail Technician, Esthetician Or Eyelash Technici ~
Matilde Altamirano 415 Gardner Street, Manchester, CT 06040 Nail Technician 2020-06-27 ~ 2022-04-30
Meilan Meilan Chen 174 Middle Tpke, Manchester, CT 06040 Nail Technician ~
Prince Acheampong 32 Bigelow Street, Manchester, CT 06040 Notary Public Appointment ~
Erin C Boyle 470 Porter Street, Manchester, CT 06040 Registered Nurse 2020-07-01 ~ 2021-06-30
Dejone Mitchell 64 Ruby Dr Apt. P, Manchester, CT 06040 Combination Nail Technician, Esthetician Or Eyelash Technici ~
Andrea H Clifford 116 Longview Drive, Manchester, CT 06040 Licensed Practical Nurse 2020-09-01 ~ 2021-08-31
Tabia Thornton-bey 103 Walek Farms Road, Manchester, CT 06040 Licensed Clinical Social Worker 2020-07-01 ~ 2021-06-30
Find all Licenses in zip 06040

Competitor

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City Manchester
Zip Code 06040
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Manchester

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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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