ZIA U HASSAN MD (Credential# 561569) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2016. The license expiration date date is December 31, 2016. The license status is INACTIVE.
ZIA U HASSAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.043987. The credential type is physician/surgeon. The effective date is January 1, 2016. The expiration date is December 31, 2016. The business address is 3001 Bogey Cir Se, Owens Cross Roads, AL 35763-8453. The current status is inactive.
Licensee Name | ZIA U HASSAN MD |
Credential ID | 561569 |
Credential Number | 1.043987 |
Credential Type | Physician/Surgeon |
Business Address |
3001 Bogey Cir Se Owens Cross Roads AL 35763-8453 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2005-12-21 |
Effective Date | 2016-01-01 |
Expiration Date | 2016-12-31 |
Refresh Date | 2017-04-05 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
425827 | CSP.0038692 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-01-09 | 2008-03-01 - 2009-02-28 | INACTIVE |
Street Address | 3001 BOGEY CIR SE |
City | OWENS CROSS ROADS |
State | AL |
Zip Code | 35763-8453 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Aimee Elizabeth Hill | 3010 Tantallon Drive, Owens Cross Roads, AL 35763 | Registered Nurse - Temporary | 2018-09-14 ~ 2019-01-11 |
Pamela B Robert | 2938 Hampton Cove Wy, Owens Cross Roads, AL 35763 | Real Estate Broker | ~ |
Genericus, Inc. · N/a | 112 Adonis Road, Owens Cross Roads, AL 35763 | Out of State Manufacturer of Drugs, Cosmetics & Medical Devices | 2017-05-19 ~ |
Patrick J O'neill | 3129 Haddonstone Dr, Hampton Cove, AL 35763 | Physician/surgeon | 2008-12-04 ~ 2009-11-30 |
Timothy M Howard | 2902 Davenport Dr Se, Owens Cross Roads, AL 35763-8406 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Lisa Diane Mullins | 204 Chestnut Oak Cir, Owens Cross Roads, AL 35763-8526 | Registered Nurse | 2018-07-01 ~ 2019-06-30 |
Kathleen M Dunn | 2708 Arbor Oak Dr, Hampton Cove, AL 35763-8628 | Registered Nurse | 2010-05-18 ~ 2011-04-30 |
Leanne Marie Peterson | 7076 Pale Dawn Pl Se, Owens Cross Roads, AL 35763-9092 | Registered Nurse | 2020-03-06 ~ 2020-07-31 |
City | OWENS CROSS ROADS |
Zip Code | 35763 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + OWENS CROSS ROADS |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Hassan Shahid | 262 Ave F., Bayonne, NJ 07002 | Physician/surgeon | ~ |
Hassan Boroujerdi-rad | 16 Sandstone, Irvine, CA 92604 | Physician/surgeon | 1996-10-25 ~ 1997-10-31 |
Ahmad Hassan | 375 Centre St Apt A, Nutley, NJ 07110-2736 | Physician/surgeon | 2010-07-01 ~ 2011-07-31 |
Sajjad Hassan | 45 Willow Street, Apt 228, Springfield, MA 01103 | Physician/surgeon | ~ |
Hossam Eldeen A Hassan | 905 Mix Ave # T6, Hamden, CT 06514-5109 | Physician/surgeon | 2014-05-01 ~ 2015-04-30 |
Hassan Nagendra | 15 Chesterbrook Ln, Pittsford, NY 14534-4723 | Physician/surgeon | 2013-04-01 ~ 2014-03-31 |
Nadeem S Hassan | 100 Kane St Apt #a-5, West Hartford, CT 06119 | Physician/surgeon | ~ 1995-09-30 |
Hassan Abiola Akinbiyi | 7301 E 3rd Ave Unit 322, Scottsdale, AZ 85251-4461 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Hassan M Harirah | 301 Arbor Circle, League City, TX 77573 | Physician/surgeon | 2012-06-01 ~ 2013-05-31 |
Syed Hassan Abbas | 60 Uplands Dr, West Hartford, CT 06107-1039 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
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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).