IRFANULLAH YUSUFZAI MD (Credential# 563016) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2013. The license expiration date date is December 31, 2013. The license status is INACTIVE.
IRFANULLAH YUSUFZAI MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.045434. The credential type is physician/surgeon. The effective date is January 1, 2013. The expiration date is December 31, 2013. The business address is 4605 Holly Berry Dr, Plano, TX 75093-7008. The current status is inactive.
Licensee Name | IRFANULLAH YUSUFZAI MD |
Credential ID | 563016 |
Credential Number | 1.045434 |
Credential Type | Physician/Surgeon |
Business Address |
4605 Holly Berry Dr Plano TX 75093-7008 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2007-05-25 |
Effective Date | 2013-01-01 |
Expiration Date | 2013-12-31 |
Refresh Date | 2014-04-05 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
501268 | CSP.0043440 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2008-05-01 | 2009-03-01 - 2011-02-28 | INACTIVE |
447804 | CSP.0040399 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-12-04 | 2007-03-01 - 2008-02-29 | INACTIVE |
Street Address | 4605 HOLLY BERRY DR |
City | PLANO |
State | TX |
Zip Code | 75093-7008 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Adam L Kouyoumjian | 4031 West Plano Parkway, Plano, TX 75093 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Khalid Mohammed Yousuf | 4716 Alliance Blvd, Plano, TX 75093 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
John Van Wagoner | 6100 Windcom Ct, Plano, TX 75093 | Physician/surgeon | 2020-01-24 ~ 2020-11-30 |
Michael A Ficker | 2740 Dallas Parkway, Plano, TX 75093 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Jennie M Daley | 5220 Sky Lake Drive, Plano, TX 75093 | Certified Public Accountant Certificate | 2020-01-01 ~ 2020-12-31 |
E Mark Malouf | 3905 Wishing Well Lane, Plano, TX 75093 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Julie L Raecek · Targowski | 5856 Pebblestone Lane, Plano, CT 75093 | Dental Hygienist | 2018-09-01 ~ 2019-08-31 |
Yackita Shawnel Dorsey | 4701 Preston Park Blvd, Plano, TX 75093 | Registered Nurse | 2019-08-01 ~ 2020-07-31 |
Nancy Louise Cannon | 3001 Communications Pkwy, Plano, TX 75093 | Registered Nurse | 2017-10-01 ~ 2018-09-30 |
Plaid Pockets Inc | 5960 W Parker Rd #278-114, Plano, TX 75093 | Manufacturer of Bedding & Upholstered Furniture | 2005-05-13 ~ 2006-04-30 |
Find all Licenses in zip 75093 |
City | PLANO |
Zip Code | 75093 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + PLANO |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Ikram Mohammad Irfanullah | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Nazanin Barzideh Md | North Shore Retina Physician, Pllc, East Hills, NY 11576 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
Susan J Batlan Md | Eye Physician Associates of Hartford, West Hartford, CT 06107 | Physician/surgeon | 2000-07-27 ~ 2001-07-31 |
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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).