EHSAN ALAM MD (Credential# 563808) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2014. The license expiration date date is February 28, 2015. The license status is INACTIVE.
EHSAN ALAM MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.046226. The credential type is physician/surgeon. The effective date is March 1, 2014. The expiration date is February 28, 2015. The business address is 1604 Medical Dr, Laurinburg, NC 28352-5524. The current status is inactive.
Licensee Name | EHSAN ALAM MD |
Credential ID | 563808 |
Credential Number | 1.046226 |
Credential Type | Physician/Surgeon |
Business Address |
1604 Medical Dr Laurinburg NC 28352-5524 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2008-02-20 |
Effective Date | 2014-03-01 |
Expiration Date | 2015-02-28 |
Refresh Date | 2015-06-03 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
497816 | CSP.0043262 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2008-03-25 | 2011-03-01 - 2013-02-28 | INACTIVE |
Street Address | 1604 MEDICAL DR |
City | LAURINBURG |
State | NC |
Zip Code | 28352-5524 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Patrick A Kreuser | 8000 Scotch Meadows Dr, Laurinburg, NC 28352 | Professional Engineer | 2010-02-01 ~ 2011-01-31 |
Lashawnda D Adams | 7201 Crestline Road, Laurinburg, NC 28352 | Registered Nurse | 2012-11-01 ~ 2013-10-31 |
Patricia L Bruccoleri | 15001 Silver Hill Rd, Laurinburg, NC 28352 | Licensed Practical Nurse | 1996-05-20 ~ 1997-06-30 |
Mary E Mcdaniel | 420 East Covington St, Laurinburg, NC 28352 | Registered Nurse | 1992-02-24 ~ 1993-02-28 |
Jaco Construction Services Inc · Gco.00636 | 205 Lauchwood Dr Suite E, Laurinburg, NC 28352 | Major Contractor | 1997-07-01 ~ 1998-06-30 |
Samuel D Wilson · Pci Energy Services | 58 9th St, Laurinburg, NC 28352 | Heating, Piping & Cooling Limited Journeyperson | 2013-09-01 ~ 2014-08-31 |
City | LAURINBURG |
Zip Code | 28352 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + LAURINBURG |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Piyal Alam | 80-59 222nd St, Hollis Hills, NY 11427 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Nasir Alam Bhatti | 9 Dutch Village, Albany, NY 12204 | Physician/surgeon | ~ 1999-10-31 |
Bilal Kamal Alam | 8 Kimball Court, Burlington, MA 01803 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Syed Areej Alam | 220 Linden Street, Scranton, PA 18503 | Physician/surgeon | 2019-09-24 ~ 2020-08-31 |
Junaid Alam Md | C/0 Medical Education Brpt Hospital, Bridgeport, CT 06610 | Physician/surgeon | 1999-08-11 ~ 2000-06-30 |
Wahila Alam | Medical Staff Services Office/uconn Health, Farmington, CT 06030 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Alam Grocery | 410 Ferry St, New Haven, CT 06513-3618 | Lottery Sales Agent | 2020-04-01 ~ 2021-03-31 |
Ehsan Dehbashi | 343 Stone Rd, Windsor, CT 06095 | Professional Engineer | ~ |
Ehsan Esmaeili | The Hand Center, Spartanburg, SC 29301 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Ehsan Ulhaq | 26 Sport Hill Parkway, Easton, CT 06612 | Certified Public Accountant License | 2019-01-01 ~ 2019-12-31 |
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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).