BAHAA BARSOUM
Registered Nurse


Address: 10 Southbury Road, Clifton Park, NY 12065

BAHAA BARSOUM (Credential# 577004) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is June 18, 2004. The license expiration date date is June 30, 2005. The license status is INACTIVE.

Business Overview

BAHAA BARSOUM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.073000. The credential type is registered nurse. The effective date is June 18, 2004. The expiration date is June 30, 2005. The business address is 10 Southbury Road, Clifton Park, NY 12065. The current status is inactive.

Basic Information

Licensee Name BAHAA BARSOUM
Credential ID 577004
Credential Number 10.073000
Credential Type Registered Nurse
Business Address 10 Southbury Road
Clifton Park
NY 12065
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2004-03-16
Effective Date 2004-06-18
Expiration Date 2005-06-30
Refresh Date 2009-07-08

Office Location

Street Address 10 Southbury Road
City Clifton Park
State NY
Zip Code 12065

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Denise B Duffy · Madkour 5 Wilshire Drive, Clifton Park, NY 12065 Hairdresser/cosmetician 2020-06-01 ~ 2022-05-31
Heather J Taggert · Thompson 62 Timberwick Dr, Clifton Park, NY 12065 Registered Nurse 2020-05-01 ~ 2021-04-30
Giovanni Tedesco 4 Davenport Circle, Clifton Park, NY 12065 Tax Preparer/facilitator Permit 2020-03-06 ~ 2022-03-31
Gregory S Fowler 63 Stoney Creek Dr, Clifton Park, NY 12065 Professional Engineer 2014-01-31 ~ 2015-01-31
Sara Yankowski 6 Via Da Vinci, Clifton Park, NY 12065 Registered Nurse 2020-03-01 ~ 2021-02-28
Richard J Barcori 7 Sheffield Dr, Clifton Park, NY 12065 Professional Engineer 2020-02-01 ~ 2021-01-31
Robert W Badger 15 Devoe Drive, Clifton Park, NY 12065 Professional Engineer 2020-02-01 ~ 2021-01-31
Laura Ann Lindquist 9 Roosevelt Court, Clifton Park, NY 12065 Pharmacist 2020-02-01 ~ 2022-01-31
Jack B Kirschenbaum 6 Trevor Court, Clifton Park, NY 12065 Professional Engineer 2020-02-01 ~ 2021-01-31
Leise D Lee 1 Equestrian Way, Clifton Park, NY 12065 Pharmacist 2020-02-01 ~ 2022-01-31
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Competitor

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City Clifton Park
Zip Code 12065
License Type Registered Nurse
License Type + County Registered Nurse + Clifton Park

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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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