HUMA T KHALIQ PA (Credential# 743303) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
HUMA T KHALIQ PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001554. The credential type is physician assistant. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 121 Pierce Blvd, Windsor, CT 06095. The current status is active.
| Licensee Name | HUMA T KHALIQ PA |
| Credential ID | 743303 |
| Credential Number | 23.001554 |
| Credential Type | Physician Assistant |
| Business Address |
121 Pierce Blvd Windsor CT 06095 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2004-10-25 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-03-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 392282 | CSP.0036871 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-12-20 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 121 Pierce blvd |
| City | Windsor |
| State | CT |
| Zip Code | 06095 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tatong Hemmaplardh | 121 Pierce Blvd, Windsor, CT 06095 | Physician/surgeon | 2018-05-01 ~ 2019-04-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cherene M Scott | 123 Clover St, Windsor, CT 06095 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Marianne Lauri | 9 Mohawk Circle, Windsor, CT 06095 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Elaine R Birthwright Rowe | 71 Ford Road, Windsor, CT 06095 | Real Estate Salesperson | ~ |
| Annmarie Blair-atkinson | 19 Hope Circle, Windsor, CT 06095 | Medication Administration Certification | 2020-05-23 ~ 2022-05-22 |
| Cristina Valente | 39 Lochview Dr, Windsor, CT 06095 | Master's Level Social Worker | 2020-07-01 ~ 2021-06-30 |
| Bridget C Tran | 500 Huckleberry Rd, Windsor, CT 06095 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Kelli Price | 15 Berrios Hill Road, Windsor, CT 06095 | Professional Counselor | 2020-09-01 ~ 2021-08-31 |
| Yalanda Squirewell | 217 Willowcrest Drive, Windsor, CT 06095 | Real Estate Salesperson | ~ |
| Omason O Modeste | 30 Lepage Rd, Windsor, CT 06095 | Emergency Medical Technician | 2017-04-06 ~ 2020-06-30 |
| Mark E Allen | 372 Broad St, Windsor, CT 06095 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06095 | |||
| City | Windsor |
| Zip Code | 06095 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + Windsor |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Bio Huma Netics Inc | 1331 W Houston Ave, Gilbert, AZ 85233-1816 | Commercial Fertilizer | 2016-07-01 ~ 2017-06-30 |
| Huma Sheikh | 1261 Robert St., Hillside, NJ 07205 | Physician/surgeon | ~ |
| Huma Q Rana | 1600 Beacon St Apt 506, Brookline, MA 02446-2225 | Physician/surgeon | ~ |
| Huma Y Samar | 6243 Steinway Drive, Jamesville, NY 13078 | Physician/surgeon | 2012-09-01 ~ 2013-08-31 |
| Physician Assistant Foundation of The American Academy of Physician Assistants | 2318 Mill Rd Ste 1300, Alexandria, VA 22314-6868 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| Khaliq D Hargrove | 16 Oakwood Knls, Norwich, CT 06360-6613 | Home Improvement Salesperson | 2019-12-19 ~ 2020-11-30 |
| Ahmed I Abdul-khaliq · Gerald Daniels | P.o. Box 2794, Middletown, CT 06457 | Barber | 2000-06-21 ~ 2001-06-30 |
| Khaliq O Marable | 16 Deerfield Drive, Oneco, CT 06373 | Emergency Medical Technician | 2019-01-15 ~ 2021-12-31 |
| Abdul H Khaliq | 45 S Main St, West Hartford, CT 06107-2441 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ahmed Abdul-khaliq | 130 Coe Avenue Unit 15, East Haven, CT 06512 | Notary Public Appointment | 1998-10-07 ~ 2003-10-31 |
Please comment or provide details below to improve the information on HUMA T KHALIQ PA.
| 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).