BASHIR ABDUL-WADUD PA (Credential# 743417) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is August 24, 2005. The license expiration date date is June 30, 2006. The license status is INACTIVE.
BASHIR ABDUL-WADUD PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001668. The credential type is physician assistant. The effective date is August 24, 2005. The expiration date is June 30, 2006. The business address is 16 Glendell Terr, Springfield, MA 01108. The current status is inactive.
| Licensee Name | BASHIR ABDUL-WADUD PA |
| Credential ID | 743417 |
| Credential Number | 23.001668 |
| Credential Type | Physician Assistant |
| Business Address |
16 Glendell Terr Springfield MA 01108 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2005-08-24 |
| Effective Date | 2005-08-24 |
| Expiration Date | 2006-06-30 |
| Refresh Date | 2009-07-10 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 413609 | CSP.0038032 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-08-25 | 2005-08-25 - 2006-02-28 | INACTIVE |
| Street Address | 16 GLENDELL TERR |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01108 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sang Lam | 11 Herman Streets, Springfield, MA 01108 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Di Fu | 18 Eldridge St, Springfield, MA 01108 | Hairdresser/cosmetician | ~ |
| Ewanjigi Wangui Wanjigi | 157 Layfred Terrace St, Springfield, MA 01108 | Licensed Practical Nurse | ~ |
| Vy Thanh Tran | 68 Kenwood Park, Springfield, MA 01108 | Nail Technician | ~ |
| David Ji Soo Kim | 38 Whittier St Apt A, Springfield, MA 01108 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-17 ~ 2021-09-30 |
| Frances I Moran | 66 Parkedge Ave, Springfield, MA 01108 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Hwarim Oh | 38 Whittier St, Springfield, MA 01108 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Alice F Thomas | 91 Audubon St, Springfield, MA 01108 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Italian Bread Shop Inc | 187 Orange St, Springfield, MA 01108 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Renee D Mix | 23 Irvington Street, Springfield, MA 01108 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Find all Licenses in zip 01108 | |||
| City | SPRINGFIELD |
| Zip Code | 01108 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + SPRINGFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nadhir Abdul-wadud | 860 Prospect Hill Rd, Windsor, CT 06095 | Medication Administration Certification | 2007-01-05 ~ 2009-01-04 |
| Bashir & Sons LLC | 305 New Haven Ave, Milford, CT 06460-6647 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Abdul R Barakat | 60 Amy Ln, North Attleboro, MA 02760-6706 | Physician/surgeon | ~ |
| Abdul K Ezeldin Md | 7 Sologne Cir, Little Rock, AR 72223-8913 | Physician/surgeon | 2016-09-01 ~ 2017-08-31 |
| Abdul T Khan Md | 183 Stonebridge Rd Apt #a, Woodstock, CT 06281 | Physician/surgeon | 2002-02-28 ~ 2003-02-28 |
| Abdul R Rahimyar | 75 Meadow Rd W, Trumbull, CT 06611-2046 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Maysa Abdul Hussain | Chicago, IL 60611 | Physician/surgeon | 2019-12-12 ~ 2020-07-31 |
| Abdul Q Haji | Mail Box 130, Eastmeadow, NY 11554 | Physician/surgeon | ~ 1999-02-28 |
| Abdul Meguid F Elfar | Fishkill, NY 12524 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Dalya Amatul Wadud | 16 Glendell Ter, Springfield, MA 01108-1209 | Registered Nurse | 2014-08-01 ~ 2015-07-31 |
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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).