HUSSAM A FUSTOK (Credential# 1300149) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is December 6, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.
HUSSAM A FUSTOK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0061003. The credential type is controlled substance registration for practitioner. The effective date is December 6, 2017. The expiration date is February 28, 2019. The business address is 6 Farnham Park Dr, Houston, TX 77024-7501. The current status is lapsed.
| Licensee Name | HUSSAM A FUSTOK |
| Credential ID | 1300149 |
| Credential Number | CSP.0061003 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
6 Farnham Park Dr Houston TX 77024-7501 |
| Business Type | INDIVIDUAL |
| Status | LAPSED |
| Active | 1 |
| Issue Date | 2015-07-17 |
| Effective Date | 2017-12-06 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2019-03-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1458371 | 1.057166 | Physician/Surgeon | 2017-11-03 | 2017-11-03 - 2018-11-30 | INACTIVE |
| Street Address | 6 FARNHAM PARK DR |
| City | HOUSTON |
| State | TX |
| Zip Code | 77024-7501 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Latitude 6400 Investors, LLC | 8901 Gaylord Drive, Houston, TX 77024 | Securities - Exemptions | 2020-06-10 ~ |
| Wendy Carpenter | 7026 Old Katy Road #276, Houston, TX 77024 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Katie Elizabeth Beland | 7777 Katy Freeway Apt 192, Houston, TX 77024 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Houston International Insurance Group Ltd | 800 Gessner Rd, Ste 600, Houston, TX 77024 | Securities - Exemptions | 2020-04-29 ~ |
| Marble Capital-gatesco II, L.p. | 10000 Memorial Dr, Houston, TX 77024 | Securities - Exemptions | 2020-04-14 ~ |
| Richard R.m. Francis Md | 2 Winston Woods, Houston, TX 77024 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Candace Roberts | 7026 Old Katy Rd #276, Houston, TX 77024 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Yogesh Shah | 7026 Old Katy Rd, Ste 276, Houston, TX 77024 | Physician/surgeon | 2020-02-14 ~ 2020-11-30 |
| Flatirons Self Storage Dst | 10000 Memorial Drive, Houston, TX 77024 | Securities - Exemptions | 2020-01-24 ~ |
| Commonwealth International Series Trust | 791 Town and Country Boulevard, Houston, TX 77024 | Investment Company - Open End | 2019-12-31 ~ 2020-12-31 |
| Find all Licenses in zip 77024 | |||
| City | HOUSTON |
| Zip Code | 77024 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + HOUSTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hussam M Gharraph | 878 Frank Smith Rd, Longmeadow, MA 01106 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Hussam A Kurdi | 1201 Eagle Run, Morgantown, WV 26508-0986 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Hussam Aldeen Jefee Bahloul | 2 Lyon Street, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Hussam George Saleeby Md | 5770 Park Avenue, Trumbull, CT 06611 | Controlled Substance Registration for Practitioner | 2000-02-29 ~ 2001-02-28 |
| Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
| Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
| Min Jin Kim | 639 4th Ave Apt 5c, Brooklyn, NY 11232-1048 | Controlled Substance Registration for Practitioner | 2012-05-10 ~ 2013-02-28 |
| Hae J Kim Pa | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-31 ~ 2009-02-28 |
| Qi Che Md | Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Erin K Fee | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on HUSSAM A FUSTOK.
| 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).