OMAR SULTAN HAQUE (Credential# 1386782) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 21, 2016. The license expiration date date is September 30, 2017. The license status is INACTIVE.
OMAR SULTAN HAQUE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.055930. The credential type is physician/surgeon. The effective date is November 21, 2016. The expiration date is September 30, 2017. The business address is 345 Blackstone Boulevard, Providence, RI 02906. The current status is inactive.
| Licensee Name | OMAR SULTAN HAQUE |
| Credential ID | 1386782 |
| Credential Number | 1.055930 |
| Credential Type | Physician/Surgeon |
| Business Address |
345 Blackstone Boulevard Providence RI 02906 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2016-11-21 |
| Effective Date | 2016-11-21 |
| Expiration Date | 2017-09-30 |
| Refresh Date | 2018-01-03 |
| Street Address | 345 Blackstone Boulevard |
| City | Providence |
| State | RI |
| Zip Code | 02906 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| The Stephen C. Rose Legacy Foundation · The Steve Fund | 138 Governor Street, Providence, RI 02906 | Public Charity | 2020-06-12 ~ 2021-11-30 |
| Moriah Connor | 211 Waterman Street, Unit 20, Providence, RI 02906 | Behavior Analyst | ~ |
| Elizabeth Burns | 198 Camp Street, Providence, RI 02906 | Licensed Clinical Social Worker | ~ |
| Christine Montross | 345 Blackstone Blvd, Providence, RI 02906 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Susan Dickstein | 196 Freeman Parkway, Providence, RI 02906 | Psychologist | 2020-07-01 ~ 2021-06-30 |
| Victoria S Karlsen | 415 Angell St, Providence, RI 02906 | Behavior Analyst | ~ |
| John W O'bell Md | 14 Rose Ct., Providence, RI 02906 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Alexandria Hanul Simon | 323 Angell Street, Providence, RI 02906 | Emergency Medical Technician | ~ |
| Molly A Moran | 202 Sixth Street, Providence, RI 02906 | Advanced Practice Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Simon M Cornelissen | 45 Balton Rd, Providence, RI 02906 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Find all Licenses in zip 02906 | |||
| City | Providence |
| Zip Code | 02906 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Providence |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kashif S Haque | 429 Philadelphia Ave., Westmont, IL 60559 | Physician/surgeon | ~ |
| Tania Haque | 17 Quaspeak Rd, Congers, NY 10920-2808 | Physician/surgeon | 2010-05-24 ~ 2010-11-30 |
| Syed M Haque | 3368 E Kimberly Rd, Davenport, IA 52807 | Physician/surgeon | 1996-04-01 ~ 1997-01-31 |
| Salima Haque | 105 East Gate Lane, Hamden, CT 06514 | Physician/surgeon | 1994-02-18 ~ 1995-03-31 |
| Khalid M Sultan | 777 N Macquesten, Mt Vernon, NY 10552 | Physician/surgeon | 1996-06-03 ~ 1997-05-31 |
| Sultan Ahamed Md | 29 Gravel St, Mystic, CT 06355 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Sultan Quraishi | 43 Warner Ct, Glastonbury, CT 06033-5009 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Haque LLC · Swift Mart | 714 Brooklawn Ave, Fairfield, CT 06825-1800 | Retail Gasoline Dealer | 2020-01-09 ~ 2020-10-31 |
| Omar Ezziddin | 772 Main St, Wilbraham, MA 01095-2652 | Physician/surgeon | ~ |
| Arif M Omar | P.o. Box 66, Clarksburg, WV 26302 | Physician/surgeon | 2017-04-01 ~ 2018-03-31 |
Please comment or provide details below to improve the information on OMAR SULTAN HAQUE.
| 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).