SHEHMA KHAN (Credential# 1388506) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is INACTIVE.
SHEHMA KHAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0064322. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 4535 Dressler Rd Nw, Canton, OH 44718-2545. The current status is inactive.
Licensee Name | SHEHMA KHAN |
Credential ID | 1388506 |
Credential Number | CSP.0064322 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
4535 Dressler Rd Nw Canton OH 44718-2545 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LACK OF ACTIVE MEDICAL LICENSE |
Issue Date | 2017-02-27 |
Effective Date | 2019-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2020-04-24 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1388368 | 1.056173 | Physician/Surgeon | 2017-02-24 | 2018-11-01 - 2019-10-31 | INACTIVE |
Street Address | 4535 DRESSLER RD NW |
City | CANTON |
State | OH |
Zip Code | 44718-2545 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Frank Skobel | 4535 Dressler Rd Nw, Canton, OH 44718-2545 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Susan Philipose | 4535 Dressler Rd Nw, Canton, OH 44646 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Richard L Maenza | 4535 Dressler Rd Nw, Canton, OH 44718-2545 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Mamie Caton | 4535 Dressler Rd Nw, Canton, OH 44718-2545 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Raymundo Forcada-lowrie | 4535 Dressler Rd Nw, Canton, OH 44718-2545 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Michael Yeh | 4535 Dressler Rd Nw, Canton, OH 44718-2545 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Lauren Sokolik | 4535 Dressler Rd Nw, Canton, OH 44718-2545 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Joshua Colvin | 4535 Dressler Rd Nw, Canton, OH 44718-2545 | Physician/surgeon | 2020-02-29 ~ 2021-02-28 |
Daniel Engelberg | 4535 Dressler Rd Nw, Canton, OH 44718-2545 | Controlled Substance Registration for Practitioner | 2019-12-10 ~ 2021-02-28 |
Monique C Cunin | 4535 Dressler Rd Nw, Canton, OH 44718-2545 | Controlled Substance Registration for Practitioner | 2019-07-25 ~ 2021-02-28 |
Find all Licenses in the same address |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Dominic J Bagnoli Jr. | 4535 Dressler Road N.w., Canton, OH 44718 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Valerie J. De Maio | 4535 Dressler Road Nw, Canton, OH 44718 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
David C Packo | Emergency Medicine Physicans, Canton, OH 44718 | Physician/surgeon | 2018-02-01 ~ 2019-01-31 |
Heather R. Godale | Emergency Medicine Physicians, Canton, OH 44718 | Controlled Substance Registration for Practitioner | 2019-03-14 ~ 2021-02-28 |
Stephen J Sanofsky | 2930 Sussex Nw, Canton, OH 44718 | Physician/surgeon | 2013-10-01 ~ 2014-09-30 |
Ghassan H Kabbara | 6615 Knightsbridge Ave Nw, Canton, OH 44718 | Professional Engineer | 2006-02-01 ~ 2007-01-31 |
William D Morrison | 5958 Shakertown Dr, Canton, OH 44718 | Respiratory Care Practitioner | 1999-05-27 ~ 2000-05-31 |
Monty R Reed | 5522 West Blvd Nw, Canton, OH 44718 | Professional Engineer | 2007-02-01 ~ 2008-01-31 |
Jeremy D Tucker | 4535 Dressler Road Nw, Canton, OH 44718 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Andrew J. Wagner | Emergency Medicine Physicians, Canton, OH 44718 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
Find all Licenses in zip 44718 |
City | CANTON |
Zip Code | 44718 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + CANTON |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Gul Khan | 41 Brittany Ave, Trumbull, CT 06611-1104 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Mukhtar I Khan Md | Po Box 122, Chelsea, NY 12512 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Imad Khan | 56 Franklin St, Waterbury, CT 06706-1253 | Controlled Substance Registration for Practitioner | 2011-04-18 ~ 2013-02-28 |
Panyavee V Khan Md | 60 Rochford Ave, Hamden, CT 06514 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
Sameer Khan | 3 Lake Pl Fl 2, New Haven, CT 06511-3615 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Muzammil U Khan | 47 Winding Ln, Islandia, NY 11749-6146 | Controlled Substance Registration for Practitioner | 2014-07-31 ~ 2015-02-28 |
Adil H Khan | 168 York St Apt 2f, New Haven, CT 06511-4815 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Ayesha Khan | 67 Sand Pit Rd Ste 308, Danbury, CT 06810-4032 | Controlled Substance Registration for Practitioner | 2020-02-20 ~ 2021-02-28 |
Abdus S Khan | 15 Fielding Ave, Dix Hills, NY 11746-7139 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Zeeshan A Khan | 6 Birchwood Ct Apt 2m, Mineola, NY 11501-4519 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
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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).