WILLIE OMAR SIU (Credential# 1489773) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 22, 2018. The license expiration date date is February 28, 2019. The license status is INACTIVE.
WILLIE OMAR SIU is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.060173. The credential type is physician/surgeon. The effective date is March 22, 2018. The expiration date is February 28, 2019. The business address is 1220 Broadway Rm 502, New York, NY 10001-4312. The current status is inactive.
| Licensee Name | WILLIE OMAR SIU |
| Credential ID | 1489773 |
| Credential Number | 1.060173 |
| Credential Type | Physician/Surgeon |
| Business Address |
1220 Broadway Rm 502 New York NY 10001-4312 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2018-03-22 |
| Effective Date | 2018-03-22 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2019-06-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1497564 | CSP.0067586 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-03-22 | 2018-03-22 - 2019-02-28 | LAPSED |
| Street Address | 1220 BROADWAY RM 502 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10001-4312 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Berke Architects D.p.c. Inc | 220 Fifth Ave, New York, NY 10001 | Architecture Corporation | 2020-08-01 ~ 2021-07-31 |
| Equityzen Growth Technology Fund LLC - Series 581 | 45 West 27th Street, New York, NY 10001 | Securities - Exemptions | 2020-06-12 ~ |
| Jeffery Povero | 1201 Broadway, New York, NY 10001 | Architect | 2020-08-01 ~ 2021-07-31 |
| Third Point Structured Credit Opportunities Offshore Fund Lp | 55 Hudson Yards, New York, NY 10001 | Securities - Exemptions | 2020-06-16 ~ |
| David C Acheson Jr | 226 West 26th Street, 5th Floor, New York, NY 10001 | Architect | 2020-08-01 ~ 2021-07-31 |
| Michael F Doyle | Acheson Doyle Partners Architects, New York, NY 10001 | Architect | 2020-08-01 ~ 2021-07-31 |
| Darioush S Toraby | 242 W 27th St, New York, NY 10001 | Architect | 2020-08-01 ~ 2021-07-31 |
| Michael A Nieminen | 322 Eighth Avenue, New York, NY 10001 | Architect | 2020-08-01 ~ 2021-07-31 |
| David S Katz | 305 Seventh Avenue, New York, NY 10001 | Architect | 2020-08-01 ~ 2021-07-31 |
| Robert E Schwartz | 153 West 27th Street, New York, NY 10001 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 10001 | |||
| City | NEW YORK |
| Zip Code | 10001 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEW YORK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| 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 |
| Omar Faruk | 125 Liberty St, Springfield, MA 01103 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Omar Hasan Md | 36 Oakmont Dr, Falmouth, ME 04105-1175 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Omar S Faridi | 202 Cherry St, Milford, CT 06460-3502 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Omar Dawood | 225 Bush St., San Francisco, CA 94104 | Physician/surgeon | 2016-11-30 ~ 2017-11-30 |
| Amed H Omar | 208 Austinville, Decatur, AL 35601 | Physician/surgeon | 1981-01-01 ~ 1993-06-30 |
| Omar E. Ali | 8809 23rd Ave Apt 2f, Brooklyn, NY 11214-5701 | Physician/surgeon | 2011-04-04 ~ 2011-12-31 |
| Omar Khan | 5514 31st Ave, Woodside, NY 11377-1612 | Physician/surgeon | 2015-03-02 ~ 2016-03-31 |
| Tariq Omar Lescouflair | 220 Liberty Street, Columbus, OH 43215 | Physician/surgeon | ~ |
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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).