TAREK KHADER (Credential# 1516736) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
TAREK KHADER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.060977-RES. The credential type is resident physician. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 245 Edwards St, New Haven, CT 06511-3737. The current status is active.
| Licensee Name | TAREK KHADER |
| Credential ID | 1516736 |
| Credential Number | 1.060977-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
245 Edwards St New Haven CT 06511-3737 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-06-11 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1513988 | CSP.0068028 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-05-22 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 245 EDWARDS ST |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511-3737 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lan Ma | 245 Edwards St Apt 2l, New Haven, CT 06511-3737 | Landscape Architect | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Montessori School On Edgewood Inc. | 230 Edgewood Avenue, New Haven, CT 06511 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Therese Parks · Visel Drug Store | 264 Munson St, New Haven, CT 06511 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dazjia Monet Green | 115 Edgewood Ave Apt 64, New Haven, CT 06511 | Registered Nurse | 2020-06-27 ~ 2021-05-31 |
| Carol Yam | 343 Humphrey St, New Haven, CT 06511 | Registered Nurse | ~ |
| Marwan S Haddad | 38 Lincoln Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mary Lou Gaeta Md | 558 Chapel Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Cary M Tucker | 64 Bishop St, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Frank J Pannenborg | 505 Ellsworth Ave, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Crystal E Gooding | 26 Woodland Street, New Haven, CT 06511 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Kieran Jones | 260 Crown St Unit 1f, New Haven, CT 06511 | Registered Nurse | ~ |
| Find all Licenses in zip 06511 | |||
| City | NEW HAVEN |
| Zip Code | 06511 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Samer N Khader | 25 Bank Street, White Plains, NY 10606 | Physician/surgeon | 2009-02-23 ~ 2010-03-31 |
| Tarek Elkady | 10 Arborwood Ln, White Plains, NY 10603 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Tarek R Rashid | 115 Morris St, Jersey City, NJ 07302 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Clark Tarek Kholeif | 645 E Missouri Ave, Phoenix, AZ 85012 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Tarek Anjari | 7510 Wetherington Drive, West Chester, OH 45069 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Khader David Pharmacy& Services LLC · Valuscript Pharmacy | 102 E Carmel Dr, Carmel, IN 46032-2633 | Nonresident Pharmacy | 2014-09-01 ~ 2015-08-31 |
| Nidale Tarek | 1233 York Avenue, New York, NY 10065 | Physician/surgeon | 2010-07-01 ~ 2011-06-30 |
| Khader Ziyad | 33-31 104th Street, Apt.1, Corona, NY 11368 | Asbestos Abatement Worker | 2000-12-26 ~ 2001-03-31 |
| Rawand Khader | 130 Locust Lane, Irvington, NY 10533 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Tarek Korban | 346 Main Ave Ste H, Norwalk, CT 06851-1592 | Dentist | 2020-05-01 ~ 2021-04-30 |
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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).