HUSEIN IMTIAZ POONAWALA (Credential# 1646718) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2019. The license expiration date date is October 31, 2020. The license status is ACTIVE.
HUSEIN IMTIAZ POONAWALA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.064336. The credential type is physician/surgeon. The effective date is October 1, 2019. The expiration date is October 31, 2020. The business address is 2600 Greenwood Rd, Shreveport, LA 71103-3908. The current status is active.
| Licensee Name | HUSEIN IMTIAZ POONAWALA |
| Credential ID | 1646718 |
| Credential Number | 1.064336 |
| Credential Type | Physician/Surgeon |
| Business Address |
2600 Greenwood Rd Shreveport LA 71103-3908 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-10-01 |
| Effective Date | 2019-10-01 |
| Expiration Date | 2020-10-31 |
| Refresh Date | 2019-10-03 |
| Street Address | 2600 GREENWOOD RD |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71103-3908 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Boudreaux's Specialty Compounding | 2551 Greenwood Rd Ste 110, Shreveport, LA 71103 | Nonresident Pharmacy | 2013-09-01 ~ 2014-08-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Morris & Dickson Co LLC | 10301 Hwy 1 South, Shreveport, LA 71115 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Kristina K Prestridge | 1925 E 70th St #52482, Shreveport, LA 71105-0002 | Registered Nurse | 2020-05-01 ~ 2020-12-31 |
| Phyllis T Lambert | 111 Palladium Lane, Shreveport, LA 71115 | Professional Counselor | 2020-05-01 ~ 2021-04-30 |
| Matthew Lamar Mcinnis | 6104 Ambleside St, Shreveport, LA 71129-3410 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Sarah Hope Laramie | 333 Texas Street #1900, Shreveport, LA 71101 | Certified Public Accountant License | 2019-01-01 ~ 2019-12-31 |
| Sealy Industrial Partners, Lp | 333 Texas Street, Shreveport, LA 71101 | Securities - Exemptions | 2019-12-26 ~ |
| Stancy T Coleman | 8055 Captain Mary Miller Dr, Shreveport, LA 71115-2948 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Secor Upson | 8700 Millicent Way Apt 711, Shreveport, LA 71115-2254 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
| Sanjay R Jain | 302 Peach Drive, Shreveport, LA 71106 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Veronica Choyce | 3802 Oakcrest Lane, Shreveport, LA 71109 | Registered Nurse | 2018-09-01 ~ 2019-08-31 |
| Find all Licenses in SHREVEPORT | |||
| City | SHREVEPORT |
| Zip Code | 71103 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + SHREVEPORT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Imtiaz Ahmad | 52 Main St, Bedford Hills, NY 10507-1814 | Physician/surgeon | 2019-03-01 ~ 2020-02-29 |
| Imtiaz A Khokhar | 42-06 195th Street, Flushing, NY 11358 | Physician/surgeon | 1996-08-02 ~ 1997-09-30 |
| Mubdiul Imtiaz Ali | 300 Cedar St, Tac S425, New Haven, CT 06520 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Imtiaz Mohamed | 715 Duncan Avenue, Pittsburgh, PA 15237 | Physician/surgeon | ~ 1999-09-30 |
| Imtiaz A Mallick | 152 Freedom Road, Pleasant Valley, NY 12569 | Physician/surgeon | 1998-09-15 ~ 1999-11-30 |
| Husein Industries Ltd | Ht-8 Landhi Industrial & Trading Estate, Karachi, 75120 | Manufacturer of Bedding & Upholstered Furniture | 2008-05-01 ~ 2009-04-30 |
| Sumara Imtiaz Choudhry | 2800 Main Street, Bridgeport, CT 06610-1662 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Yusuf A Poonawala | 11 Park East, New Hyde Park, NY 11040 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Husein Gjonbalaj | 63 Gertrude Ave., Waterbury, CT 06708 | Honey Bee Registration | 2019-07-18 ~ 2019-09-30 |
| Husein Rugovac | 1402 Arnow Ave, Bronx, NY 10469-5515 | Plumbing & Piping Unlimited Contractor | ~ |
Please comment or provide details below to improve the information on HUSEIN IMTIAZ POONAWALA.
| 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).