RABIA MALIK (Credential# 2017412) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 11, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
RABIA MALIK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.065456. The credential type is physician/surgeon. The effective date is May 11, 2020. The expiration date is April 30, 2021. The business address is 27 Oakridge Dr, Old Lyme, CT 06371-1824. The current status is active.
Licensee Name | RABIA MALIK |
Credential ID | 2017412 |
Credential Number | 1.065456 |
Credential Type | Physician/Surgeon |
Business Address |
27 Oakridge Dr Old Lyme CT 06371-1824 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2020-05-11 |
Effective Date | 2020-05-11 |
Expiration Date | 2021-04-30 |
Refresh Date | 2020-05-12 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1521782 | CSP.0068628 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-07-12 | 2019-03-01 - 2021-02-28 | ACTIVE |
1519695 | 1.061206-RES | Resident Physician | 2018-07-01 | 2018-07-01 - 2020-06-30 | ACTIVE |
Street Address | 27 OAKRIDGE DR |
City | OLD LYME |
State | CT |
Zip Code | 06371-1824 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
E Russell Learned | 82 Norwich-salem Rd, Lyme, CT 06371 | Architect | 2020-08-01 ~ 2021-07-31 |
Joann M Reis | 75 Swan Ave, Old Lyme, CT 06371 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Michele K Griswold | 7 Osprey Road, Old Lyme, CT 06371 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Brenda A Moriarty | 53 Brown's Lane, Old Lyme, CT 06371 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Olaf J Ogland | 17 Jericho Drive, Old Lyme, CT 06371 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Anne Burns | 60 Saltaire Drive, Old Lyme, CT 06371 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Lori A Volles | 67 Sterling Hill Rd, Lyme, CT 06371 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Derek J Lachance | 7 Sunset Drive, Old Lyme, CT 06371 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Vincenzo Jerome Marafito | 14-1 Bailey Rd, Old Lyme, CT 06371 | Master's Level Social Worker | ~ |
All Pro Automotive | 147 Boston Post Rd, Old Lyme, CT 06371 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06371 |
City | OLD LYME |
Zip Code | 06371 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + OLD LYME |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Rabia S Cheema | 12 Wintonbury Dr, Farmington, CT 06032 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Rabia Agha | 3450 Wayne Ave #26a, Bronx, NY 10467 | Physician/surgeon | 2005-11-18 ~ 2007-01-31 |
Rabia Arshad | 1991 Broadway, New York, NY 10023 | Physician/surgeon | 2007-02-26 ~ 2008-02-29 |
Sudhir Malik | P.o.box 758, Steubenville, OH 43952 | Physician/surgeon | 2000-09-08 ~ 2001-06-30 |
Uzma Malik | 10 Lincoln Ave, Rye Brook, NY 10573 | Physician/surgeon | ~ |
Ghazalah I Malik | 142 Redneck Ave, Little Ferry, NJ 07643-1340 | Physician/surgeon | 2012-08-21 ~ 2013-08-31 |
Aisha M Malik | 420 Westfall Rd Apt 17, Rochester, NY 14620-4650 | Physician/surgeon | 2012-08-06 ~ 2013-07-31 |
Mohsin K Malik | 6 Shaws Cv Ste 204, New London, CT 06320-4969 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Malik A Al-omari Md | 45 Juniper Dr, Avon, CT 06001 | Physician/surgeon | 2007-04-09 ~ 2008-05-31 |
Umer Ejaz Malik | 20 York St, New Haven, CT 06510-3220 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
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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).