MATTHEW JAMIL HOMSI (Credential# 2032684) 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, 2024. The license status is ACTIVE.
MATTHEW JAMIL HOMSI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.065066-RES. The credential type is resident physician. The effective date is July 1, 2020. The expiration date is June 30, 2024. The business address is 2235 Gianna Dr, Glassboro, NJ 08028-3461. The current status is active.
Licensee Name | MATTHEW JAMIL HOMSI |
Credential ID | 2032684 |
Credential Number | 1.065066-RES |
Credential Type | Resident Physician |
Credential SubCategory | RES |
Business Address |
2235 Gianna Dr Glassboro NJ 08028-3461 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2020-07-01 |
Effective Date | 2020-07-01 |
Expiration Date | 2024-06-30 |
Refresh Date | 2020-05-12 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
2055798 | CSP.0074525 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2020-06-16 | 2020-06-16 - 2021-02-28 | ACTIVE |
Street Address | 2235 GIANNA DR |
City | GLASSBORO |
State | NJ |
Zip Code | 08028-3461 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Robins' Nest Inc. | 42 S. Delsea Drive, Glassboro, NJ 08028 | Public Charity | 2019-12-01 ~ 2020-11-30 |
Evelyn Dormekpor | 4 Len Blowe Court, Glassboro, NJ 08028 | Master's Level Social Worker | 2015-08-21 ~ 2016-05-31 |
Kimber J Wade | 1075 Whig Lane Road, Glassboro, NJ 08028 | Registered Nurse | 1999-06-25 ~ 1999-12-31 |
Robert M Kelly | 515 Mullica Hill Road, Glassboro, NJ 08028 | Physician/surgeon | 2003-04-21 ~ 2004-04-30 |
Martha K Cavender | 1215 Stafford Rd, Glassboro, NJ 08028-1234 | Dental Hygienist | 1997-07-16 ~ 1998-07-31 |
Rowan University Foundation | 201 Mullica Hill Rd, Glassboro, NJ 08028-1700 | Public Charity-exempt From Financial Requirements | 2017-02-01 ~ |
Thomas J Dinzeo | 216 Alfred Ave, Glassboro, NJ 08028-2004 | Psychologist | 2013-09-01 ~ 2014-08-31 |
Grant T Schoenfeldt | 428 Alfred Ave, Glassboro, NJ 08028-2053 | Emergency Medical Technician | 2020-01-24 ~ 2022-12-31 |
Brianna L Sirota | 51 Pintail Dr, Glassboro, NJ 08028-3220 | Bingo Operator | ~ |
Peter J Senatore Jr | 309 Gosling Way, Glassboro, NJ 08028-3285 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Find all Licenses in zip 08028 |
City | GLASSBORO |
Zip Code | 08028 |
License Type | Resident Physician |
License Type + County | Resident Physician + GLASSBORO |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jamil Syed | 400 Blake St Apt 1411, New Haven, CT 06515 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
Matthew P O'brien | 20 York St, New Haven, CT 06510 | Resident Physician | 2020-06-15 ~ 2021-06-30 |
Matthew Ringer | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
Matthew Factor | 929 Dublin St, New Orleans, LA 70118-1125 | Resident Physician | 2016-08-01 ~ 2021-06-30 |
Matthew R. Austin | 20 York St, New Haven, CT 06510 | Resident Physician | 2018-07-01 ~ 2019-06-30 |
Matthew Sabatino | 20 York St, New Haven, CT 06510 | Resident Physician | 2019-08-07 ~ 2021-06-30 |
Matthew T Groenwald | 5 Perryridge Rd, Greenwich, CT 06830-4608 | Resident Physician | 2018-07-01 ~ 2019-06-30 |
Matthew S Lampel | 64 Robbins St # 3304, Waterbury, CT 06708-2613 | Resident Physician | 2018-06-11 ~ 2021-06-30 |
Matthew Reber Austin | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
Matthew Kenneth Harris | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
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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).