SHUJAAT QAYYUM MD (Credential# 241703) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.
SHUJAAT QAYYUM MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0029937. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2009. The expiration date is February 28, 2011. The business address is 432 Carrollwood Drive, Tarrytown, NY 10591. The current status is inactive.
Licensee Name | SHUJAAT QAYYUM MD |
Credential ID | 241703 |
Credential Number | CSP.0029937 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
432 Carrollwood Drive Tarrytown NY 10591 |
Business Type | INDIVIDUAL |
Status | INACTIVE |
Effective Date | 2009-03-01 |
Expiration Date | 2011-02-28 |
Refresh Date | 2013-03-07 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
555297 | 1.037707 | Physician/Surgeon | 1999-04-30 | 2010-02-01 - 2011-01-31 | INACTIVE |
Street Address | 432 Carrollwood Drive |
City | TARRYTOWN |
State | NY |
Zip Code | 10591 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Erin Mary Brady | 240 S Broadway, Tarrytown, NY 10591 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Gayle Sturmer | 239 North Broadway Suite 6, Tarrytown, NY 10591 | Master's Level Social Worker - Temporary Permit | ~ |
Tarrytown Bakery Inc | 150 Wildey St, Tarrytown, NY 10591 | Bakery | 2020-07-01 ~ 2021-06-30 |
Osprey Bitcoin Trust | 520 White Plains Ave, Ste 500, Tarrytown, NY 10591 | Securities - Qualification | 2020-05-27 ~ 2021-05-27 |
Paul A Ficalora | 19 Glen Hill Lane, Tarrytown, NY 10591 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Mahjabeen Hassan | 777 Northbroadway Sleepyhollow, Sleepyhollow, NY 10591 | Physician/surgeon | ~ |
Luis Felipe Medina Cueva | 177 White Plains Rd Apt 20e, Tarrytown, NY 10591 | Tax Preparer/facilitator Permit | 2020-03-26 ~ 2022-03-31 |
Katrina W Flesch | 8 Hendrick Lane, Tarrytown, NY 10591 | Tax Preparer/facilitator Permit | 2020-03-10 ~ 2022-03-31 |
Emily Riedel | 154 Martling Avenue, Tarrytown, NY 10591 | Notary Public Appointment | 2020-04-01 ~ 2025-03-31 |
Jennifer N Gilbert | 1650 Crescent Drive, Tarrytown, NY 10591 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
Find all Licenses in zip 10591 |
City | TARRYTOWN |
Zip Code | 10591 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + TARRYTOWN |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Abdul Qayyum Ahmed | 21 Woodland Street, Hartford, CT 06105 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
Min Jin Kim | 639 4th Ave Apt 5c, Brooklyn, NY 11232-1048 | Controlled Substance Registration for Practitioner | 2012-05-10 ~ 2013-02-28 |
Hae J Kim Pa | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-31 ~ 2009-02-28 |
Huu Duc D Luu | 630 Mix Ave Apt 6p, Hamden, CT 06514-2320 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Qi Che Md | Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
Erin K Fee | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Arundati Rao | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
William A Gay | 34 Ten Rod Rd, Voluntown, CT 06384-1726 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 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).