MOURAD M ISMAIL MD (Credential# 476874) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.
MOURAD M ISMAIL MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0041899. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2011. The expiration date is February 28, 2013. The business address is 29 Mountain Ave, Hawthorne, NJ 07506. The current status is inactive.
| Licensee Name | MOURAD M ISMAIL MD |
| Credential ID | 476874 |
| Credential Number | CSP.0041899 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
29 Mountain Ave Hawthorne NJ 07506 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2007-07-19 |
| Effective Date | 2011-03-01 |
| Expiration Date | 2013-02-28 |
| Refresh Date | 2014-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 563210 | 1.045628 | Physician/Surgeon | 2007-07-09 | 2010-10-01 - 2011-09-30 | INACTIVE |
| Street Address | 29 MOUNTAIN AVE |
| City | HAWTHORNE |
| State | NJ |
| Zip Code | 07506 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ann-judith Peterka | 34 North Highcrest Drive, Hawthorne, NJ 07506 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Emad B Sidhom | 3 Regal Court, Hawthorne, NJ 07506 | Professional Engineer | 2014-02-01 ~ 2015-01-31 |
| Joseph R Soave | 23 Cobblers Ln, Hawthorne, NJ 07506 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Omar N Mahmoud | 1108b Goffle Road, Hawthorne, NJ 07506 | Electrical Unlimited Contractor | 2019-10-01 ~ 2020-09-30 |
| Marie L Mannino | 91 Mountain Ave, Hawthorne, NJ 07506 | Physician/surgeon | 2015-06-01 ~ 2016-05-31 |
| Brett A Schmitz | 14 Woodside Avenue, Hawthorne, NJ 07506 | Plumbing & Piping Unlimited Journeyperson | ~ |
| Frank T Matarazzo · Microwave Satellite Technologies Inc | C/o Microwave Satellite Technologies Inc, Hawthorne, NJ 07506 | Tv & Radio Antenna Installation & Repair Dealer | 2009-09-01 ~ 2010-08-31 |
| Ljube Naumoski | Franklin Ave, Hawthorne, NJ 07506 | Asbestos Abatement Worker | 2010-05-05 ~ 2010-11-30 |
| Anthony G Addesso | 15 N 15th St, Hawthorne, NJ 07506 | Architect | 2002-04-18 ~ 2002-07-31 |
| Donald G Spinelli | 338 N. 4th Avenue, Hawthorne, NJ 07506 | Dentist | 2009-02-17 ~ 2010-02-28 |
| Find all Licenses in zip 07506 | |||
| City | HAWTHORNE |
| Zip Code | 07506 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + HAWTHORNE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ismail Okasha | 130 Winchester Ave Apt 4, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2019-04-01 ~ 2021-02-28 |
| Ismail Almokyad | 6102 Avalon Dr, Shelton, CT 06484-7615 | 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 |
| Arundati Rao | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Qi Che Md | Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| 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 |
| Erin K Fee | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Min Jin Kim | 639 4th Ave Apt 5c, Brooklyn, NY 11232-1048 | Controlled Substance Registration for Practitioner | 2012-05-10 ~ 2013-02-28 |
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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).