AMINA B HAI MD
Controlled Substance Registration for Practitioner


Address: 515 N Harlem Ave Apt 104, Oak Park, IL 60302-1865

AMINA B HAI MD (Credential# 500737) 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.

Business Overview

AMINA B HAI MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0043396. 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 515 N Harlem Ave Apt 104, Oak Park, IL 60302-1865. The current status is inactive.

Basic Information

Licensee Name AMINA B HAI MD
Credential ID 500737
Credential Number CSP.0043396
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 515 N Harlem Ave Apt 104
Oak Park
IL 60302-1865
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2008-04-25
Effective Date 2009-03-01
Expiration Date 2011-02-28
Refresh Date 2013-03-07

Other licenses

ID Credential Code Credential Type Issue Term Status
563987 1.046405 Physician/Surgeon 2008-04-11 2008-04-11 - 2009-04-30 INACTIVE

Office Location

Street Address 515 N HARLEM AVE APT 104
City OAK PARK
State IL
Zip Code 60302-1865

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Melissa M Bogusch 220 S Maple Ave #41, Oak Park, IL 60302 Architect 2020-08-01 ~ 2021-07-31
James R Lencioni 738 North Grove, Oak Park, IL 60302 Architect 2019-08-01 ~ 2020-07-31
Tawanna R Sadeeq 833 N. Harlem Ave Unit 3c, Oak Park, IL 60302 Master's Level Social Worker 2015-06-01 ~ 2016-06-30
Nancy Hartman 419 South East Ave, Oak Park, IL 60302 Licensed Clinical Social Worker ~
John C Mason 147 N Elmwood, Oak Park, IL 60302 Professional Engineer 2002-02-01 ~ 2003-01-31
Daniel John Sullivan 217 S East Avenue, Oak Park, IL 60302 Real Estate Broker 2001-04-02 ~ 2002-03-31
James J. Gerace 1013 Fair Oaks, Oak Park, IL 60302 Certified Public Accountant License 2002-01-01 ~ 2002-12-31
Nancy A Gordon 433a Wisconsin, Oak Park, IL 60302 Dental Hygienist 1995-06-12 ~ 1996-08-31
Rachel M Joyce 432 S. Humphrey, Oak Park, IL 60302 Registered Nurse 2007-07-09 ~ 2007-09-30
Loraine Heim 178 North Lombard, Oak Park, IL 60302 Registered Nurse 1992-01-23 ~ 1992-12-31
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Competitor

Search similar business entities

City OAK PARK
Zip Code 60302
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + OAK PARK

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Dataset Information

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).

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