IHSAN I JABBOUR (Credential# 546202) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2020. The license expiration date date is July 31, 2021. The license status is ACTIVE.
IHSAN I JABBOUR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.026820. The credential type is physician/surgeon. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is 171 Grandview Ave Ste 105, Waterbury, CT 06708-2519. The current status is active.
| Licensee Name | IHSAN I JABBOUR |
| Credential ID | 546202 |
| Credential Number | 1.026820 |
| Credential Type | Physician/Surgeon |
| Business Address |
171 Grandview Ave Ste 105 Waterbury CT 06708-2519 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - PRIOR DISCIPLINE |
| Active | 1 |
| Issue Date | 1985-10-10 |
| Effective Date | 2020-08-01 |
| Expiration Date | 2021-07-31 |
| Refresh Date | 2020-05-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 156003 | CSP.0013689 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 171 GRANDVIEW AVE STE 105 |
| City | WATERBURY |
| State | CT |
| Zip Code | 06708-2519 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Miguel A Aquino Md | 171 Grandview Ave Ste 105, Waterbury, CT 06708 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tulasi N. Vikram Dds | 171 Grandview Ave Ste 103, Waterbury, CT 06708-2519 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lee Ann M Soden · Schmacher | 925 Oronoke Rd, Waterbury, CT 06708 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Sega Ready Mix | 310 Chase River Rd, Waterbury, CT 06708 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Mary F Chinn | 24 Taft Pointe Unit 47, Waterbury, CT 06708 | Notary Public Appointment | 2005-09-01 ~ 2010-08-31 |
| Joseph Silva | 65 Dixie Ave., Waterbury, CT 06708 | Medication Administration Certification | 2020-06-03 ~ 2022-06-02 |
| Mandy M Desjarlais | 171 Herschel Ave, Waterbury, CT 06708 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Francisco J Colon Rodriguez LLC | 55 Eastern Ave Apt42, Waterbury, CT 06708 | Home Improvement Contractor | 2020-06-24 ~ 2020-11-30 |
| Morgan Sunyoung Heo | 1249 West Main Street, Waterbury, CT 06708 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Peter Mmangisa Chonga | 119 Taft Pt, Waterbury, CT 06708 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Xuemei Li | 28 Cronin Dr, Waterbury, CT 06708 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Tasheaka R Jones | 151 Park Terr, Waterbury, CT 06708 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06708 | |||
| City | WATERBURY |
| Zip Code | 06708 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WATERBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Shanza Ihsan | 754 Clinton Ave, Bridgeport, CT 06604 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Ihsan F Shanti | 3411 Wayne Ave #8-i, Bronx, NY 10467 | Physician/surgeon | 1997-06-24 ~ 1998-04-30 |
| Ibrahim I Jabbour | 171 Grandview Ave, Waterbury, CT 06708 | Physician/surgeon | 2019-04-01 ~ 2020-03-31 |
| Jabbour Nakhoul | 34 Timrod Rd, West Hartford, CT 06107 | Physician/surgeon | 1996-08-28 ~ 1997-10-31 |
| Joseph M Jabbour | 2 Fifith Avenue, New York, NY 10011 | Physician/surgeon | 2004-05-05 ~ 2005-05-31 |
| George Jabbour | 298 Laconia Avenue, Staten Island, NY 10305 | Physician/surgeon | 2008-02-01 ~ 2009-02-28 |
| Ihsan N M Al-sabbagh | 5 Perryridge Rd, Greenwich, CT 06830-4608 | Resident Physician | 2020-06-22 ~ 2021-06-28 |
| Gaby K Jabbour | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Jacob Jabbour | 263 Farmington Ave, Farmington, CT 06030-1921 | Resident Physician | 2018-09-17 ~ 2018-09-28 |
| Ihsan B Akin | 10 Windsor Oval, Old Saybrook, CT 06475 | Architect | 2019-08-01 ~ 2020-07-31 |
Please comment or provide details below to improve the information on IHSAN I JABBOUR.
| 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).