ANISSA ABI-DARGHAM MD (Credential# 549606) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 5, 1996. The license expiration date date is April 30, 1997. The license status is INACTIVE.
ANISSA ABI-DARGHAM MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.031945. The credential type is physician/surgeon. The effective date is March 5, 1996. The expiration date is April 30, 1997. The business address is 724 Whitney Ave, New Haven, CT 06511. The current status is inactive.
Licensee Name | ANISSA ABI-DARGHAM MD |
Credential ID | 549606 |
Credential Number | 1.031945 |
Credential Type | Physician/Surgeon |
Business Address |
724 Whitney Ave New Haven CT 06511 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1991-10-11 |
Effective Date | 1996-03-05 |
Expiration Date | 1997-04-30 |
Refresh Date | 2009-07-11 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
162364 | CSP.0020897 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1996-06-01 - 1997-02-28 | INACTIVE |
Street Address | 724 WHITNEY AVE |
City | NEW HAVEN |
State | CT |
Zip Code | 06511 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Montessori School On Edgewood Inc. | 230 Edgewood Avenue, New Haven, CT 06511 | Public Charity | 2019-06-01 ~ 2020-05-31 |
Therese Parks · Visel Drug Store | 264 Munson St, New Haven, CT 06511 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Dazjia Monet Green | 115 Edgewood Ave Apt 64, New Haven, CT 06511 | Registered Nurse | 2020-06-27 ~ 2021-05-31 |
Carol Yam | 343 Humphrey St, New Haven, CT 06511 | Registered Nurse | ~ |
Marwan S Haddad | 38 Lincoln Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Mary Lou Gaeta Md | 558 Chapel Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Cary M Tucker | 64 Bishop St, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
Frank J Pannenborg | 505 Ellsworth Ave, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
Crystal E Gooding | 26 Woodland Street, New Haven, CT 06511 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
Kieran Jones | 260 Crown St Unit 1f, New Haven, CT 06511 | Registered Nurse | ~ |
Find all Licenses in zip 06511 |
City | NEW HAVEN |
Zip Code | 06511 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + NEW HAVEN |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Anissa C Lee | 21 Dean Rd, East Lyme, CT 06333-1414 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
Anissa F Flanigan | 50 Copper Hill Rd, Granby, CT 06035 | Radiographer | 2020-02-01 ~ 2021-01-31 |
Anissa Joan Vaccaro | 15 Pheasant Ln, Fairfield, CT 06824-3140 | Hairdresser/cosmetician | 2019-11-05 ~ 2021-01-31 |
Anissa L Paolillo | 174 S End Rd, East Haven, CT 06512-4546 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Anissa Vaughn | 66 Pleasant St, Waterbury, CT 06706-1325 | Home Improvement Salesperson | 2019-12-01 ~ 2020-11-30 |
Anissa Janae Ross | 237 Lake Rd, Bozrah, CT 06334-1438 | Hairdresser/cosmetician | 2019-08-20 ~ 2021-08-31 |
Anissa Assous | 33 Vermont Avenue, Fairfield, CT 06824-6920 | Licensed Practical Nurse | 2019-12-01 ~ 2020-11-30 |
Anissa L Prefontaine | 260 Graham St, Stratford, CT 06615-5535 | Licensed Clinical Social Worker | 2013-07-01 ~ 2014-06-30 |
Anissa D Pfannenstiel | 325 Strawberry Hill, Norwalk, CT 06851 | Licensed Practical Nurse | 1996-10-22 ~ 1997-11-30 |
Leanne Anissa Morgan | 907 Aspen Glen Dr, Hamden, CT 06518-5311 | Professional Counselor | 2020-05-01 ~ 2021-04-30 |
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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).