ANISSA ABI-DARGHAM MD
Physician/surgeon


Address: 724 Whitney Ave, New Haven, CT 06511

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.

Business Overview

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.

Basic Information

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

Other licenses

ID Credential Code Credential Type Issue Term Status
162364 CSP.0020897 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1996-06-01 - 1997-02-28 INACTIVE

Office Location

Street Address 724 WHITNEY AVE
City NEW HAVEN
State CT
Zip Code 06511

Licenses in the same zip code

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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 ~
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Competitor

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City NEW HAVEN
Zip Code 06511
License Type Physician/Surgeon
License Type + County Physician/Surgeon + NEW HAVEN

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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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