JON L HADDAD (Credential# 549855) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 31, 2000. The license expiration date date is May 31, 2001. The license status is INACTIVE.
JON L HADDAD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.032234. The credential type is physician/surgeon. The effective date is March 31, 2000. The expiration date is May 31, 2001. The business address is 4008 Van Tassel St, Amarillo, TX 79121. The current status is inactive.
Licensee Name | JON L HADDAD |
Credential ID | 549855 |
Credential Number | 1.032234 |
Credential Type | Physician/Surgeon |
Business Address |
4008 Van Tassel St Amarillo TX 79121 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1992-05-01 |
Effective Date | 2000-03-31 |
Expiration Date | 2001-05-31 |
Refresh Date | 2009-07-08 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
159051 | CSP.0020059 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1993-09-23 - 1995-10-01 | INACTIVE |
Street Address | 4008 VAN TASSEL ST |
City | AMARILLO |
State | TX |
Zip Code | 79121 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Richard C Khu | 4007 Van Tassel Street, Amarillo, TX 79121 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Kaitlyn Jane Banks | 1707 S Van Buren St, Amarillo, TX 79102-3057 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
Roxane Keith · Keith | 5807 Spencer Street, Amarillo, TX 79109 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
Assad Ismaeel Adam Mohammedzein | 5415 Southside Dr, Amarillo, TX 79109-7192 | Physician/surgeon | ~ |
Arden Companies (paradise Manufacturing) | 10901 Airport Blvd, Amarillo, TX 79111-1236 | Manufacturer of Bedding & Upholstered Furniture | 2020-05-01 ~ 2021-04-30 |
Castor & Pollux Natural Pet Works | 101 Se 11th Ave Ste 200, Amarillo, TX 79101-3417 | Commercial Feed | 2020-01-01 ~ 2020-12-31 |
Ashly Marie Green | 1003 Ketler St, Amarillo, TX 79104-3317 | Registered Nurse | ~ |
Mary Haddad | P.o. Box 52518, Amarillo, TX 79159 | Hairdresser/cosmetician | 2020-04-01 ~ 2022-03-31 |
Dhjoanna R. Reyes | 6100 Sw 45th Ave Apt 1611, Amarillo, TX 79109-5187 | Physical Therapist | 2020-03-01 ~ 2021-02-28 |
Saharr Basem Dia | 2400 Anna St., Amarillo, TX 79106 | Registered Nurse | 2018-11-01 ~ 2019-10-31 |
Rachel Owen | 3311 Janet Dr, Amarillo, TX 79109 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
Find all Licenses in AMARILLO |
City | AMARILLO |
Zip Code | 79121 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + AMARILLO |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Fadi Haddad Md | 433 W34th Str. #3k, New York, NY 10001 | Physician/surgeon | 2008-03-03 ~ 2009-04-30 |
Hani N Haddad | 81 Brookside Dr, Longmeadow, MA 01106 | Physician/surgeon | 1993-01-25 ~ 1994-01-31 |
Antonia Marie Chadwick | 134 Haddad Rd, Waterbury, CT 06708-1896 | Physician/surgeon | 1983-05-19 ~ 1990-04-30 |
Liliane E Abdel-hay · Haddad | 402 Somerset Dr #e, Deridder, LA 70634 | Physician/surgeon | ~ 1996-01-31 |
Joseph G Haddad | 37 Cardinal Lane, Waterbury, CT 06708 | Physician/surgeon | 1998-02-02 ~ 1998-11-30 |
Marwan S Haddad | 38 Lincoln Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Housam Haddad | 1034 Kennedy Blvd Apt E6, Bayonne, NJ 07002-2063 | Physician/surgeon | 2011-06-01 ~ 2012-06-30 |
Nadim G Haddad | 75 Redwood Drive, East Haven, CT 06513 | Physician/surgeon | 1995-06-12 ~ 1996-05-31 |
Raymond G Haddad | 5000 Harvest Glen Court, Glen Allen, VA 23059 | Physician/surgeon | 2011-07-01 ~ 2012-06-30 |
Gabriel G Haddad Md · Yale Univ Dept of Pediatrics | Yale School of Medicine, New Haven, CT 06510 | Physician/surgeon | 2002-02-19 ~ 2003-03-31 |
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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).