BECHARA BARRAK MD (Credential# 550174) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
BECHARA BARRAK MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.032571. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 1000 Asylum Ave, Hartford, CT 06105. The current status is active.
| Licensee Name | BECHARA BARRAK MD |
| Credential ID | 550174 |
| Credential Number | 1.032571 |
| Credential Type | Physician/Surgeon |
| Business Address |
1000 Asylum Ave Hartford CT 06105 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1992-08-28 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-01-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 160663 | CSP.0020464 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 1000 ASYLUM AVE |
| City | HARTFORD |
| State | CT |
| Zip Code | 06105 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Malta House of Care, Inc. · Malta House of Care Mobile Medicial Clinic | 1000 Asylum Ave, Hartford, CT 06105-1770 | Outpatient Clinic | 2019-08-02 ~ 2022-06-30 |
| Amanda Fantry | 1000 Asylum Ave, Hartford, CT 06105-1770 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Luis F Diez-morales | 1000 Asylum Ave, Hartford, CT 06105 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| H Robert Silverstein | 1000 Asylum Ave, Hartford, CT 06105-1794 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Peter P White | 1000 Asylum Ave, Hartford, CT 06105 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Malta House of Care, Inc.-st. Peter's Church | 1000 Asylum Ave, Hartford, CT 06105-1770 | Outpatient Clinic | 2017-04-01 ~ 2021-03-31 |
| Martin Hoffman Do | 1000 Asylum Ave, Hartford, CT 06105 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Eugene D Sullivan | 1000 Asylum Ave, Hartford, CT 06105 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| James M Feeney Md · A Proof of Concept, Open Label Prospective Pilot Study of Cannabis Use In Trauma Patients With Multiple Rib Fractures. | 1000 Asylum Ave, Hartford, CT 06105-1770 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Aileen Pangilinan | 1000 Asylum Ave, Hartford, CT 06105 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hartford Community Loan Fund | 215 Garden Street, Hartford, CT 06105 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Kathleen C Hobart | 81 Fern Street, Hartford, CT 06105 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Khadija Seidi | 196 Laurel St, Hartford, CT 06105 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Stuart W Alpert | 200 N Beacon St, Hartford, CT 06105 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Christina Perez | 4 Atwood Street, Hartford, CT 06105 | Marital and Family Therapist | 2020-07-01 ~ 2021-06-30 |
| Ashley Ameena Bachan | 25 Owen Street, Hartford, CT 06105 | Licensed Practical Nurse | 2020-06-01 ~ 2021-05-31 |
| Dhruti Anilkant Mankodi | Hospitalist Department, Hartford, CT 06105 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Jacqueline Alexandra Raymond | 24 Owen Street, Hartford, CT 06105 | Esthetician | 2020-06-22 ~ 2021-10-31 |
| Hortense Bates | 48-50 Atwood Street, Hartford, CT 06105 | Medication Administration Certification | 2020-08-20 ~ 2022-08-19 |
| Nicolas Archambault | 169 Sigourney Street, Hartford, CT 06105 | Emergency Medical Technician | ~ |
| Find all Licenses in zip 06105 | |||
| City | HARTFORD |
| Zip Code | 06105 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + HARTFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Fayez Bechara Jr | 1492 Capitol Ave Unit B204, Bridgeport, CT 06604-1653 | Public Service Technician - Telephone | 2019-10-01 ~ 2020-09-30 |
| Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
| Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
| John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Nazanin Barzideh Md | North Shore Retina Physician, Pllc, East Hills, NY 11576 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
| Susan J Batlan Md | Eye Physician Associates of Hartford, West Hartford, CT 06107 | Physician/surgeon | 2000-07-27 ~ 2001-07-31 |
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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).