BASSAM ASSAF MD (Credential# 551577) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 4, 1996. The license expiration date date is February 28, 1997. The license status is INACTIVE.
BASSAM ASSAF MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.033978. The credential type is physician/surgeon. The effective date is January 4, 1996. The expiration date is February 28, 1997. The business address is 1226 2nd Ave, San Francisco, CA 94122-2703. The current status is inactive.
| Licensee Name | BASSAM ASSAF MD |
| Credential ID | 551577 |
| Credential Number | 1.033978 |
| Credential Type | Physician/Surgeon |
| Business Address |
1226 2nd Ave San Francisco CA 94122-2703 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1994-08-05 |
| Effective Date | 1996-01-04 |
| Expiration Date | 1997-02-28 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 161292 | CSP.0022408 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1996-06-02 - 1997-02-28 | INACTIVE |
| Street Address | 1226 2ND AVE |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94122-2703 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Excellence In Investing for Children's Causes Inc | 1262 26th Avenue, San Francisco, CA 94122 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| David Warren | 1383 24th Ave, San Francisco, CA 94122 | Home Improvement Salesperson | 2015-04-22 ~ 2015-11-30 |
| Quynh A Truong Md | 8 Locksley Avenue #2m, Sanfrancisco, CA 94122 | Physician/surgeon | 2003-01-06 ~ 2004-02-29 |
| Florence Kwo | 1507-23rd Ave, San Francisco, CA 94122 | Emergency Medical Technician | 2006-06-20 ~ 2008-04-01 |
| Janet R Meyers | 1691 44th Ave, San Francisco, CA 94122 | Registered Nurse | 1994-04-11 ~ 1995-01-31 |
| Theresa L Weber | 1727 11th Ave, San Francisco, CA 94122 | Physical Therapist | 1992-09-24 ~ 1993-08-31 |
| John P Barger | 1395 47th Avenue, San Francisco, CA 94122 | Registered Nurse | 1999-06-22 ~ 2000-07-31 |
| Rebecca Butler | 225 Irving St #10, San Francisco, CA 94122 | Physical Therapist | 1998-01-21 ~ 1998-12-31 |
| Diane L Cappiccille | 510 Ortega Street, San Francisco, CA 94122 | Registered Nurse | 2005-11-10 ~ 2006-12-31 |
| Karen M Mariasi | 1524 Kirkam Street, San Francisco, CA 94122 | Physical Therapist | 2001-09-25 ~ 2002-10-31 |
| Find all Licenses in zip 94122 | |||
| City | SAN FRANCISCO |
| Zip Code | 94122 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + SAN FRANCISCO |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Assaf Kadar | 20 York St, New Haven, CT 06510-3220 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Bassam C Saliba | 1450 Chapel Street, New Haven, CT 06511 | Physician/surgeon | 1998-05-11 ~ 1999-04-30 |
| Bassam N Shamma | 3180 Main Street, Bridgeport, CT 06606 | Physician/surgeon | 2020-04-02 ~ 2021-04-30 |
| Assaf S Holtzman | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2020-07-01 ~ 2022-06-30 |
| Amena Assaf | 8 Mayfield St, Springfield, MA 01108-3534 | Registered Nurse | 2017-05-09 ~ 2017-09-30 |
| Jamie D Assaf | 43 Cypress St, Ludlow, MA 01056-2420 | Asbestos Abatement Worker | 2010-11-04 ~ 2011-02-28 |
| Assaf Harrari | 25 Wiltshire Ln, West Hartford, CT 06117-2748 | Emergency Medical Technician | 2014-03-18 ~ 2017-04-01 |
| David Assaf IIi | 8417 Kelwood Ave, Baton Rouge, LA 70806 | Professional Engineer | 1991-01-03 ~ 1992-01-31 |
| Bassam Rabadi | 58 Caroline Ave, Yonkers, NY 10705-1314 | Home Improvement Salesperson | 2013-12-01 ~ 2014-11-30 |
| Bassam Rimawi | 3 Seir Hill Rd Apt F3, Norwalk, CT 06850-1330 | Professional Engineer | 1998-04-02 ~ 1999-01-31 |
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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).