SADEK SALLOUM MD (Credential# 552083) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 9, 1998. The license expiration date date is February 28, 1999. The license status is INACTIVE.
SADEK SALLOUM MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.034487. The credential type is physician/surgeon. The effective date is February 9, 1998. The expiration date is February 28, 1999. The business address is 175 Mill Pond Road Apt #123, Hamden, CT 06514. The current status is inactive.
| Licensee Name | SADEK SALLOUM MD |
| Credential ID | 552083 |
| Credential Number | 1.034487 |
| Credential Type | Physician/Surgeon |
| Business Address |
175 Mill Pond Road Apt #123 Hamden CT 06514 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1995-05-19 |
| Effective Date | 1998-02-09 |
| Expiration Date | 1999-02-28 |
| Refresh Date | 2009-07-10 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 161399 | CSP.0023403 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1998-03-01 - 1999-02-28 | INACTIVE |
| Street Address | 175 MILL POND ROAD APT #123 |
| City | HAMDEN |
| State | CT |
| Zip Code | 06514 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Erika Henley | 175 Hightop Circle West, Hamden, CT 06514 | Master's Level Social Worker | 2020-06-01 ~ 2021-05-31 |
| Yunmi Lee | 144 Hill St, Hamden, CT 06514 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-05-31 |
| Rosa M Gordillo | 155 Gorham Ave, Hamden, CT 06514 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Linda C Disbrow | 61 Sherman Lane, Hamden, CT 06514 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Kimberly Marie Fernandes | 660 Mix Ave #1h, Hamden, CT 06514 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Marie Junie Cyril | 175 Oberlin Road, Hamden, CT 06514 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Erica Weiss | 4 Partridge Crossing, Hamden, CT 06514 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kimberly S Traverso | 50 Building Brook Road, Hamden, CT 06514 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
| Kevin A Guess | 3rd Street, Hamden, CT 06514 | Public Weigher | 2020-06-12 ~ 2021-06-30 |
| Marilyn Pavelus | 389 Gilbert Ave, Hamden, CT 06514 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06514 | |||
| City | HAMDEN |
| Zip Code | 06514 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + HAMDEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mostafa A Sadek | 255 W 148th St Apt 4a, New York, NY 10039-3140 | Physician/surgeon | ~ |
| Ahmad Salloum | 24 Kentucky Way, Freehold, NJ 07728 | Physician/surgeon | 2004-05-14 ~ 2005-05-31 |
| Rafah Salloum Md | 53 Woodhollow, Colts Neck, NJ 07722 | Physician/surgeon | 2011-12-01 ~ 2012-11-30 |
| Didi Salloum | 200 John Olds Drive, Apt 207, Manchester, CT 06040 | Physician/surgeon | 2000-12-28 ~ 2001-04-30 |
| Adel Sadek Escarous | 10 Wildwood Condos, Katonah, NY 10536 | Physician/surgeon | 1997-06-05 ~ 1998-06-30 |
| Mohamed K Mostafa-sadek | 408 Lambert Rd, Orange, CT 06477-3004 | Pharmacist | 2014-02-01 ~ 2016-01-31 |
| Amgad F Sadek | 90 Miller Rd, Latham, NY 12110-5515 | Professional Engineer | ~ |
| Deena Sadek | N.w. 1740 Wayne, #6, Pullman, MA 99163 | Veterinarian | 1992-06-08 ~ 1993-06-30 |
| Samer G Sadek | 22 Stirrup Brook Ln., Northborough, MA 01532 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Sadek M Ali | 6636 Fresh Pond Rd # 3f, Ridgewood, NY 11385-3305 | Professional Engineer | 2014-07-09 ~ 2015-01-31 |
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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).