SHAIK EJAZUDDIN MD (Credential# 553302) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license expiration date date is May 31, 1997. The license status is INACTIVE.
SHAIK EJAZUDDIN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.035709. The credential type is physician/surgeon. The expiration date is May 31, 1997. The business address is 331 Third Ave, Long Branch, NJ 07740. The current status is inactive.
| Licensee Name | SHAIK EJAZUDDIN MD |
| Credential ID | 553302 |
| Credential Number | 1.035709 |
| Credential Type | Physician/Surgeon |
| Business Address |
331 Third Ave Long Branch NJ 07740 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1996-11-29 |
| Expiration Date | 1997-05-31 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 49793 | CSP.0025074 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1997-01-08 - 1997-02-28 | INACTIVE |
| Street Address | 331 THIRD AVE |
| City | LONG BRANCH |
| State | NJ |
| Zip Code | 07740 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gary D Katz | 700a Joline Ave, Long Branch, NJ 07740 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Scott Michael Kamenitz | 384 Ocean Ave N, Long Branch, NJ 07740 | Dentist | 2020-02-10 ~ 2020-10-31 |
| A & A Calibrating Inc | 38 Branchport Ave, Long Branch, NJ 07740 | Dealer of Weighing & Measuring Devices | 2020-01-01 ~ 2020-12-31 |
| Mark J Der Mesropian | 300 Ocean Ave North, Long Branch, NJ 07740 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
| Soy Delites Inc | 9 Long Branch Ave, Long Brand, NJ 07740 | Bakery | 1999-07-01 ~ 2000-06-30 |
| Jeremy E Tidwell | 320 Bath Ave, Long Branch, NJ 07740 | Real Estate Salesperson | 2004-06-01 ~ 2005-05-31 |
| Philip P Taverner | 451 Hampton Ave, Long Branch, NJ 07740 | Real Estate Salesperson | 2006-06-01 ~ 2007-05-31 |
| Squeerah A Walker | 134 Woodron Wilson, Long Branch, NJ 07740 | Real Estate Salesperson | 2006-06-01 ~ 2007-05-31 |
| Marco L Cimmino | 31 Cedar Ave Apt #12, Long Branch, NJ 07740 | Real Estate Salesperson | 2006-06-01 ~ 2007-05-31 |
| George A Hubler | 31 Cedar Ave Apt #35, Long Branch, NJ 07740 | Real Estate Salesperson | 2006-06-01 ~ 2007-05-31 |
| Find all Licenses in zip 07740 | |||
| City | LONG BRANCH |
| Zip Code | 07740 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + LONG BRANCH |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ayesha A Shaik | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2018-06-28 ~ 2021-06-30 |
| Kayla G Shaik | 4007 Eight Belles Ln, Greensboro, NC 27410-9876 | Registered Nurse | 2016-09-01 ~ 2017-08-31 |
| Shereen Shaik | 1883 Madison Ave, Bridgeport, CT 06606 | Pharmacy Technician | ~ |
| Ali Basha Shaik | 35 Talcottville Rd, Vernon, CT 06066-5261 | Controlled Substance Registration for Practitioner | 2019-01-28 ~ 2021-02-28 |
| Shaik M Ubaid Md | 1524 Grand Ave, Baldwin, NY 11510 | Controlled Substance Registration for Practitioner | 2008-02-29 ~ 2009-02-28 |
| Shaik M Deen Md | 65 Mount Summer Dr, Bolton, CT 06043 | Controlled Substance Registration for Practitioner | 1996-10-17 ~ 1997-02-28 |
| Fatima Naaz Shaik | 1812 Ravens Crest Drive East, Plainsboro, NJ 08536 | Pharmacy Intern | 2005-04-26 ~ 2006-04-25 |
| Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
Please comment or provide details below to improve the information on SHAIK EJAZUDDIN MD.
| 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).