SAMIR A FAHMY (Credential# 553924) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2016. The license expiration date date is December 31, 2016. The license status is INACTIVE.
SAMIR A FAHMY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.036332. The credential type is physician/surgeon. The effective date is January 1, 2016. The expiration date is December 31, 2016. The business address is 58 Wildwood Terrace, Watchung, NJ 07069. The current status is inactive.
Licensee Name | SAMIR A FAHMY |
Credential ID | 553924 |
Credential Number | 1.036332 |
Credential Type | Physician/Surgeon |
Business Address |
58 Wildwood Terrace Watchung NJ 07069 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1997-08-22 |
Effective Date | 2016-01-01 |
Expiration Date | 2016-12-31 |
Refresh Date | 2017-04-05 |
Street Address | 58 Wildwood Terrace |
City | Watchung |
State | NJ |
Zip Code | 07069 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Pharmacosmos Therapeutics Inc. · N/a | 776 Mountain Boulevard, Suite 101b, Watchung, NJ 07069 | Out of State Manufacturer of Drugs, Cosmetics & Medical Devices | 2020-02-10 ~ |
Martin L Gimovsky | 1204 Johnston Drive, Watchung, NJ 07069 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Paul P Panzarino | 25 Fox Chase Dr, Watchung, NJ 07069 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Clayton E Brown | 185 Knollwood Dr, Watchung, NJ 07069 | Real Estate Salesperson | 2003-06-01 ~ 2004-05-31 |
Eli J Shobin | 260 Valley Drive, Watchung, NJ 07069 | Emergency Medical Technician | 2007-05-08 ~ 2009-04-01 |
Atlantic Traffic & Design Engineers Inc | 786 Mountain Blvd, Watchung, NJ 07069 | Professional Engineering Corporation | 2006-08-15 ~ 2007-08-14 |
Paul Panzarino | 25 Fox Chase Dr, Watchung, NJ 07069 | Professional Engineer | ~ |
Nancy M Ebler · Ader | 173 Hillcrest Road, Watchung, NJ 07069 6005 | Physical Therapist | 2003-02-05 ~ 2004-03-31 |
Charles M Besjak | 129 High Oaks Drive, Watchung, NJ 07069-5406 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Stephen M Pou | 25 Watchung Crest Dr, Watchung, NJ 07069-5439 | Controlled Substance Registration for Practitioner | 2019-07-09 ~ 2021-02-28 |
Find all Licenses in zip 07069 |
City | Watchung |
Zip Code | 07069 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + Watchung |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Hannan A Fahmy | 301 Cricket Ln, Woodbridge, NJ 07095-1514 | Physician/surgeon | 2001-01-25 ~ 2001-10-31 |
Samir Gautam | 15 Barberry Ln, Woodbridge, CT 06525 | Physician/surgeon | 2019-07-01 ~ 2020-06-30 |
Samir W Aziz | 40 Pleasant St, Ansonia, CT 06401 | Physician/surgeon | 2005-03-11 ~ 2006-03-31 |
Samir G Artoul | C/o Med-dent Bsns, Clive, IA 50325 | Physician/surgeon | 2002-05-02 ~ 2003-02-28 |
Samir Patel | 40 Prospect Ave, Apt 2f, Bldg. 1, Norwalk, CT 06850 | Physician/surgeon | 2002-08-16 ~ 2003-06-30 |
Shady Samir Henien | 372 Benefit St Apt 1, Providence, RI 02903-2923 | Physician/surgeon | 2020-03-11 ~ 2020-10-31 |
Samir C Jethwa | 629d Lowther Rd, Lewisberry, PA 17339-9222 | Physician/surgeon | 2013-12-02 ~ 2014-12-31 |
Samir A Ahmad | 15724 Sambuca Circle, Austin, TX 78728 | Physician/surgeon | 1999-11-17 ~ 2001-01-31 |
Samir Samarany | 6112 Town Walk Dr, Hamden, CT 06518 | Physician/surgeon | 2014-04-09 ~ 2014-09-30 |
Samir Malkani Md | 109 Town Farm Road, Sutton, MA 01590 | Physician/surgeon | 2003-07-21 ~ 2004-08-31 |
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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).