TABASSUM Y KHAN MD (Credential# 554989) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2016. The license expiration date date is March 31, 2017. The license status is INACTIVE.
TABASSUM Y KHAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.037399. The credential type is physician/surgeon. The effective date is April 1, 2016. The expiration date is March 31, 2017. The business address is 4 Marcinelli Court, Poughkeepsie, NY 12601. The current status is inactive.
Licensee Name | TABASSUM Y KHAN MD |
Credential ID | 554989 |
Credential Number | 1.037399 |
Credential Type | Physician/Surgeon |
Business Address |
4 Marcinelli Court Poughkeepsie NY 12601 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1998-11-20 |
Effective Date | 2016-04-01 |
Expiration Date | 2017-03-31 |
Refresh Date | 2017-07-04 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
208078 | CSP.0027807 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-03-09 - 2017-02-28 | INACTIVE |
Street Address | 4 MARCINELLI COURT |
City | POUGHKEEPSIE |
State | NY |
Zip Code | 12601 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Dudley A Watson | 246 Mansion St., Poughkeepsie, NY 12601 | Asbestos Abatement Supervisor | 2020-06-01 ~ 2021-05-31 |
Craig M Shannon | 47 Kingwood Dr, Poughkeepsie, NY 12601 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Maxwell Risch | 6 Marwood Dr, Poughkeepsie, NY 12601 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
Chazen Engineering, Land Surveying & Landscape Architecture Ct LLC | 21 Fox St, Poughkeepsie, NY 12601 | Joint Practice | 2020-05-01 ~ 2021-04-30 |
Paul Wright | 21 Reade Pl, Poughkeepsie, NY 12601 | Controlled Substance Registration for Practitioner | 2020-02-20 ~ 2021-02-28 |
Faiz Y Bhora | 45 Reade Place, Dyson Cancer Center, 3rd Floor, Poughkeepsie, NY 12601 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
David M Quinn | 45 Reade Pl, Poughkeepsie, NY 12601 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Kelly Lynn Philiba | 12 Hanscom Ave, Poughkeepsie, NY 12601 | Naturopathic Physician | 2020-02-01 ~ 2021-01-31 |
Danielle Williams | 2678 South Road, Suite 202, Poughkeepsie, NY 12601 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Laura M Baird | 350 Violet Ave, Poughkeepsie, NY 12601 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
Find all Licenses in zip 12601 |
City | POUGHKEEPSIE |
Zip Code | 12601 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + POUGHKEEPSIE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Tabassum Shamim | 4739 Leakes Mill Drive, Glen Allen, VA 23059 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
Siddiq A Khan | 212 138th Ave Nw, Andover, MN 55304-6761 | Physician/surgeon | ~ |
Talal Khan | 785 Mix Ave Apt C, Hamden, CT 06514-2126 | Physician/surgeon | 2010-04-01 ~ 2011-03-31 |
Naureen Khan Md | 35 Willard St Apt 4b, New Haven, CT 06515-2163 | Physician/surgeon | 2008-09-22 ~ 2009-10-31 |
Mohammad Ali N Khan | 8020 S. 32 Way, Phoenix, AZ 85042 | Physician/surgeon | 2011-04-01 ~ 2012-03-31 |
Shaukat A Khan Md | 15 Rainbow Rd, Bethany, CT 06524 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Aliya Aziz Khan | 35 Harrington Ave, Shrewsbury, MA 01545 | Physician/surgeon | ~ |
Mohammad R Khan Md | 20 N Main St, Norwalk, CT 06854-2656 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Anwar M Khan Md | 241 Braeside Dr, Hamden, CT 06514 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Amjad A Khan | 122 W 43rd St, Bayonne, NJ 07002-2005 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
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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).