HOUSEIN M WAZAZ (Credential# 555758) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2020. The license expiration date date is July 31, 2021. The license status is ACTIVE.
HOUSEIN M WAZAZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.038168. The credential type is physician/surgeon. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is 455 Lewis Ave Ste 105, Meriden, CT 06451-2121. The current status is active.
| Licensee Name | HOUSEIN M WAZAZ |
| Credential ID | 555758 |
| Credential Number | 1.038168 |
| Credential Type | Physician/Surgeon |
| Business Address |
455 Lewis Ave Ste 105 Meriden CT 06451-2121 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-10-01 |
| Effective Date | 2020-08-01 |
| Expiration Date | 2021-07-31 |
| Refresh Date | 2020-05-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 226012 | CSP.0029020 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-11-19 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 1408396 | CSP.0064864 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | - | INACTIVE |
| Street Address | 455 LEWIS AVE STE 105 |
| City | MERIDEN |
| State | CT |
| Zip Code | 06451-2121 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Thomas S Jung | 455 Lewis Ave Ste 105, Meriden, CT 06451-2121 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Madhavi Bhoomagoud | 455 Lewis Ave Ste 105, Meriden, CT 06451-2121 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rafal Barczak | 455 Lewis Ave Ste 208, Meriden, CT 06451-2121 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| David M Sack | 455 Lewis Ave Ste 106, Meriden, CT 06451-2121 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Jean Wong Md | 455 Lewis Ave Ste 210, Meriden, CT 06451-2121 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Roopkiranjot K Kahlon | 455 Lewis Ave Ste 214, Meriden, CT 06451-2121 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Douglas Miller Md · Internal Medcine Associates, P.C. | 455 Lewis Ave Ste 200, Meriden, CT 06451-2121 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Laurence Nair Md | 455 Lewis Ave Ste 206, Meriden, CT 06451-2121 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Elizabeth C Riordan Md | 435 Lewis Ave, Suite 104, Meriden, CT 06451-2121 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mohammad A Sharif | 455 Lewis Avenue, Suite 214, Meriden, CT 06451-2121 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Irfan S Chughtai | 455 Lewis Ave Ste 214, Meriden, CT 06451-2121 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jon J Ernstoff | Connecticut Gi PC, Meriden, CT 06451-2121 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Find all Licenses in zip 06451-2121 | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robert L. Torres | 309 Brownstone Ridge, Meriden, CT 06451 | Crane Operator | 2018-06-29 ~ 2020-06-28 |
| Lourdes Castro | 25 Lanoutte Steet, Meriden, CT 06451 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-11 ~ 2022-02-28 |
| Brittney Hilliard | 44 Eddy Avenue, Meriden, CT 06451 | Master's Level Social Worker | ~ |
| Super Laundry Mat | 311 West Main St, Meriden, CT 06451 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Sarah C Matteson | 18 Steuben St, Meriden, CT 06451 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Valerie Mari Dejesus | 36c Kiki Drive, Meriden, CT 06451 | Hairdresser/cosmetician | ~ |
| Tiffaney A Williams | 158 Byron Road, Meriden, CT 06451 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Meriden Oil Co | 30 Knob Hill Rd, South Meriden, CT 06451 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Amal Abouchacra · Sam's Market | 167 Lewis Avenue, Meriden, CT 06451 | Grocery Beer | 2020-07-31 ~ 2021-07-30 |
| Carmen J Vazquez | 173 Fourth St, Meriden, CT 06451 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Find all Licenses in zip 06451 | |||
| City | MERIDEN |
| Zip Code | 06451 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + MERIDEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
| Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
| Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Nazanin Barzideh Md | North Shore Retina Physician, Pllc, East Hills, NY 11576 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
| Barbara M Galko Md | Danbury Office of Physician Services PC, Danbury, CT 06810 | Physician/surgeon | 2010-06-01 ~ 2011-05-31 |
| Susan J Batlan Md | Eye Physician Associates of Hartford, West Hartford, CT 06107 | Physician/surgeon | 2000-07-27 ~ 2001-07-31 |
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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).