TABASSUM SHAMIM (Credential# 556683) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2019. The license expiration date date is August 31, 2020. The license status is ACTIVE.
TABASSUM SHAMIM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.039095. The credential type is physician/surgeon. The effective date is September 1, 2019. The expiration date is August 31, 2020. The business address is 4739 Leakes Mill Drive, Glen Allen, VA 23059. The current status is active.
| Licensee Name | TABASSUM SHAMIM |
| Credential ID | 556683 |
| Credential Number | 1.039095 |
| Credential Type | Physician/Surgeon |
| Business Address |
4739 Leakes Mill Drive Glen Allen VA 23059 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2000-11-03 |
| Effective Date | 2019-09-01 |
| Expiration Date | 2020-08-31 |
| Refresh Date | 2019-09-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 245459 | CSP.0030285 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2000-11-20 | 2017-03-01 - 2019-02-28 | INACTIVE |
| Street Address | 4739 Leakes Mill Drive |
| City | Glen Allen |
| State | VA |
| Zip Code | 23059 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mabinty Koker | 12017 Hunton Crossing Place, Glen Allen, VA 23059 | Registered Nurse | 2020-01-24 ~ 2020-03-31 |
| Bonnylin Glass Lindquist | 6007 Bishops Gate Court, Glen Allen, VA 23059 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Steven G Pietryk | 7232 Shenfield Ave, Glen Allen, VA 23059 | Professional Engineer | 2018-02-01 ~ 2019-01-31 |
| Eva Dabrowski · Dabrowski | 5804 Gate House Drive, Glen Allen, VA 23059 | Dental Hygienist | 2018-06-01 ~ 2019-05-31 |
| Laura A Watkins | 9310 Centerway Drive, Glen Allen, VA 23059 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
| Maureen A Williams | 6728 Donahue Drive, Glen Allen, VA 23059 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
| Britne Tisdale | 12203 Tiverton Ln, Glen Allen, VA 23059 | Registered Nurse - Temporary | 2017-08-24 ~ 2017-12-21 |
| James Duke Jr | 11451 New Farrington Ct, Glen Allen, VA 23059 | Professional Engineer | 2016-02-01 ~ 2017-01-31 |
| Kenneth V Butler | 12204 Renwick Place, Glen Allen, VA 23059 | Professional Engineer | 2009-02-01 ~ 2010-01-31 |
| William B Harper Jr | 12329 Morning Creek Rd, Glen Allen, VA 23059 | Real Estate Broker | 2001-04-01 ~ 2002-03-31 |
| Find all Licenses in zip 23059 | |||
| City | Glen Allen |
| Zip Code | 23059 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Glen Allen |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tabassum Y Khan Md | 4 Marcinelli Court, Poughkeepsie, NY 12601 | Physician/surgeon | 2016-04-01 ~ 2017-03-31 |
| Shamim A Najeebi | 205 Autumn Chase, Ellington, CT 06029 | Physician/surgeon | 2001-04-23 ~ 2002-01-31 |
| Wazida Tabassum | 40 Penfield Pl, Farmington, CT 06032-2200 | Chiropractor | 2016-12-01 ~ 2017-11-30 |
| Tabassum Azra | 523 Griswold Hills Dr, Newington, CT 06111 | Pharmacy Technician | 2002-04-01 ~ 2003-03-31 |
| Tabassum Firoz | 267 Grant St, Bridgeport, CT 06610-2805 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Tabassum A Ali | 620 Wolcott Hill Rd, Wethersfield, CT 06109-2941 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Md Shamim A Akond | 902 43rd St Apt #10-d, Brooklyn, NY 11219 | Professional Engineer | 2004-09-08 ~ 2005-01-31 |
| Shamim Ghadami | 130 Bourne Ave Apt#7, Rumford, RI 02916 | Registered Nurse | 2016-10-24 ~ 2017-08-31 |
| Sanjida H Shamim | 3 Cherry St, Ansonia, CT 06401-1101 | Pharmacy Technician | 2020-04-01 ~ 2021-03-31 |
| Amie Tabassum Hussain | 21 Milan Road, Woodbridge, CT 06525 | Notary Public Appointment | 2015-09-23 ~ 2020-09-30 |
Please comment or provide details below to improve the information on TABASSUM SHAMIM.
| 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).