FADI G LAKKIS MD (Credential# 557132) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 2, 2005. The license expiration date date is March 31, 2006. The license status is INACTIVE.
FADI G LAKKIS MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.039548. The credential type is physician/surgeon. The effective date is February 2, 2005. The expiration date is March 31, 2006. The business address is 333 Cedar Street, New Haven, CT 06520. The current status is inactive.
| Licensee Name | FADI G LAKKIS MD |
| Credential ID | 557132 |
| Credential Number | 1.039548 |
| Credential Type | Physician/Surgeon |
| Business Address |
333 Cedar Street New Haven CT 06520 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2001-05-24 |
| Effective Date | 2005-02-02 |
| Expiration Date | 2006-03-31 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 280385 | CSP.0031128 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-03-01 - 2006-02-28 | INACTIVE |
| Street Address | 333 CEDAR STREET |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06520 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Molly Elizabeth Mcadow | 333 Cedar Street, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mamatha Punjala Md | 333 Cedar Street, New Haven, CT 06520-8051 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Katherine Nash | 333 Cedar Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Richard Bronen Md | 333 Cedar Street, New Haven, CT 06520-8042 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Dianne Lee | 333 Cedar Street, New Haven, CT 06520 | Resident Physician | 2017-07-01 ~ 2021-06-30 |
| Lavanya Bellumkonda | 333 Cedar Street, New Haven, CT 06520-8017 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Zachary A Corbin | 333 Cedar Street, New Haven, CT 06520 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Engin Deniz Md | 333 Cedar Street, New Haven, CT 06510 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Daniel P Petrylak | 333 Cedar Street, New Haven, CT 06520 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Kelly May Werner | 333 Cedar Street, New Haven, CT 06520 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Orchestra New England | P.o. Box 200123, New Haven, CT 06520 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Catherine A Dinauer | 333 Cedar St., Fmb 131, New Haven, CT 06520 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kofi Agyare Mensah | 300 Cedar Street, New Haven, CT 06520 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kevin Huang | 330 Cedar Street, New Haven, CT 06520 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Mubdiul Imtiaz Ali | 300 Cedar St, Tac S425, New Haven, CT 06520 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Dr Akhil Khosla | 300 Cedar St, Tac S425 P.o. Box 208057, New Haven, CT 06520 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Scott N Gettinger Md | 333 Cedar St-yale Cancer Center, New Haven, CT 06520 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Lindsay Sarah Mcalpine | Yale -new Haven Hospital, New Haven, CT 06520 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Michael Hurwitz | 333 Cedar St Www211, New Haven, CT 06520 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Patrick M Popiel | Yale University, Department of Ob/gyn, New Haven, CT 06520 | Resident Physician | 2017-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06520 | |||
| City | NEW HAVEN |
| Zip Code | 06520 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Wael G Lakkis | 134 Jenson Ave, Mamaroneck, NY 10543 | Physician/surgeon | 1997-03-31 ~ 1998-05-31 |
| Fadi Alsous Md | 71 C Joy Rd, Milford, CT 06460 | Physician/surgeon | 2004-06-14 ~ 2005-07-31 |
| Fadi Ghadban Md | 344 80th St, Brooklyn, NY 11209 | Physician/surgeon | 2016-01-01 ~ 2016-12-31 |
| Fadi Gebrail | 31 Tidewater Way, Savannah, GA 31411 | Physician/surgeon | 2012-02-01 ~ 2013-01-31 |
| Fadi Haddad Md | 433 W34th Str. #3k, New York, NY 10001 | Physician/surgeon | 2008-03-03 ~ 2009-04-30 |
| Fadi Ibrahim | 150 Collins Street, Memphis, TN 38112 | Physician/surgeon | 2011-02-01 ~ 2012-01-31 |
| Fadi S Braiteh | 8282 Cambridge, Houston, TX 77054 | Physician/surgeon | 2003-10-31 ~ 2004-10-31 |
| Fadi Fahad | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Fadi Ramo | 524 Gardner St Apt 86, El Cajon, CA 92020-9214 | Pharmacist | ~ |
| Fadi Zeineddine | 126 Triangle St #b-46, Danbury, CT 06810 | Pharmacy Technician | 2006-09-29 ~ 2007-03-31 |
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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).