NAIYER IMAM (Credential# 560435) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2019. The license expiration date date is October 31, 2020. The license status is ACTIVE.
NAIYER IMAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.042853. The credential type is physician/surgeon. The effective date is November 1, 2019. The expiration date is October 31, 2020. The business address is Po Box 20194, Roanoke, VA 24018-0020. The current status is active.
| Licensee Name | NAIYER IMAM |
| Credential ID | 560435 |
| Credential Number | 1.042853 |
| Credential Type | Physician/Surgeon |
| Business Address |
Po Box 20194 Roanoke VA 24018-0020 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2004-10-01 |
| Effective Date | 2019-11-01 |
| Expiration Date | 2020-10-31 |
| Refresh Date | 2019-09-12 |
| Street Address | PO BOX 20194 |
| City | ROANOKE |
| State | VA |
| Zip Code | 24018-0020 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Khursheed Imam | C/o Advanced Medical Imaging PC, Roanoke, VA 24018 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Katie Elizabeth Dralle | 5834 Merriman Road, Roanoke, VA 24018 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
| Melanie Swecker | 3717 Kenwick Trail, Roanoke, VA 24018 | Registered Nurse - Temporary | 2017-07-26 ~ 2017-11-22 |
| Sadaf Ahmed | 4808 Pleasant Hill Drive, Roanoke, VA 24018 | Physician/surgeon | 2016-07-01 ~ 2017-06-30 |
| Thomas B Lutz | 3163 Berry Lane, Apt. 52, Roanoke, VA 24018 | Registered Nurse - Temporary | 2015-09-04 ~ 2016-01-01 |
| Rachel Keville | 3163 Berry Lane Apt 52, Roanoke, VA 24018 | Registered Nurse - Temporary | 2015-08-28 ~ 2015-12-25 |
| Madalina Macrea | 4913 Hunting Hills Court, Roanoke, VA 24018 | Physician/surgeon | 2013-04-01 ~ 2014-03-31 |
| Richard M Wellford | 8370 Martins Creek Rd, Roanoke, VA 24018 | Real Estate Broker | ~ |
| David V Degenhardt | 5119 Elk Hill Drive, Roanoke, VA 24018 | Physician/surgeon | 2009-02-25 ~ 2009-11-30 |
| Jacques C Raymond | 3151 Berry Lane, Roanoke, VA 24018 | Physician/surgeon | 2000-04-07 ~ 2001-03-31 |
| Find all Licenses in zip 24018 | |||
| City | ROANOKE |
| Zip Code | 24018 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + ROANOKE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Khursheed Imam | C/o Advanced Medical Imaging PC, Roanoke, VA 24018 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Azhar Imam | 5 Saddle Ridge Road, Southbury, CT 06488 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Sharif Imam | 29 Kenneth St Apt 4a, West Haven, CT 06516-3106 | Pharmacy Technician | 2020-04-01 ~ 2021-03-31 |
| Glenda S Imam | 4509 Waverly Crossing Ln, Chantilly, VA 20151-2211 | Registered Nurse | 2011-10-01 ~ 2012-09-30 |
| Mohammed M Imam Dds | 4154 Madison Ave, Trumbull, CT 06611 | Controlled Substance Registration for Practitioner | 2009-03-20 ~ 2011-02-28 |
| Norhana Malawi Imam | 512 5th Road,l and B 2,ilaya Street,alabang, Muntinlupa, PH 1772 | Physical Therapist | 2019-07-01 ~ 2020-06-30 |
| Cv Aumireta Anggun | Jl. Imam Bonjol No. 147, Malang - East Java, IS 65153 | Manufacturer of Bedding & Upholstered Furniture | 2020-04-06 ~ 2020-04-06 |
| Cv Unggul Putra Samudra | Jl Imam Bonjol # 171, Malang East Java, 65153 | Manufacturer of Bedding & Upholstered Furniture | 2020-05-01 ~ 2021-04-30 |
| Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
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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).