USAMA M MOUSTAFA (Credential# 563416) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 5, 2007. The license expiration date date is September 30, 2008. The license status is INACTIVE.
USAMA M MOUSTAFA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.045834. The credential type is physician/surgeon. The effective date is September 5, 2007. The expiration date is September 30, 2008. The business address is 200 Lake Shore Drive, Michigan City, IN 46360. The current status is inactive.
| Licensee Name | USAMA M MOUSTAFA |
| Credential ID | 563416 |
| Credential Number | 1.045834 |
| Credential Type | Physician/Surgeon |
| Business Address |
200 Lake Shore Drive Michigan City IN 46360 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2007-09-05 |
| Effective Date | 2007-09-05 |
| Expiration Date | 2008-09-30 |
| Refresh Date | 2009-07-08 |
| Street Address | 200 Lake Shore Drive |
| City | Michigan City |
| State | IN |
| Zip Code | 46360 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Christopher G Raia | 3209 Dody Ave Apt. #6, Michigan City, IN 46360 | Engineer-in-training | ~ |
| Monica Langdon Lorimer | 2920 Roslyn Trl, Long Beach, IN 46360-1726 | Controlled Substance Registration for Practitioner | 2018-12-28 ~ 2019-02-28 |
| Donald J Siebert · Pj Siebert Inc | 15 Muirfield Dr, Michigan City, IN 46360-1823 | Closing Out Sale Promoter | 2018-11-27 ~ 2019-10-19 |
| Michelle Rene' Lovelace | 1112 W 8th St, Michigan City, IN 46360-3924 | Registered Nurse - Temporary | 2019-04-26 ~ 2019-08-24 |
| City | Michigan City |
| Zip Code | 46360 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Michigan City |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Usama T Hussein | 835 Mix Avenue, Hamden, CT 06514 | Physician/surgeon | 2010-04-01 ~ 2011-03-31 |
| Usama Khayyal | 5114 S 27th St # 763, Milwaukee, WI 53221-7548 | Physician/surgeon | 2020-04-06 ~ 2021-04-30 |
| Moustafa M Sabri | 567 Greenwood Road, North Brook, IL 60062 | Physician/surgeon | 2005-12-19 ~ 2007-01-31 |
| Farah Moustafa | 160 Boylston Street, Chestnut Hill, MA 02467 | Physician/surgeon | 2020-02-03 ~ 2021-02-28 |
| Hafiz Usama Bin Ghafoor | 123 Summer Street, Worcester, MA 01608 | Physician/surgeon | 2019-04-26 ~ 2020-03-31 |
| Usama Mukayed | 5880 49th Street North, St. Petersburg, FL 33709 | Physician/surgeon | 2016-05-01 ~ 2017-04-30 |
| Sarah M Moustafa | 208 Wooster St Apt 2, New Haven, CT 06511-5792 | Resident Physician | 2017-07-01 ~ 2018-06-30 |
| Usama Ali Daimee | 20 York St., New Haven, CT 06510-3220 | Resident Physician | 2017-07-01 ~ 2020-06-30 |
| Usama Qadri | Yale-new Haven Hospital, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Usama Bin Nasir | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2016-06-28 ~ 2019-06-30 |
Please comment or provide details below to improve the information on USAMA M MOUSTAFA.
| 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).