NAVEEN M HASSAM (Credential# 678774) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2019. The license expiration date date is March 31, 2020. The license status is ACTIVE.
NAVEEN M HASSAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.000592. The credential type is advanced practice registered nurse. The effective date is April 1, 2019. The expiration date is March 31, 2020. The business address is 5265 Juliet Court, Ave Maria, FL 34142. The current status is active.
| Licensee Name | NAVEEN M HASSAM |
| Credential ID | 678774 |
| Credential Number | 12.000592 |
| Credential Type | Advanced Practice Registered Nurse |
| Business Address |
5265 Juliet Court Ave Maria FL 34142 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1992-05-06 |
| Effective Date | 2019-04-01 |
| Expiration Date | 2020-03-31 |
| Refresh Date | 2019-05-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1409192 | CSP.0064917 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-02-28 | 2017-02-28 - 2019-02-28 | INACTIVE |
| 645357 | 10.R44819 | Registered Nurse | 1989-08-01 | 2017-04-01 - 2018-03-31 | INACTIVE |
| Street Address | 5265 Juliet Court |
| City | Ave Maria |
| State | FL |
| Zip Code | 34142 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Richard B Morse | 6085 Victory Drive, Ave Maria, FL 34142 | Dentist | 2020-03-01 ~ 2021-02-28 |
| Silvia Natarelli | 701 Immokalee Drive, Ave Maria, FL 34142 | Marital and Family Therapist | 2019-08-01 ~ 2020-07-31 |
| Theresa M Hickey | 6365 Liberty St, Ave Maria, FL 34142-9524 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Martha D Morse | 6085 Victory Dr, Ave Maria, FL 34142-9526 | Dental Hygienist | 2020-01-01 ~ 2020-12-31 |
| Vicky Lynn Branson | 6031 Harmony Dr, Ave Maria, FL 34142-9617 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| City | Ave Maria |
| Zip Code | 34142 |
| License Type | Advanced Practice Registered Nurse |
| License Type + County | Advanced Practice Registered Nurse + Ave Maria |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Naveen Chigurupati | 963 Main St Apt 3a, Hackensack, NJ 07601-5130 | Temporary Permit To Practice Pharmacy | 2013-03-04 ~ 2013-06-04 |
| Kim E Cotnoir | Po Box 656, Johnson, VT 05656-0656 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Kathleen Dibiase | 26 Independence Way, Titusville, NJ 08560 | Advanced Practice Registered Nurse | ~ |
| Wanda Pothier | 78 Lee Cir, Pascoag, RI 02859-1313 | Advanced Practice Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Ira Mauro | 2 Ruby Rd, Marlboro, NY 12542-5519 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Nicole Sandilands | 253 Woodrow Ave, Southport, CT 06890 | Advanced Practice Registered Nurse | ~ |
| Maggin Mathew | 49 Autumn Cir, Yonkers, NY 10703-1605 | Advanced Practice Registered Nurse | ~ |
| Ann B Williams | 433 E 51st St Apt 10a, New York, NY 10022-6472 | Advanced Practice Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Karren L Slade | 265 New Rd, Avon, CT 06001-3163 | Advanced Practice Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Amy Jacobson | 14 Brimfield Way, Westfield, MA 01085-4383 | Advanced Practice Registered Nurse | 2020-05-01 ~ 2021-04-30 |
Please comment or provide details below to improve the information on NAVEEN M HASSAM.
| 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).