NAZEK RIAD SHABAYEK (Credential# 996896) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 4, 1984. The license expiration date date is May 31, 1992. The license status is PENDING.
NAZEK RIAD SHABAYEK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.025381. The credential type is physician/surgeon. The effective date is April 4, 1984. The expiration date is May 31, 1992. The business address is 143 Butternut Ln, Southington, CT 06489-3840. The current status is pending.
Licensee Name | NAZEK RIAD SHABAYEK |
Credential ID | 996896 |
Credential Number | 1.025381 |
Credential Type | Physician/Surgeon |
Business Address |
143 Butternut Ln Southington CT 06489-3840 |
Business Type | INDIVIDUAL |
Status | PENDING - REINSTATEMENT APPLICATION PENDING |
Issue Date | 1984-04-04 |
Effective Date | 1984-04-04 |
Expiration Date | 1992-05-31 |
Refresh Date | 2011-05-27 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
997331 | CSP.0050138 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-08-20 - | EXPIRED APPLICATION |
Street Address | 143 BUTTERNUT LN |
City | SOUTHINGTON |
State | CT |
Zip Code | 06489-3840 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Rachel A Kilburn | 197 Butternut Ln, Southington, CT 06489-3840 | Physical Therapist | 2020-08-01 ~ 2021-07-31 |
Michael B Roberts · Redstone Manufacturing Company | 169 Butternut Ln, Southington, CT 06489-3840 | Sub-surface Sewage Installer | 2020-04-01 ~ 2021-03-31 |
Thomas B Goldfuss | 175 Butternut Ln, Southington, CT 06489-3840 | Lottery Or Otb Service Provider Employee | 2020-01-01 ~ 2020-12-31 |
Katherine A Gohagon | 187 Butternut Ln, Southington, CT 06489-3840 | Licensed Clinical Social Worker | 2019-11-01 ~ 2020-10-31 |
Jessica L Roberts | 169 Butternut Ln, Southington, CT 06489-3840 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Sarah M Moon | 321 Pilgrim Lane, Southington, CT 06489 | Esthetician | ~ |
Joanna Milewski | 23 Stacy Cate Drive, Southington, CT 06489 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Richard M Testa | 81 Winter Park Road, Southington, CT 06489 | Massage Therapist | 2020-08-01 ~ 2022-07-31 |
Valley Roofing LLC | 88 Ladyslipper Lane, Southington, CT 06489 | Home Improvement Contractor | ~ |
Dunkin Donuts · New England Donuts LLC | 856 Queen St, Southington, CT 06489 | Bakery | 2020-07-01 ~ 2021-06-30 |
Elizabeth E Pizzuto | 45 Water Street, Southington, CT 06489 | Real Estate Salesperson | 2020-06-18 ~ 2021-05-31 |
Nicholas C Ingel | 515 West Street, Southington, CT 06489 | Heating, Piping & Cooling Limited Journeyperson | 2020-06-23 ~ 2021-08-31 |
Tyrone J Correa | 84 Minthal Drive, Southington, CT 06489 | Real Estate Salesperson | 2020-06-19 ~ 2021-05-31 |
Marilyn F Coppola | 114 Spring Hill Rd, Southington, CT 06489 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Christine M Liebler | 30 Sultana Terrace, Southington, CT 06489 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 06489 |
City | SOUTHINGTON |
Zip Code | 06489 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + SOUTHINGTON |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Riad Abou Zahr | 430 Buckingham Rd Apt 730, Richardson, TX 75081-5757 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
May Riad | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2015-07-13 ~ 2018-06-30 |
Riad J Azar | 1315 Anderson Ave #7, Fort Lee, NJ 07024 | Professional Engineer | ~ |
Riad Aamar · Oliva | 15 Main St S, Bethlehem, CT 06751-2029 | Restaurant Wine & Beer | 2020-04-12 ~ 2021-08-11 |
May M Riad | 1145 Lake Dr E, Trenton, NJ 08691-4209 | Controlled Substance Registration for Practitioner | 2015-06-09 ~ 2017-02-28 |
Riad Ettunsi | 24 Hospital Ave, Danbury, CT 06810-6077 | Controlled Substance Registration for Practitioner | 2011-03-21 ~ 2013-02-28 |
Margaret A Koellmer | 326 Olmstead Hill Riad, Wilton, CT 06897-4009 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
Lloyd Houston | 505 Sawmill Riad, West Haven, CT 06516 | Emergency Medical Technician | ~ 1996-01-01 |
Nancy Ann Faria | 969 West Main Riad, Middletown, RI 02842 | Certified Public Accountant Certificate | 2020-01-01 ~ 2020-12-31 |
Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
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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).