SHIREEN MIRZA (Credential# 1006736) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.
SHIREEN MIRZA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0050752. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is Dept Internal Medicine, Farmington, CT 06030-0001. The current status is inactive.
| Licensee Name | SHIREEN MIRZA |
| Credential ID | 1006736 |
| Credential Number | CSP.0050752 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
Dept Internal Medicine Farmington CT 06030-0001 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2011-07-25 |
| Effective Date | 2015-03-01 |
| Expiration Date | 2017-02-28 |
| Refresh Date | 2018-01-29 |
| Street Address | DEPT INTERNAL MEDICINE |
| City | FARMINGTON |
| State | CT |
| Zip Code | 06030-0001 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Adam M Noyes | Dept Internal Medicine, Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Arjun Sharma | Dept Internal Medicine, Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2013-03-26 ~ 2015-02-28 |
| Evan Marino | Dept Internal Medicine, Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Vincent Covelli | Dept Internal Medicine, Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2013-05-22 ~ 2015-02-28 |
| Joshua Dill | Dept Internal Medicine, Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Michael F Demeo | Dept Internal Medicine, Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2013-04-25 ~ 2015-02-28 |
| Ranjit Joseph | Dept Internal Medicine, Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2013-05-31 ~ 2015-02-28 |
| Mita Panchal | Dept Internal Medicine, Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2013-06-04 ~ 2015-02-28 |
| Danae Delivanis | Dept Internal Medicine, Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2013-03-11 ~ 2015-02-28 |
| Omar Shahbaz | Dept Internal Medicine, Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2013-05-23 ~ 2015-02-28 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Wendy A Miller | Mc1921 Farmington Ave # 263, Farmington, CT 06030-0001 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Jason J Ziegler | 2 Courthouse Square, Farmington, CT 06030-0001 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Bryden T Considine | L2104 of Medicine Rm, Farmington, CT 06030-0001 | Resident Physician | 2017-07-03 ~ 2021-06-30 |
| Dillon Paulo | 4260 Cordoba Ct, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2024-06-30 |
| Erica Shen Nofziger | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2027-06-30 |
| Omar Ibrahim | 263 Farmington Ave # Mc-1321, Farmington, CT 06030-0001 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Jillian L Fortier | Uconn Health Center, Department of Surgery, Farmington, CT 06030-0001 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Douglas Zelisko | 263 Farmington Ave Dept Of, Farmington, CT 06030-0001 | Physician/surgeon | 2020-04-23 ~ 2021-01-31 |
| Ruchir D Trivedi | 263 Farmington Ave # Mc-1405, Farmington, CT 06030-0001 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Rawan J.j. Sarsour | 263 Farmington Ave # Mc3905, Farmington, CT 06030-0001 | Provisional Faculty Dentist | 2020-04-21 ~ 2021-04-30 |
| Find all Licenses in zip 06030-0001 | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eric Anthony Brueckner | 263 Farmington Ave., Farmington, CT 06030 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Derrick B Bremang | Residency Program, Farmington, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-06-30 |
| David M Shafer | Uconn Health Center, Farmington, CT 06030 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Michael J Murphy | Dept of Dermatology, Farmington, CT 06030 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Richard F Kaplan | Univ. of Ct., Farmington, CT 06030 | Psychologist | 2020-06-01 ~ 2021-05-31 |
| Nicholas George Vitale | 22 Woods Drive, Norwich, CT 06030 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| Bruce E Gould | Univ of Conn Health Center, Farmington, CT 06030 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Vinayak M Sathe | Uconn Health Center,263 Farmington Ave, Farmington, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Shobhana Pathani | Department of Medicine, 263 Farmington Ave, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Patricia L Almeida | John Dempsey Hospital, Farmington, CT 06030 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Find all Licenses in zip 06030 | |||
| City | FARMINGTON |
| Zip Code | 06030 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + FARMINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Shireen A Pais Md | 52 Taconic Rd, Millwood, NY 10546-1124 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Shireen R Khoury | 360 State St Apt #807, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2013-06-27 ~ 2015-02-28 |
| Shireen Sarah Nouri | 932 Quinnipiac Ave Apt 3, New Haven, CT 06513-3348 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sarah Shireen Binti Rahman Gul | 20 York St, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2019-07-08 ~ 2021-02-28 |
| Nadia M Mirza | 40 Prospect Ave, Norwalk, CT 06850-3737 | Controlled Substance Registration for Practitioner | 2010-12-08 ~ 2013-02-28 |
| Tahira F Mirza Md | 221 Trumbull St Apt 2201, Hartford, CT 06103-1525 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Naila S Mirza | 7 Old Sherman Tpke Ste 212, Danbury, CT 06810-4174 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Amir Mirza Alikhani Md | 126 Sherman Hill Rd Apt# B-3, Woodbury, CT 06798 | Controlled Substance Registration for Practitioner | 1993-11-10 ~ 1995-06-01 |
| Atique A Mirza Md | Central Connecticut Cardiologists LLC, Hartford, CT 06105 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Wajahat Ali Mirza | 55 Brittany Farm R0ad, New Britain, CT 06053 | Controlled Substance Registration for Practitioner | 2000-04-05 ~ 2001-02-28 |
Please comment or provide details below to improve the information on SHIREEN MIRZA.
| 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).