BABAK HAKIMIZADEH (Credential# 1069609) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
BABAK HAKIMIZADEH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0052391. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 323 Main St, West Haven, CT 06516-4424. The current status is active.
| Licensee Name | BABAK HAKIMIZADEH |
| Credential ID | 1069609 |
| Credential Number | CSP.0052391 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
323 Main St West Haven CT 06516-4424 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2012-05-10 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-25 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1142717 | 22.008465 | Dental Anesthesia/Conscious Sedation Permit | 2012-12-20 | 2020-01-01 - 2020-12-31 | ACTIVE |
| 1051418 | 2.010701 | Dentist | 2012-02-15 | 2019-08-01 - 2020-07-31 | ACTIVE |
| 1081879 | 21 | Dental Conscious Sedation Permit | - | EXPIRED APPLICATION | |
| 1136128 | 22 | Dental Anesthesia/Conscious Sedation Permit | - | PENDING |
| Street Address | 323 MAIN ST |
| City | WEST HAVEN |
| State | CT |
| Zip Code | 06516-4424 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jeffrey S Berkley | 323 Main St, West Haven, CT 06516-4424 | Dentist | 2020-06-01 ~ 2021-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mallasetappa S Umapathy Md | 309 Main St, West Haven, CT 06516-4424 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Claire M Rieser | 309 Main St Apt 2l, West Haven, CT 06516-4424 | Emergency Medical Responder | 2016-09-06 ~ 2019-03-31 |
| Blue Ribbon Realty LLC | 311 Main St, West Haven, CT 06516-4424 | Real Estate Broker | 2010-04-01 ~ 2011-03-31 |
| Gateway Real Estate Academy LLC | 311 Main St, West Haven, CT 06516-4424 | Appraisal Continuing Education Provider | 2016-01-27 ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nancy Cabrera Salinas | 649 Third Ave., West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-07-31 |
| Lauralee L Gaglio | 27 Peppermill Drive, West Haven, CT 06516 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Evelyn Ruiz Conant | 309 Terrace Ave, Unit 42, West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Junqin Wang | 15 Central Ave West Haven, West Haven, CT 06516 | Nail Technician | ~ |
| Mehmet Sofuoglu Md | Va Conn Healthcare System, West Haven, CT 06516 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Monica M Skakacz | 19 Cowpen Rd, West Haven, CT 06516 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Lourdes Maribel Guzman | 26 York Street, West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Mcdonald's · Tay Mac Dba | 1129 Campbell Ave, West Haven, CT 06516 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Dyaija Soriano | 29 Ridge Court East, West Haven, CT 06516 | Esthetician | 2020-06-26 ~ 2022-05-31 |
| Katherine M Grable | 13 Perry Merrill Drive, West Haven, CT 06516 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06516 | |||
| City | WEST HAVEN |
| Zip Code | 06516 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WEST HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Babak Sarani Md | Po Box 208062, New Haven, CT 06520-8062 | Controlled Substance Registration for Practitioner | 2005-03-28 ~ 2006-02-28 |
| Babak Mardani | 271 Putnam Rd, Pomfret Center, CT 06259-1223 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Babak Saadatmand Md | 1767 Hermitage Blvd, Tallahassee, FL 32308 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Babak Edraki Md | Dept Ob/gyn, Yale Univ School, New Haven, CT 06520-8063 | Controlled Substance Registration for Practitioner | 1996-03-01 ~ 1997-02-28 |
| Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
| Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
| Erin K Fee | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Arundati Rao | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Qi Che Md | Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Hae J Kim Pa | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-31 ~ 2009-02-28 |
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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).