SHANAAZ S MOHAMMED (Credential# 1149100) 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.
SHANAAZ S MOHAMMED is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0054206. 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 Po Box 25272, Fort Lauderdale, FL 33320-5272. The current status is active.
| Licensee Name | SHANAAZ S MOHAMMED |
| Credential ID | 1149100 |
| Credential Number | CSP.0054206 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
Po Box 25272 Fort Lauderdale FL 33320-5272 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2013-04-16 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-20 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1148254 | 1.051780 | Physician/Surgeon | 2013-04-12 | 2019-09-01 - 2020-08-31 | ACTIVE |
| 1006811 | CSP.0050755 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2011-07-25 | 2011-07-25 - 2013-02-28 | INACTIVE |
| Street Address | PO BOX 25272 |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33320-5272 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Christopher Scott Freeman | 1825 Ne 45th St Ste A, Fort Lauderdale, FL 33308-5157 | Dentist | 2020-06-01 ~ 2021-05-31 |
| Virginia E Berluti | 1240 Sw 13th Circle, Fort Lauderdale, FL 33315 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
| James Boulding-bridges | 1637 Ne 17th Street, Fort Lauderdale, FL 33305 | Professional Counselor | 2020-09-01 ~ 2021-08-31 |
| Amy L Kelleher | 3333 Port Royale Dr. S. Apt. 401, Fort Lauderdale, FL 33308 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Kim Marie Grant | 1808 Sw 5th St, Fort Lauderdale, FL 33312 | Registered Nurse | ~ |
| Peggy A Bates | 511 Se 5th Ave, Fort Lauderdale, FL 33301 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Dusan Dujovic | 600 N Birch Rd Unit 606, Fort Lauderdale, FL 33304 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Noble Harris | 1177 Nw 30th Ave, Fort Lauderdale, FL 33311-5628 | Registered Nurse | 2020-06-01 ~ 2021-06-30 |
| Ryan A Black | 2385 Riverlane Terrace, Fort Lauderdale, FL 33312 | Psychologist | 2020-06-01 ~ 2021-05-31 |
| Virginia Da Silva | 511 Se 5th Ave Apt 1702, Fort Lauderdale, FL 33301-2975 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Find all Licenses in FORT LAUDERDALE | |||
| City | FORT LAUDERDALE |
| Zip Code | 33320 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + FORT LAUDERDALE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mohammed Y Abubaker Md | 61-c Joy Rd, Milford, CT 06460 | Controlled Substance Registration for Practitioner | 1998-03-01 ~ 1999-02-28 |
| Mohammed Khan | 24 Hospital Ave, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2009-09-02 ~ 2011-02-28 |
| Mohammed N Ibrahim | 24 Hospital Ave, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Samirah A Mohammed | 400 Blake St, New Haven, CT 06515 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Mohammed S Ghani Md | 800 Allen Ave, Cheshire, CT 06410 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mohammed A Dada Md | 131 Milford St Ext, Plainville, CT 06062 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Shamna Mohammed | 34 Maple St, Norwalk, CT 06850-3815 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mohammed S Anwar | 27 Naek Rd Ste 2, Vernon, CT 06066-3942 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mohammed Zaher | 789 Howard Ave, New Haven, CT 06519-1304 | Controlled Substance Registration for Practitioner | 2019-05-07 ~ 2021-02-28 |
| Shoeb Mohammed | 166 Old Brookfield Rd, Danbury, CT 06811-4048 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Please comment or provide details below to improve the information on SHANAAZ S MOHAMMED.
| 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).