AZADEH NAMAKYDOUST
Controlled Substance Registration for Practitioner


Address: 21 Temple St Apt 801, Hartford, CT 06103-1325

AZADEH NAMAKYDOUST (Credential# 1175765) 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.

Business Overview

AZADEH NAMAKYDOUST is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0055610. 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 21 Temple St Apt 801, Hartford, CT 06103-1325. The current status is inactive.

Basic Information

Licensee Name AZADEH NAMAKYDOUST
Credential ID 1175765
Credential Number CSP.0055610
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 21 Temple St Apt 801
Hartford
CT 06103-1325
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2013-07-25
Effective Date 2015-03-01
Expiration Date 2017-02-28
Refresh Date 2018-01-29

Office Location

Street Address 21 TEMPLE ST APT 801
City HARTFORD
State CT
Zip Code 06103-1325

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Michelle Rose Fowler 21 Temple St Apt 808, Hartford, CT 06103-1325 Registered Nurse 2020-03-17 ~ 2020-11-30
Olivia C Grover 21 Temple St Apt 711, Hartford, CT 06103-1325 Pharmacy Intern 2014-09-02 ~ 2017-09-30

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Competitor

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City HARTFORD
Zip Code 06103
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + HARTFORD

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Dataset Information

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).

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