HAMED GHORBANI-MOGHADDAM (Credential# 1176576) 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.
HAMED GHORBANI-MOGHADDAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0055726. 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 Mgm Family Dental, Bridgeport, CT 06610. The current status is active.
| Licensee Name | HAMED GHORBANI-MOGHADDAM |
| Credential ID | 1176576 |
| Credential Number | CSP.0055726 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
Mgm Family Dental Bridgeport CT 06610 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2013-07-29 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-13 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1201242 | 2.011154 | Dentist | 2014-04-16 | 2020-01-01 - 2020-12-31 | ACTIVE |
| Street Address | MGM Family Dental |
| City | Bridgeport |
| State | CT |
| Zip Code | 06610 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nilca Janice Cardenales | 66 Rose St, Bridgeport, CT 06610 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Kiara Lizbeth Corporan | 10 Sturtevant Pl, Bridgeport, CT 06610 | Eyelash Technician | ~ |
| Alisha Garcia | 65 Berkeley Place, Bridgeport, CT 06610 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
| Pauline Parkes | 96 Virginia Avenue, Bridgeport, CT 06610 | Licensed Clinical Social Worker | ~ |
| Denise Reyes | 1125 Huntington Turnpike, Bridgeport, CT 06610 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Avery M Rilley | 80 Granfield Avenue, Bridgeport, CT 06610 | Pharmacy Technician | 2020-06-25 ~ 2021-03-31 |
| Bozena K. Malyszko | Bridgeport Hospital, Bridgeport, CT 06610 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Amy Espinosa | 146 Court D, Bridgeport, CT 06610 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Wilhelmina Jackson · Thomas | 172 Court D, Bridgeport, CT 06610 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Emma Agyeiwaa Vaczek | P.o Box 5223, Bridgeport, CT 06610 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06610 | |||
| City | Bridgeport |
| Zip Code | 06610 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Bridgeport |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Anahita Ghorbani | 11 Peabody Ter Apt 1901, Cambridge, MA 02138-6317 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Hamed Kordbacheh | 130 Division St, Derby, CT 06418 | Controlled Substance Registration for Practitioner | 2019-05-06 ~ 2021-02-28 |
| Elnaz Jalali-moghaddam | 263 Farmington Ave, Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2012-08-09 ~ 2013-02-28 |
| Kamal A Hamed | 16 Pony Lane, Flemington, NJ 08822 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Hatem Fikry Ahmed Hamed | Acuerdo Con Dios, Mariposa, CA 95338 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Hamed Emami | Yale New Haven Hospital, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Dale Hamed · Dale Hamed Contracting | 27 Milltown Rd, Danbury, CT 06812 | Home Improvement Contractor | 1997-12-01 ~ 1998-11-30 |
| 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 |
| Alen Moghaddam | 233 Broadway Rm 2150, New York, NY 10279-2206 | Architect | 2017-08-01 ~ 2018-07-31 |
Please comment or provide details below to improve the information on HAMED GHORBANI-MOGHADDAM.
| 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).