FATIMA JALIL (Credential# 1187388) 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.
FATIMA JALIL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0056216. 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 185 Canal Street, Shelton, CT 06484. The current status is active.
| Licensee Name | FATIMA JALIL |
| Credential ID | 1187388 |
| Credential Number | CSP.0056216 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
185 Canal Street Shelton CT 06484 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2013-10-02 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-09 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1429149 | 1.056894 | Physician/Surgeon | 2017-08-17 | 2020-01-01 - 2020-12-31 | ACTIVE |
| 1488550 | 1.057945-RES | Resident Physician | 2017-07-01 | 2017-07-01 - 2020-06-30 | ACTIVE |
| Street Address | 185 Canal Street |
| City | Shelton |
| State | CT |
| Zip Code | 06484 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jennifer Nicole Williams | 185 Canal Street, Shelton, CT 06484 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Melissa A Mcaniff | 185 Canal Street, Shelton, CT 06484 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Janice Pavlides Hayes | 185 Canal Street, Shelton, CT 06484 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Kathleen D Jimmie | 185 Canal Street, Shelton, CT 06484 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Cara M Rinaldi | 185 Canal Street, Shelton, CT 06484 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Jayne W Johnson | 185 Canal Street, Shelton, CT 06484 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Jillian E Bungard | 185 Canal Street, Shelton, CT 06484 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Valencia Brock | 185 Canal Street, Shelton, CT 06484 | Licensed Practical Nurse | 2019-11-01 ~ 2020-10-31 |
| Rodney Pattabhi | 185 Canal Street, Shelton, CT 06484 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| James M Marino | 185 Canal Street, Shelton, CT 06484-8131 | Electrical Limited Journeyperson | 2017-10-13 ~ 2018-09-30 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Scott J Kudravy | 2a Garden Ter, Shelton, CT 06484 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Melissa E Filanowski | 265 Mohegan Rd, Shelton, CT 06484 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Danuta Adamson · Chmiel | 101 Dickinson Drive, Shelton, CT 06484 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Sandra E Mercier | 234 Deer Run, Huntington, CT 06484 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Ping Li | 17 Coram Rd 3c, Shelton, CT 06484 | Nail Technician | ~ |
| Victoria Mary Bucci | 53 Isinglass Rd, Shelton, CT 06484 | Master's Level Social Worker | ~ |
| Samuel L Smith | 122 Maple Avenue, Shelton, CT 06484 | Dietitian/nutritionist | 2020-08-01 ~ 2021-07-31 |
| Cindy Hubbell Vidal | 17 Sherwood Lane, Shelton, CT 06484 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Rosa Conners | 189 Coram Avenue, Shelton, CT 06484 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Erica Azzarito | 40 Clinton Drive, Shelton, CT 06484 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Find all Licenses in zip 06484 | |||
| City | Shelton |
| Zip Code | 06484 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Shelton |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tara J Miska | 20 Fatima Dr, Bethany, CT 06524-3214 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Fatima Zahir | 24 Hospital Ave, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2009-09-11 ~ 2011-02-28 |
| Fatima B Martinez | 26 Kowal Ct, Newington, CT 06111-5323 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Constancia Fatima Macatangay | Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2013-03-18 ~ 2015-02-28 |
| Fatima Mawji | 1 Broad St Unit 28f, Stamford, CT 06901-2339 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Aisha Fatima Siddiqi | 115 Colonial Rd, Stamford, CT 06906 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Fatima Anjum Md | 1689 Madison Ave Apt 7, Bridgeport, CT 06606-4565 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Fatima Ajaz | Uconn Health Ctr, Farmington, CT 06030-1235 | Controlled Substance Registration for Practitioner | 2012-02-24 ~ 2013-02-28 |
| Fatima A Aidashti | 1248 Farmington Ave Apt C8, West Hartford, CT 06107-2624 | Controlled Substance Registration for Practitioner | 2013-08-07 ~ 2015-02-28 |
| Fatima Noor Akmal | 2308 Broadleaf Blvd, Manchester, CT 06042-7326 | Controlled Substance Registration for Practitioner | ~ |
Please comment or provide details below to improve the information on FATIMA JALIL.
| 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).