FARBOD RAISZADEH (Credential# 1197458) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is December 7, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.
FARBOD RAISZADEH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0056466. The credential type is controlled substance registration for practitioner. The effective date is December 7, 2013. The expiration date is February 28, 2015. The business address is 1795 Riverside Dr Apt 2a, New York, NY 10034-5366. The current status is inactive.
| Licensee Name | FARBOD RAISZADEH |
| Credential ID | 1197458 |
| Credential Number | CSP.0056466 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
1795 Riverside Dr Apt 2a New York NY 10034-5366 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2013-12-07 |
| Effective Date | 2013-12-07 |
| Expiration Date | 2015-02-28 |
| Refresh Date | 2017-05-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1188706 | 1.052519 | Physician/Surgeon | 2013-10-17 | 2013-10-17 - 2014-06-30 | INACTIVE |
| Street Address | 1795 RIVERSIDE DR APT 2A |
| City | NEW YORK |
| State | NY |
| Zip Code | 10034-5366 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eric Davenport | 256 Seaman Ave, New York, NY 10034 | Architect | 2020-08-01 ~ 2021-07-31 |
| Peter D Angevine Md | 5141 Broadway, New York, NY 10034 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Jose A Ramirez | 204 Sherman Ave, New York, NY 10034 | Tax Preparer/facilitator Permit | 2020-02-14 ~ 2022-02-28 |
| Samuel Sanchez | 5030 Broadway No. 640, New York, NY 10034 | Tax Preparer/facilitator Permit | 2020-02-15 ~ 2022-02-28 |
| Meghn A Tansey | Apt 2a, New York, NY 10034 | Licensed Alcohol and Drug Counselor | 2020-01-01 ~ 2020-12-31 |
| Kearns Julien | 520 W218th St, New York, NY 10034 | Physical Therapist | 2020-01-01 ~ 2020-12-31 |
| Andrea Jansz | 91 Park Terrace West, New York, NY 10034 | Notary Public Appointment | 2016-04-08 ~ 2021-04-30 |
| Chris Fuller | 72 Park Terrace West Apt E5x, New York, NY 10034 | Notary Public Appointment | 2015-09-16 ~ 2020-09-30 |
| Jeffrey S Dugan | 50 Park Ter West #3-e, New York, NY 10034 | Architect | 2019-08-01 ~ 2020-07-31 |
| Luisa M Martinez | 25 Vermilyea Avenue, New York, NY 10034 | Real Estate Salesperson | ~ |
| Find all Licenses in zip 10034 | |||
| City | NEW YORK |
| Zip Code | 10034 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW YORK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| 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 |
| Farbod Khaleghi | 380 Mather St Apt 2306, Hamden, CT 06514-3156 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Min Jin Kim | 639 4th Ave Apt 5c, Brooklyn, NY 11232-1048 | Controlled Substance Registration for Practitioner | 2012-05-10 ~ 2013-02-28 |
| 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 |
| Huu Duc D Luu | 630 Mix Ave Apt 6p, Hamden, CT 06514-2320 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| 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 |
| Kim M Zeh Md | 36 Ocean Dr E, Stamford, CT 06902-8131 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on FARBOD RAISZADEH.
| 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).