ALI MAZIAD (Credential# 1202559) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 10, 2014. The license expiration date date is March 31, 2015. The license status is INACTIVE.
ALI MAZIAD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.053597. The credential type is physician/surgeon. The effective date is October 10, 2014. The expiration date is March 31, 2015. The business address is 2 Park Pl Apt 11g, Hartford, CT 06106-5012. The current status is inactive.
Licensee Name | ALI MAZIAD |
Credential ID | 1202559 |
Credential Number | 1.053597 |
Credential Type | Physician/Surgeon |
Business Address |
2 Park Pl Apt 11g Hartford CT 06106-5012 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2014-10-10 |
Effective Date | 2014-10-10 |
Expiration Date | 2015-03-31 |
Refresh Date | 2015-07-04 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1179245 | CSP.0055895 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-08-15 | 2013-08-15 - 2015-02-28 | INACTIVE |
Street Address | 2 PARK PL APT 11G |
City | HARTFORD |
State | CT |
Zip Code | 06106-5012 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Gabriel Rosado | 2 Park Pl Apt 10h, Hartford, CT 06106-5012 | Lottery Or Otb Service Provider Employee | 2020-01-27 ~ 2020-12-31 |
Sonal P Sansare | 2 Park Pl Apt 11h, Hartford, CT 06106-5012 | Physical Therapist | 2020-02-01 ~ 2021-01-31 |
Ali A Azeem | 2 Park Pl Apt 11b, Hartford, CT 06106-5012 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Magdala K Chery | 2 Park Pl Apt 11k, Hartford, CT 06106-5012 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Anisha Mandava Md | 2 Park Pl Apt 11d, Hartford, CT 06106-5012 | Controlled Substance Registration for Practitioner | 2009-06-30 ~ 2011-02-28 |
Summaya Latif | 2 Park Pl Apt 11b, Hartford, CT 06106-5012 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
How Yee Heidi Hon | 2 Park Pl Apt 11h, Hartford, CT 06106-5012 | Controlled Substance Registration for Practitioner | 2013-03-06 ~ 2015-02-28 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Connpirg Education Fund Inc | 2074 Park St #210, Hartford, CT 06106 | Public Charity | 2019-06-01 ~ 2020-05-31 |
Environment Connecticut Research & Policy Center Inc | 2074 Park St, #210, Hartford, CT 06106 | Public Charity | 2019-06-01 ~ 2020-05-31 |
Douglas Laing Rock Oyster | Statewide, Hartford, CT 06106 | Liquor Brand Label | 2016-08-03 ~ 2019-08-02 |
Randall S Luther | 146 Wyllys St 1-203, Hartford, CT 06106 | Architect | 2020-08-01 ~ 2021-07-31 |
Guillermina Gonzalez | 97 Amity St., Hartford, CT 06106 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
Keyonni Jones | 54 Grafton St, Hartford, CT 06106 | Medication Administration Certification | ~ |
Amber Nicole Perretta | 125 Zion St 2n, Hartford, CT 06106 | Hairdresser/cosmetician | ~ |
Jose B. Jiminian · Danny's Market Grocery Store | 33 Park Street, Hartford, CT 06106 | Grocery Beer | 2020-08-01 ~ 2021-07-31 |
Alice G Nieto | 29 Kelsey Street, Hartford, CT 06106 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
Malinda M Rodriguez | 27 Amity Street #3, Hartford, CT 06106 | Notary Public Appointment | ~ |
Find all Licenses in zip 06106 |
City | HARTFORD |
Zip Code | 06106 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + HARTFORD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Nazanin Barzideh Md | North Shore Retina Physician, Pllc, East Hills, NY 11576 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
Sajot S Grewal Md | Danbury Office of Physician Services PC, Danbury, CT 06810 | Physician/surgeon | 2004-01-30 ~ 2005-03-31 |
Barbara M Galko Md | Danbury Office of Physician Services PC, Danbury, CT 06810 | Physician/surgeon | 2010-06-01 ~ 2011-05-31 |
Please comment or provide details below to improve the information on ALI MAZIAD.
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).