JEHANZEB KHAN (Credential# 1247791) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
JEHANZEB KHAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.053689. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 217 Evergreen Garden Dr, Elizabethtown, KY 42701-5911. The current status is active.
| Licensee Name | JEHANZEB KHAN |
| Credential ID | 1247791 |
| Credential Number | 1.053689 |
| Credential Type | Physician/Surgeon |
| Business Address |
217 Evergreen Garden Dr Elizabethtown KY 42701-5911 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2014-11-24 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-01-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 380367 | CSP.0035938 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-09-23 | 2006-03-01 - 2007-02-28 | INACTIVE |
| Street Address | 217 EVERGREEN GARDEN DR |
| City | ELIZABETHTOWN |
| State | KY |
| Zip Code | 42701-5911 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Connie Morrison | 1936 Lakewood Drive, Elizabethtown, KY 42701 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Donya Thorne Gardner Claycamp | 27 Farmers Road, Elizabethtown, KY 42701 | Registered Nurse | 2018-08-01 ~ 2019-07-31 |
| Barbara J Carroll | 212 Thoroughbred Lane, Elizabethtown, KY 42701 | Registered Nurse | 2014-02-01 ~ 2015-01-31 |
| Thomas J Gotreaux | 202 South Mantle Ave, Elizabethtown, KY 42701 | Registered Nurse | 2012-03-02 ~ 2013-02-28 |
| Saadia Qureshi Md | 217 Evergreen Garden Drive, Elizabeth Town, KY 42701 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Michael James Woodrum II | C/o David G Day, Elizabethtown, KY 42701 | Engineer-in-training | 2000-01-11 ~ 2010-01-11 |
| Raymundo C Racela | 2526 Shadow Creek Lane, Elizabethtown, KY 42701 | Physician/surgeon | 2010-02-01 ~ 2011-01-31 |
| Paul Kensicki Md | 1105 Juliana Court Ste #3, Elizabethtown, KY 42701 | Physician/surgeon | 2004-10-18 ~ 2005-11-30 |
| George R Nickell | 159 Secretariat Road, Elizabethtown, KY 42701 | Registered Nurse | 2004-02-23 ~ 2004-11-30 |
| Roy M Blackburn | 803 N. Dixie Ave, Ste 234, Elizabethtown, KY 42701 | Physician/surgeon | 2002-08-27 ~ 2003-08-31 |
| Find all Licenses in zip 42701 | |||
| City | ELIZABETHTOWN |
| Zip Code | 42701 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + ELIZABETHTOWN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Talal Khan | 785 Mix Ave Apt C, Hamden, CT 06514-2126 | Physician/surgeon | 2010-04-01 ~ 2011-03-31 |
| Siddiq A Khan | 212 138th Ave Nw, Andover, MN 55304-6761 | Physician/surgeon | ~ |
| Mohammad Ali N Khan | 8020 S. 32 Way, Phoenix, AZ 85042 | Physician/surgeon | 2011-04-01 ~ 2012-03-31 |
| Shaukat A Khan Md | 15 Rainbow Rd, Bethany, CT 06524 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Aziz Khan | 47 Avonwood Rd, Avon, CT 06001 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Anwar M Khan Md | 241 Braeside Dr, Hamden, CT 06514 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Muhammad Khan | 131 Bridge St, Naugatuck, CT 06770-2929 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Amjad A Khan | 122 W 43rd St, Bayonne, NJ 07002-2005 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Naureen Khan Md | 35 Willard St Apt 4b, New Haven, CT 06515-2163 | Physician/surgeon | 2008-09-22 ~ 2009-10-31 |
| Abdul T Khan Md | 183 Stonebridge Rd Apt #a, Woodstock, CT 06281 | Physician/surgeon | 2002-02-28 ~ 2003-02-28 |
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| 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).