BASSAM CHOUDHRY (Credential# 1254420) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 12, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.
BASSAM CHOUDHRY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0059004. The credential type is controlled substance registration for practitioner. The effective date is March 12, 2015. The expiration date is February 28, 2017. The business address is 130 Division Street, Derby, CT 06418. The current status is inactive.
| Licensee Name | BASSAM CHOUDHRY |
| Credential ID | 1254420 |
| Credential Number | CSP.0059004 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
130 Division Street Derby CT 06418 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2015-03-12 |
| Effective Date | 2015-03-12 |
| Expiration Date | 2017-02-28 |
| Refresh Date | 2018-01-29 |
| Street Address | 130 Division Street |
| City | Derby |
| State | CT |
| Zip Code | 06418 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sara E Altieri | 130 Division Street, Derby, CT 06418 | Advanced Practice Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| James E Schmidt | 130 Division Street, Derby, CT 06418 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Jahnavi Kalidindi | 130 Division Street, Derby, CT 06418 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Brian M Ullman | 130 Division Street, Derby, CT 06418 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sotonte Ebenibo | 130 Division Street, Derby, CT 06418 | Physician/surgeon | 2018-05-01 ~ 2019-04-30 |
| Griffin Hospital Development Fund Inc. | 130 Division Street, Derby, CT 06418 | Public Charity-exempt From Financial Requirements | ~ |
| Pain Research and Education Foundation Inc | 130 Division Street, Derby, CT 06418 | Public Charity | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Debra A Montini | 8 Academy Hill Ext, Derby, CT 06418 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Laura M Boanno | 131 Marshall La, Derby, CT 06418 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Danyun Chen | 49 Pershing Dr., Derby, CT 06418 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Fan Geng | Shoprite Shopping Center, Derby, CT 06418 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Danni Xu | Shoprite Shopping Center49 Pershing Dr, Derby, CT 06418 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Yao Zhang | Shoprite Shopping Center 49 Pershing Dr, Derby, CT 06418 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Phillip N Burke | 3 Camptown St, Derby, CT 06418 | Emergency Medical Technician | 2017-06-07 ~ 2020-06-30 |
| Diane A Rosner | 229 Shagbark Drive, Derby, CT 06418 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
| Pamela C Lavelle | 194 Minerva St, Derby, CT 06418 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Grade A Market - Derby LLC | 49 Pershing Dr, Derby, CT 06418 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06418 | |||
| City | Derby |
| Zip Code | 06418 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Derby |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Farah Choudhry Md | 1625 Straits Tpke, Middlebury, CT 06762 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Bassam Awwa Md | 41 Faire Harbor Place, New London, CT 06320 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Bassam S Alalola | 1250 Farmington Ave Apt B16, West Hartford, CT 06107-2632 | Controlled Substance Registration for Practitioner | 2015-07-27 ~ 2017-02-28 |
| Choudhry Petroleum Inc | 934 Broad St, Meriden, CT 06450-3471 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Maria I Choudhry | 26 Blueberry Ln, Monroe, CT 06468-2119 | Respiratory Care Practitioner | 2019-08-01 ~ 2020-07-31 |
| 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 |
| Qi Che Md | Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Erin K Fee | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Min Jin Kim | 639 4th Ave Apt 5c, Brooklyn, NY 11232-1048 | Controlled Substance Registration for Practitioner | 2012-05-10 ~ 2013-02-28 |
Please comment or provide details below to improve the information on BASSAM CHOUDHRY.
| 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).