DEINA SM NEMIARY (Credential# 1303175) 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.
DEINA SM NEMIARY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0061211. 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 605 W Fullerton Ave, Chicago, IL 60614. The current status is active.
| Licensee Name | DEINA SM NEMIARY |
| Credential ID | 1303175 |
| Credential Number | CSP.0061211 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
605 W Fullerton Ave Chicago IL 60614 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-08-04 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-03-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1294570 | 1.054409 | Physician/Surgeon | 2015-07-22 | 2020-01-01 - 2020-12-31 | ACTIVE |
| Street Address | 605 W Fullerton Ave |
| City | Chicago |
| State | IL |
| Zip Code | 60614 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mary Clare Foote | 1632 West Diversey Pkwy, Chicago, IL 60614 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Meds LLC | 2017 N Mendell St Unit 100, Chicago, IL 60614 | Nonresident Pharmacy | 2020-03-17 ~ 2020-08-31 |
| Phillip S Austin | 2305 N Commonwealth Ave, Chicago, IL 60614 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
| Amy Park | 2714 N Lehmann Ct, Chicago, IL 60614 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
| Melissa Rose Thibault | 2424 N Clark St, Chicago, IL 60614 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
| Melinda Leigh Harmon | 1730 North Clark Street, Chicago, IL 60614 | Certified Public Accountant Certificate | 2020-01-01 ~ 2020-12-31 |
| Peter Alan Smith | 453 Webster, Chicago, IL 60614 | Physician/surgeon | 1989-06-02 ~ 1990-06-30 |
| Charlotte Shum | 2726 N. Mildred Ave, Chicago, IL 60614 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
| Craig R Kouri | 2310 N. Southport Ave, Chicago, IL 60614 | Architect | 2019-08-01 ~ 2020-07-31 |
| Monica Ann Rusboldt | 1960 N Lincoln Park West, Chicago, IL 60614 | Occupational Therapist | 2019-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 60614 | |||
| City | Chicago |
| Zip Code | 60614 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Chicago |
| 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 |
| 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 |
| Arundati Rao | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| 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 |
| Huu Duc D Luu | 630 Mix Ave Apt 6p, Hamden, CT 06514-2320 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Deina Ailise Pesino | 53 Lacey Road, Bethany, CT 06524 | Master's Level Social Worker | 2019-10-01 ~ 2020-09-30 |
| Yat Tse Md | 174 Hillspoint Rd, Westport, CT 06880 | Controlled Substance Registration for Practitioner | 1994-11-02 ~ 1996-11-01 |
Please comment or provide details below to improve the information on DEINA SM NEMIARY.
| 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).