FARQAN U KHAN (Credential# 1305218) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.
FARQAN U KHAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0061302. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 675 Main St, Middletown, CT 06457-2732. The current status is lapsed.
Licensee Name | FARQAN U KHAN |
Credential ID | 1305218 |
Credential Number | CSP.0061302 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
675 Main St Middletown CT 06457-2732 |
Business Type | INDIVIDUAL |
Status | LAPSED |
Active | 1 |
Issue Date | 2015-08-15 |
Effective Date | 2017-03-01 |
Expiration Date | 2019-02-28 |
Refresh Date | 2019-03-06 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1302865 | 12.006237 | Advanced Practice Registered Nurse | 2015-08-11 | 2018-01-01 - 2018-12-31 | INACTIVE |
1293553 | 10.128343 | Registered Nurse | 2015-07-29 | 2018-01-01 - 2018-12-31 | INACTIVE |
1293594 | 10.126918-TEMP | Registered Nurse - Temporary | 2015-06-10 | 2015-06-10 - 2015-10-07 | INACTIVE |
Street Address | 675 MAIN ST |
City | MIDDLETOWN |
State | CT |
Zip Code | 06457-2732 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Community Health Center of Middletown | 675 Main St, Middletown, CT 06457-2732 | Psychiatric Outpatient Clinic | 2020-04-01 ~ 2023-03-31 |
Kathryn A Patterson | 675 Main St, Middletown, CT 06457-2732 | Psychologist | 2020-07-01 ~ 2021-06-30 |
Lindsay Mariel Tsopelas | 675 Main St, Middletown, CT 06457-2732 | Advanced Practice Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Mary Beatrice O'hara | 675 Main St, Middletown, CT 06457 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
Charles Melvin Aprn | 675 Main St, Middletown, CT 06457-2718 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Carl A Lecce Md | 675 Main St, Middletown, CT 06457-2732 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Lisa Adrina Byron | 675 Main St, Middletown, CT 06457-2732 | Licensed Clinical Social Worker | 2018-04-01 ~ 2019-03-31 |
Ali Khayyer | 675 Main St, Middletown, CT 06457 | Dentist | 2018-04-01 ~ 2019-03-31 |
Maryanne Harmon | 675 Main St, Middletown, CT 06457 | Registered Nurse | 2016-06-01 ~ 2017-05-31 |
Heather M. Crockett-miller | 675 Main St, Middletown, CT 06457-2732 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Find all Licenses in the same address |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Rocco J Lamonica · Eli Cannons Tap Room | 695 Main St, Middletown, CT 06457-2732 | Restaurant Liquor | 2019-07-17 ~ 2020-11-16 |
Phillip J Ouellette · Eli Cannons Tap Room | 695 Main St, Middletown, CT 06457-2732 | Restaurant Liquor | 2017-07-24 ~ 2018-07-23 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Elizabeth M Mailhot | 177 Timber Ridge Rd, Middletown, CT 06457 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
Rebecca S Fennessy | 22 Keefe Ln, Middletown, CT 06457 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
Eloise M Gagnon | 538 Bow Lane, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
Salvatore Dimauro | 245 Dekoven Dr, Middletown, CT 06457 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
Frank L Wright | 261 Spencer Dr, Middletown, CT 06457 | Barber | 2020-08-01 ~ 2022-07-31 |
Gino A Cardella | 50 Sonoma Lane, Middletown, CT 06457 | Real Estate Salesperson | ~ |
Shannon Lee Mcquillan | 5 Forest Glen Circle, Middletown, CT 06457 | Registered Nurse | 2020-06-26 ~ 2020-09-30 |
Lori Dimauro · Carta | 244 Chamberlain Hill Road, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
Gail A Corrow | 85 Dora Dr, Middletown, CT 06457 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Mariter V Perez | 8 Moss Glen, Middletown, CT 06457 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06457 |
City | MIDDLETOWN |
Zip Code | 06457 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MIDDLETOWN |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Gul Khan | 41 Brittany Ave, Trumbull, CT 06611-1104 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Mukhtar I Khan Md | Po Box 122, Chelsea, NY 12512 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Izaz M Khan | 494 Worthington Rdg, Berlin, CT 06037-2341 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Panyavee V Khan Md | 60 Rochford Ave, Hamden, CT 06514 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
Sameer Khan | 3 Lake Pl Fl 2, New Haven, CT 06511-3615 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Muzammil U Khan | 47 Winding Ln, Islandia, NY 11749-6146 | Controlled Substance Registration for Practitioner | 2014-07-31 ~ 2015-02-28 |
Adil H Khan | 168 York St Apt 2f, New Haven, CT 06511-4815 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Ayesha Khan | 67 Sand Pit Rd Ste 308, Danbury, CT 06810-4032 | Controlled Substance Registration for Practitioner | 2020-02-20 ~ 2021-02-28 |
Abdus S Khan | 15 Fielding Ave, Dix Hills, NY 11746-7139 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Zeeshan A Khan | 6 Birchwood Ct Apt 2m, Mineola, NY 11501-4519 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
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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).