IZAZ M KHAN (Credential# 1305685) 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.
IZAZ M KHAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0061315. 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 494 Worthington Rdg, Berlin, CT 06037-2341. The current status is active.
| Licensee Name | IZAZ M KHAN |
| Credential ID | 1305685 |
| Credential Number | CSP.0061315 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
494 Worthington Rdg Berlin CT 06037-2341 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-08-18 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1302247 | 2.011480 | Dentist | 2015-08-13 | 2019-09-01 - 2020-08-31 | ACTIVE |
| 440395 | PTN.0008406 | PHARMACY TECHNICIAN | 2006-06-07 | 2009-04-01 - 2010-03-31 | INACTIVE |
| Street Address | 494 WORTHINGTON RDG |
| City | BERLIN |
| State | CT |
| Zip Code | 06037-2341 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Maximilian A Leiss | 470 Worthington Rdg, Berlin, CT 06037-2341 | Tv & Radio Limited Dish Antenna Technician | 2013-12-06 ~ 2014-08-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jolanta Wilinski-pelech | 163 Hillside Rd, Berlin, CT 06037 | Esthetician | ~ |
| Susann A Pavano | 67 Hickory Hill Rd, Kensington, CT 06037 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Marco A Giannone | 101 Grapevine Lane, Berlin, CT 06037 | Real Estate Salesperson | 2020-06-18 ~ 2021-05-31 |
| Linda A Giove | 48 Winding Meadow D, Kensington, CT 06037 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Kevin P Gallagher | 206 Fairview Dr, Berlin, CT 06037 | Embalmer | 2020-07-01 ~ 2021-06-30 |
| Stephanie M Sadlowski | 28 Cynthia Drive, Kensington, CT 06037 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Violet Pastorkova-jaouen | 959 Four Rod Road, Berlin, CT 06037 | Dietitian/nutritionist | 2020-07-01 ~ 2021-06-30 |
| Constantine S Buonanno Dmd | 1105 Farmington Ave, Kensington, CT 06037 | Dentist | 2020-04-01 ~ 2021-03-31 |
| Lisa Divalentino | 23 Garden Drive, Kensington, CT 06037 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| William Dornfried | 240 Kensington Road, Berlin, CT 06037 | Water Treatment Plant Operator - Class I | 2020-04-01 ~ 2023-03-31 |
| Find all Licenses in zip 06037 | |||
| City | BERLIN |
| Zip Code | 06037 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BERLIN |
| 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 |
| Imad Khan | 56 Franklin St, Waterbury, CT 06706-1253 | Controlled Substance Registration for Practitioner | 2011-04-18 ~ 2013-02-28 |
| 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).