MOHAMAD H NADIMI
Controlled Substance Registration for Practitioner


Address: 11 Crystal Brook Road, Wolcott, CT 06716

MOHAMAD H NADIMI (Credential# 1398167) 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.

Business Overview

MOHAMAD H NADIMI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0064585. 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 11 Crystal Brook Road, Wolcott, CT 06716. The current status is active.

Basic Information

Licensee Name MOHAMAD H NADIMI
Credential ID 1398167
Credential Number CSP.0064585
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 11 Crystal Brook Road
Wolcott
CT 06716
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2017-01-13
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-01-28

Other licenses

ID Credential Code Credential Type Issue Term Status
1237446 2.011295 Dentist 2014-09-25 2020-02-01 - 2021-01-31 ACTIVE
1248454 CSP.0058812 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2014-10-03 2015-03-01 - 2017-02-28 INACTIVE

Office Location

Street Address 11 CRYSTAL BROOK ROAD
City WOLCOTT
State CT
Zip Code 06716

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Amanda L Thompson 1529 Woodtick Road, Wolcott, CT 06716 Real Estate Salesperson 2020-06-25 ~ 2021-05-31
Brian Menzies 11 Longmeadow Drive Extension, Wolcott, CT 06716 Notary Public Appointment 2020-07-01 ~ 2025-06-30
Alayna Jean Freer 5 Evas Terrace, Wolcott, CT 06716 Licensed Practical Nurse 2020-07-01 ~ 2021-06-30
Ronald S Jurzyk 464 Wolcott Road, Wolcott, CT 06716 Physician/surgeon 2020-08-01 ~ 2021-07-31
Subway #11588 654 Wolcott Road, Wolcott, CT 06716 Bakery 2020-07-01 ~ 2021-06-30
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Competitor

Search similar business entities

City WOLCOTT
Zip Code 06716
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WOLCOTT

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Dataset Information

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).

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