AZRA KHAN SALAHUDDIN (Credential# 1425607) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2018. The license expiration date date is June 30, 2019. The license status is INACTIVE.
AZRA KHAN SALAHUDDIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.056578. The credential type is physician/surgeon. The effective date is July 1, 2018. The expiration date is June 30, 2019. The business address is 41 Brewster Rd., Bristol, CT 06010. The current status is inactive.
| Licensee Name | AZRA KHAN SALAHUDDIN |
| Credential ID | 1425607 |
| Credential Number | 1.056578 |
| Credential Type | Physician/Surgeon |
| Business Address |
41 Brewster Rd. Bristol CT 06010 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2017-06-20 |
| Effective Date | 2018-07-01 |
| Expiration Date | 2019-06-30 |
| Refresh Date | 2019-10-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1425831 | CSP.0065561 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-06-21 | 2017-06-21 - 2019-02-28 | LAPSED |
| Street Address | 41 Brewster Rd. |
| City | Bristol |
| State | CT |
| Zip Code | 06010 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Deborah M Dube · Adamaitis | 33 Peck Lane, Bristol, CT 06010 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Barbara M Williams | 45 Harrison Street, Bristol, CT 06010 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Le Bao Linh Nguyen | 229 Silo Rd, Bristol, CT 06010 | Nail Technician | ~ |
| Tara M Chipman | 38 Grove St, Bristol, CT 06010 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Jaclyn J Brandolini | 424 Emmett St, Bristol, CT 06010 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Hoa Le | 63 Seminary St, Bristol, CT 06010 | Nail Technician | ~ |
| Barbara E Trench | 25 Peacedale St, Bristol, CT 06010 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Tisha A Balfour | 379 West Street, Bristol, CT 06010 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Meredith Rose Martineau | 15 Bishop Street, Bristol, CT 06010 | Master's Level Social Worker - Temporary Permit | 2020-06-26 ~ 2020-09-06 |
| Jaime L Krueger | 130 Garfield Road, Bristol, CT 06010 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
| Find all Licenses in zip 06010 | |||
| City | Bristol |
| Zip Code | 06010 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Bristol |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nasreen K Salahuddin | Po. Box 5566, Dubai, 5566 | Physician/surgeon | 2010-02-01 ~ 2011-01-31 |
| Siddiq A Khan | 212 138th Ave Nw, Andover, MN 55304-6761 | Physician/surgeon | ~ |
| Talal Khan | 785 Mix Ave Apt C, Hamden, CT 06514-2126 | Physician/surgeon | 2010-04-01 ~ 2011-03-31 |
| Amjad A Khan | 122 W 43rd St, Bayonne, NJ 07002-2005 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Anwar M Khan Md | 241 Braeside Dr, Hamden, CT 06514 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Aliya Aziz Khan | 35 Harrington Ave, Shrewsbury, MA 01545 | Physician/surgeon | ~ |
| Aziz Khan | 47 Avonwood Rd, Avon, CT 06001 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Naureen Khan Md | 35 Willard St Apt 4b, New Haven, CT 06515-2163 | Physician/surgeon | 2008-09-22 ~ 2009-10-31 |
| Mohammad R Khan Md | 20 N Main St, Norwalk, CT 06854-2656 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Shaukat A Khan Md | 15 Rainbow Rd, Bethany, CT 06524 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
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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).