SAMEER KHAN (Credential# 1428980) 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.
SAMEER KHAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0065751. 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 3 Lake Pl Fl 2, New Haven, CT 06511-3615. The current status is active.
| Licensee Name | SAMEER KHAN |
| Credential ID | 1428980 |
| Credential Number | CSP.0065751 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
3 Lake Pl Fl 2 New Haven CT 06511-3615 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-06-12 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-25 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 2016879 | 1.065326 | Physician/Surgeon | 2020-04-27 | 2020-04-27 - 2020-10-31 | ACTIVE |
| 1491807 | 1.059542-RES | Resident Physician | 2017-06-12 | 2019-07-01 - 2020-06-30 | ACTIVE |
| Street Address | 3 LAKE PL FL 2 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511-3615 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Irfan Hussain | 1 Lake Pl, New Haven, CT 06511-3615 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Claire Smith | 65 Lake Pl Apt 2, New Haven, CT 06511-3615 | Athletic Trainer | 2016-12-01 ~ 2017-11-30 |
| Jessica A Roberts | 35 North Lake Dr, Hamden, CT 06511-3615 | Real Estate Salesperson | 2010-06-01 ~ 2011-05-31 |
| Roslyn A Shanklin | 93 Lake Pl, New Haven, CT 06511-3615 | Emergency Medical Responder | 2010-10-20 ~ 2013-04-01 |
| Carly E Manecke | 51 Lake Pl Apt B, New Haven, CT 06511-3615 | Registered Nurse | 2011-09-01 ~ 2012-08-31 |
| Aditya Mahalingam-dhingra | 71 Lake Pl, New Haven, CT 06511-3615 | Emergency Medical Technician | 2010-07-29 ~ 2012-04-01 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Montessori School On Edgewood Inc. | 230 Edgewood Avenue, New Haven, CT 06511 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Therese Parks · Visel Drug Store | 264 Munson St, New Haven, CT 06511 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dazjia Monet Green | 115 Edgewood Ave Apt 64, New Haven, CT 06511 | Registered Nurse | 2020-06-27 ~ 2021-05-31 |
| Carol Yam | 343 Humphrey St, New Haven, CT 06511 | Registered Nurse | ~ |
| Marwan S Haddad | 38 Lincoln Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mary Lou Gaeta Md | 558 Chapel Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Cary M Tucker | 64 Bishop St, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Frank J Pannenborg | 505 Ellsworth Ave, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Crystal E Gooding | 26 Woodland Street, New Haven, CT 06511 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Kieran Jones | 260 Crown St Unit 1f, New Haven, CT 06511 | Registered Nurse | ~ |
| Find all Licenses in zip 06511 | |||
| City | NEW HAVEN |
| Zip Code | 06511 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sameer A Sayeed | Po Box 123, Littlefork, MN 56653-0123 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Sameer Kaiser | 24 Hospital Ave, Danbury, CT 06810-6077 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Sameer Gupta | 20 York St, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2019-06-20 ~ 2021-02-28 |
| Sameer K Nath | 123 Gillies Rd, Hamden, CT 06517 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Sameer Baig | 384 Howe Ave, Shelton, CT 06484 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Sameer Ahmed | 129 York St Apt 3n, New Haven, CT 06511-5605 | Controlled Substance Registration for Practitioner | 2012-07-02 ~ 2013-02-28 |
| Sameer Shelat Md | 11 High St Apt 8, Stafford Springs, CT 06076 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
| 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 |
| Abdus S Khan | 15 Fielding Ave, Dix Hills, NY 11746-7139 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Please comment or provide details below to improve the information on SAMEER KHAN.
| 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).