QAIYUM MUJTABA (Credential# 148067) 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.
QAIYUM MUJTABA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0000373. 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 750 Savin Ave, West Haven, CT 06516-4314. The current status is active.
| Licensee Name | QAIYUM MUJTABA |
| Credential ID | 148067 |
| Credential Number | CSP.0000373 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
750 Savin Ave West Haven CT 06516-4314 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-03-01 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-14 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 541955 | 1.016546 | Physician/Surgeon | 1974-03-25 | 2020-01-01 - 2020-12-31 | ACTIVE |
| 1198699 | CSP.0056499 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-12-17 | 2015-03-01 - 2017-02-28 | INACTIVE |
| 51448 | CSP.0024899 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1996-11-05 - 1997-02-28 | INACTIVE |
| Street Address | 750 SAVIN AVE |
| City | WEST HAVEN |
| State | CT |
| Zip Code | 06516-4314 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Yalisa M Dejesus | 738 Savin Ave, West Haven, CT 06516-4314 | Dental Hygienist | 2020-01-01 ~ 2020-12-31 |
| Peter G Hartshorne | 718 Savin Ave, West Haven, CT 06516-4314 | Hoisting Equipment Operator | 2019-01-05 ~ 2021-01-04 |
| Enrique O Sanchez | 738 Savin Ave, West Haven, CT 06516-4314 | Heating, Piping & Cooling Limited Journeyperson | 2019-09-01 ~ 2020-08-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nancy Cabrera Salinas | 649 Third Ave., West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-07-31 |
| Lauralee L Gaglio | 27 Peppermill Drive, West Haven, CT 06516 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Evelyn Ruiz Conant | 309 Terrace Ave, Unit 42, West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Junqin Wang | 15 Central Ave West Haven, West Haven, CT 06516 | Nail Technician | ~ |
| Mehmet Sofuoglu Md | Va Conn Healthcare System, West Haven, CT 06516 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Monica M Skakacz | 19 Cowpen Rd, West Haven, CT 06516 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Lourdes Maribel Guzman | 26 York Street, West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Mcdonald's · Tay Mac Dba | 1129 Campbell Ave, West Haven, CT 06516 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Dyaija Soriano | 29 Ridge Court East, West Haven, CT 06516 | Esthetician | 2020-06-26 ~ 2022-05-31 |
| Katherine M Grable | 13 Perry Merrill Drive, West Haven, CT 06516 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06516 | |||
| City | WEST HAVEN |
| Zip Code | 06516 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WEST HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mohammadtokir Mujtaba | 24 Park Pl Apt 16d, Hartford, CT 06106-5026 | Controlled Substance Registration for Practitioner | 2014-02-07 ~ 2015-02-28 |
| Mujtaba Textiles · Manufacturer | F341 Site Karachi, Karachi, P1 75500 | Manufacturer of Bedding & Upholstered Furniture | 2017-05-04 ~ 2018-04-30 |
| Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
| Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
| Huu Duc D Luu | 630 Mix Ave Apt 6p, Hamden, CT 06514-2320 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Hae J Kim Pa | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-31 ~ 2009-02-28 |
| Qi Che Md | Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Min Jin Kim | 639 4th Ave Apt 5c, Brooklyn, NY 11232-1048 | Controlled Substance Registration for Practitioner | 2012-05-10 ~ 2013-02-28 |
| Erin K Fee | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Arundati Rao | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on QAIYUM MUJTABA.
| 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).