HABIB MUJIB KHAN (Credential# 1514865) 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 INACTIVE.
HABIB MUJIB KHAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0068175. 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 129 York St Apt 7j, New Haven, CT 06511-5606. The current status is inactive.
| Licensee Name | HABIB MUJIB KHAN |
| Credential ID | 1514865 |
| Credential Number | CSP.0068175 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
129 York St Apt 7j New Haven CT 06511-5606 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LACK OF ACTIVE MEDICAL LICENSE |
| Issue Date | 2018-05-23 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-04-22 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1517537 | 1.061083-RES | Resident Physician | 2018-06-11 | 2018-06-11 - 2019-06-30 | INACTIVE |
| Street Address | 129 YORK ST APT 7J |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511-5606 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Melissa Jeannie Rethana | 129 York St Apt 7l, New Haven, CT 06511-5606 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Aladine Abdalla Elsamadicy | 129 York St Apt 8j, New Haven, CT 06511-5606 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Russell Shepherd Lewis, Jr. | 129 York St Apt 7h, New Haven, CT 06511-5606 | Resident Physician | 2019-07-03 ~ 2021-06-30 |
| Joshua Keais Pope | 129 York St Apt 7a, New Haven, CT 06511-5606 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Gary Cardoso | 129 York St Apt 7d, New Haven, CT 06511-5606 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Lori J Ellis | 129 York St Apt 8a, New Haven, CT 06511-5606 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Robert R Turelli Jr. | 129 York St Apt 7m, New Haven, CT 06511-5606 | Physician/surgeon | 2012-04-01 ~ 2013-03-31 |
| Kevin P Fitzmartin | 129 York St Apt 7a, New Haven, CT 06511-5606 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Kylee Sondergaard Pa | 129 York St Apt 7h, New Haven, CT 06511-5606 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Kylee Sondergaard | 129 York St Apt 7h, New Haven, CT 06511-5606 | Physician Assistant | 2011-06-01 ~ 2012-05-31 |
| Find all Licenses in zip 06511-5606 | |||
| 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 |
|---|---|---|---|
| Habib Khan | 123 York St, New Haven, CT 06511-5655 | Controlled Substance Registration for Practitioner | 2009-10-07 ~ 2011-02-28 |
| Habib Khan | 16 Fourth St., Danbury, CT | Fha Motor Passenger Carrier Vehicle (z Plate) | 2018-04-01 ~ 2020-03-31 |
| Larissa Ann Habib | 40 Temple St, New Haven, CT 06510-2718 | Controlled Substance Registration for Practitioner | 2019-07-22 ~ 2021-02-28 |
| Habib Hamoud | 137-03 168 Street, Jamaica, NY 11434 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Ishtiaq A Habib | 7 Old Sherman Tpke Ste 200, Danbury, CT 06810-4174 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Nader N Habib Md | 413 Canoe Brook, Shelton, CT 06484 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Sarah Habib | 34 Lakeshore Dr Unit 27b, Farmington, CT 06032-4215 | Controlled Substance Registration for Practitioner | 2013-03-05 ~ 2015-02-28 |
| Mina Louis Habib Boutrous | 8814 Oak Creek Dr, Saint Louis, MO 63126-2130 | Controlled Substance Registration for Practitioner | 2019-11-19 ~ 2021-02-28 |
| Mukhtar I Khan Md | Po Box 122, Chelsea, NY 12512 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Gul Khan | 41 Brittany Ave, Trumbull, CT 06611-1104 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on HABIB MUJIB 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).