MUSTAFA U KHAN (Credential# 1518445) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is June 25, 2018. The license expiration date date is June 28, 2021. The license status is ACTIVE.
MUSTAFA U KHAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.061124-RES. The credential type is resident physician. The effective date is June 25, 2018. The expiration date is June 28, 2021. The business address is 38 Volunteer Ln, Greenwich, CT 06830-5414. The current status is active.
Licensee Name | MUSTAFA U KHAN |
Credential ID | 1518445 |
Credential Number | 1.061124-RES |
Credential Type | Resident Physician |
Credential SubCategory | RES |
Business Address |
38 Volunteer Ln Greenwich CT 06830-5414 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2018-06-25 |
Effective Date | 2018-06-25 |
Expiration Date | 2021-06-28 |
Refresh Date | 2018-05-29 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1521785 | CSP.0068631 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-07-12 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 38 VOLUNTEER LN |
City | GREENWICH |
State | CT |
Zip Code | 06830-5414 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jennifer R Hewlett | 38 Volunteer Ln, Greenwich, CT 06830-5414 | Resident Physician | 2018-06-25 ~ 2021-06-28 |
Catherine L Teng | 38 Volunteer Ln, Greenwich, CT 06830-5414 | Resident Physician | 2018-06-25 ~ 2021-06-28 |
Devesh Dalmia | 38 Volunteer Ln, Greenwich, CT 06830-5414 | Resident Physician | 2018-06-25 ~ 2021-06-28 |
Victoria L Billero | 38 Volunteer Ln, Greenwich, CT 06830-5414 | Resident Physician | 2018-06-25 ~ 2019-06-24 |
Carolyn L Stegall | 38 Volunteer Ln, Greenwich, CT 06830-5414 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Emily S Campbell | 38 Volunteer Ln, Greenwich, CT 06830 | Registered Nurse | 2007-11-13 ~ 2008-11-30 |
Dana M Dalton | 38 Volunteer Ln, Greenwich, CT 06830 | Registered Nurse | 2003-12-17 ~ 2004-12-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Eleanore K Black | 38 Volunteer Ln Apt 4, Greenwich, CT 06830-5414 | Controlled Substance Registration for Practitioner | 2020-06-04 ~ 2021-02-28 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Junior League of Greenwich Conn Inc. | 231 East Putnam Ave., Greenwich, CT 06830 | Public Charity | 2019-06-01 ~ 2020-05-31 |
Michelle Yoo | 35 Putnam Green, Greenwich, CT 06830 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-01-31 |
Michele S Bergen | Greenwich Medical Building, Greenwich, CT 06830 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Black Forest Pastry | 52 Lewis Street, Greenwich, CT 06830 | Bakery | 2020-07-01 ~ 2021-06-30 |
Maurasaca Pallchisaca Gloria Veronica | 103 Greenwich Ave, Greenwich, CT 06830 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Deborah B Huffard | 107 Maple Ave, Greenwich, CT 06830 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Joann H Alexander | 157 Stanwich Road, Greenwich, CT 06830 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Dandan Tu | 24 Byfield Ln, Greenwich, CT 06830 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Mohamed Akli Zetchi | 2 Perryridge Road, Greenwich, CT 06830 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Gateway Classical Music Society Inc | 292 Stanwich Road, Greenwich, CT 06830 | Public Charity | 2020-12-01 ~ 2021-11-30 |
Find all Licenses in zip 06830 |
City | GREENWICH |
Zip Code | 06830 |
License Type | Resident Physician |
License Type + County | Resident Physician + GREENWICH |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Murad Mustafa Khan | 300 George St Ste 901, New Haven, CT 06511-6662 | Resident Physician | 2019-06-11 ~ 2023-06-30 |
Nisar Khan | 130 Division St, Derby, CT 06418 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
Shehryar Khan | 165 Park St Apt 6, New Haven, CT 06515 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
Nasir Khan | 20 York St., New Haven, CT 06510-3220 | Resident Physician | 2016-06-27 ~ 2020-06-30 |
Aisha Khan | 130 Division St, Derby, CT 06418 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
Muhammad Hamza Khan | 20 York St, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
Asadullah Khan Awan | 123 York St Apt 21j, New Haven, CT 06511-5630 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
Hamza Khan | 20 York Street, New Haven, CT 06450 | Resident Physician | 2018-07-01 ~ 2019-06-30 |
Amir Khan | 360 State St Apt 2214, New Haven, CT 06510-3621 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
Aga Khan De Castro | 80 Seymour St, Po Box 5037, Hartford, CT 06102-5037 | Resident Physician | 2018-07-01 ~ 2019-06-30 |
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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).