REZA RAHARDIAN FATHULLAH-ERVIANTO (Credential# 1593799) is licensed (Radiographer) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2019. The license expiration date date is September 30, 2020. The license status is ACTIVE.
REZA RAHARDIAN FATHULLAH-ERVIANTO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #28.007706. The credential type is radiographer. The effective date is October 1, 2019. The expiration date is September 30, 2020. The business address is 28 Westphal Street, West Hartford, CT 06110. The current status is active.
| Licensee Name | REZA RAHARDIAN FATHULLAH-ERVIANTO |
| Credential ID | 1593799 |
| Credential Number | 28.007706 |
| Credential Type | Radiographer |
| Business Address |
28 Westphal Street West Hartford CT 06110 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-10-10 |
| Effective Date | 2019-10-01 |
| Expiration Date | 2020-09-30 |
| Refresh Date | 2019-09-04 |
| Street Address | 28 Westphal Street |
| City | West Hartford |
| State | CT |
| Zip Code | 06110 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Diem Thuy Nguyen | 25 Brian Road, West Hartford, CT 06110 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-02-28 |
| Dominick E Deslauriers | 67 Red Top Drive, West Hartford, CT 06110 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
| Markos Raptis Dds | 61 Park Place Circle, West Hartford, CT 06110 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Keith A Dumond | 83 Mayflower Street, West Hartford, CT 06110 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Yayan Tong | 6 Steven St, West Hartford, CT 06110 | Nail Technician | ~ |
| Apsara Thapa | 15 Lewis Lane, West Hartford, CT 06110 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Aneudi J Rodriguez Perez | 24 Elmhurt Circle, West Hartford, CT 06110 | Real Estate Salesperson | ~ |
| Frances B Gurtman Md | 445 S Main Street, West Hartford, CT 06110 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Diana M Rodriguez | 445 South Main St, West Hartford, CT 06110 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Jong Lee | 6 Timothy, West Hartford, CT 06110 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Find all Licenses in zip 06110 | |||
| City | West Hartford |
| Zip Code | 06110 |
| License Type | Radiographer |
| License Type + County | Radiographer + West Hartford |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Reza Agahian | 286 Limestone Rd, Ridgefield, CT 06877-2634 | Architect | 2018-08-01 ~ 2019-07-31 |
| Reza Milano | 267 Grand St., Bridgeport, CT 06610 | Resident Physician | 2018-06-25 ~ 2021-06-30 |
| Giovanna Reza | 556 Worthington Rdg, Berlin, CT 06037-2333 | Hairdresser/cosmetician | 2014-03-01 ~ 2016-02-29 |
| Ali Reza | 5401 Mcconnell Ave, Los Angeles, CA 90066-7027 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Reza Abbassi | 6, Newington, CT 06111 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Reza Ghayspoor | 5 Barrymeade Dr, Lexington, MA 02421-7418 | Professional Engineer | 2020-02-25 ~ 2021-01-31 |
| Reza Nikain | 5 Red Oak Way, Belle Mead, NJ 08502 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Reza Noorishad | 5 W Mcclellan Ave, Livingston, NJ 07039-1218 | Professional Engineer | 2016-02-01 ~ 2017-01-31 |
| Syed H Reza | 346 Main Ave Ste B, Norwalk, CT 06851-1592 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Reza Ali Hadaegh | 5347 Bindewald Rd, Torrance, CA 90505-4316 | Architect | 2019-08-01 ~ 2020-07-31 |
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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).