AMIR BEHZAD RAZAVI (Credential# 1629901) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is February 4, 2019. The license expiration date date is February 28, 2021. The license status is INACTIVE.
AMIR BEHZAD RAZAVI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0070203. The credential type is controlled substance registration for practitioner. The effective date is February 4, 2019. The expiration date is February 28, 2021. The business address is 1418 Baytowne Cir E, Miramar Beach, FL 32550-4890. The current status is inactive.
| Licensee Name | AMIR BEHZAD RAZAVI |
| Credential ID | 1629901 |
| Credential Number | CSP.0070203 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
1418 Baytowne Cir E Miramar Beach FL 32550-4890 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LACK OF ACTIVE MEDICAL LICENSE |
| Issue Date | 2019-02-04 |
| Effective Date | 2019-02-04 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-04-24 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1613675 | 1.062331 | Physician/Surgeon | 2019-02-01 | 2019-02-01 - 2019-09-30 | INACTIVE |
| Street Address | 1418 BAYTOWNE CIR E |
| City | MIRAMAR BEACH |
| State | FL |
| Zip Code | 32550-4890 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Dahlia L Madison | 322 Miramar Beach Drive #6027, Destin, FL 32550 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| L&p Automotive Luxembourg, S.a.r.l. | Calle Enrico Fermi #351, Ciudad Juarez Chihuahua, MX 32550 | Manufacturer of Bedding & Upholstered Furniture | 2020-05-01 ~ 2021-04-30 |
| Charles E Womack Md | Junit 1110/tops'l Beach Manor, Miramar Beach, FL 32550 | Physician/surgeon | 2004-04-20 ~ 2005-03-31 |
| Gary F Turnier | 9950 Us Highway 98 W, Miramar Beach, FL 32550-4992 | Dentist | 2020-05-01 ~ 2021-04-30 |
| City | MIRAMAR BEACH |
| Zip Code | 32550 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MIRAMAR BEACH |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Behzad Habibi Khameneh | 69 Sand Pit Rd Ste 300, Danbury, CT 06810-4004 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Amir Shamshirsaz | 221 Trumbull St, Hartford, CT 06103-1500 | Controlled Substance Registration for Practitioner | 2011-07-24 ~ 2013-02-28 |
| Amir M Wassif | 27 Shelly Ct, Plainview, NY 11803-5309 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Amir Hasharoni Md | 24b Hillside Ave, Tenafly, NJ 07670 | Controlled Substance Registration for Practitioner | 2002-02-14 ~ 2003-02-28 |
| Amir Ata Rahnemai Azar | 91 4th St, Ansonia, CT 06401 | Controlled Substance Registration for Practitioner | 2017-06-22 ~ 2019-02-28 |
| Amir Mohani | 104 Primrose Ct, Lufkin, TX 75904-5323 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Amir M Mohareb | 123 York St Apt 8k, New Haven, CT 06511-5624 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Amir Mor | 5001 10th Ave Apt 5c, Brooklyn, NY 11219-3306 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Amir H Davarpanahfakhr | 20 York St Tmp 209, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2011-04-27 ~ 2013-02-28 |
| Amir H Lebastchi | 20 York St Tmp 209, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Please comment or provide details below to improve the information on AMIR BEHZAD RAZAVI.
| 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).