ANJUM KHERA (Credential# 163147) 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.
ANJUM KHERA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0021985. 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 945 Main Street, Manchester, CT 06040. The current status is active.
| Licensee Name | ANJUM KHERA |
| Credential ID | 163147 |
| Credential Number | CSP.0021985 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
945 Main Street Manchester CT 06040 |
| 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 | 2019-02-19 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 551154 | 1.033555 | Physician/Surgeon | 1994-03-04 | 2020-01-01 - 2020-12-31 | ACTIVE |
| Street Address | 945 Main Street |
| City | Manchester |
| State | CT |
| Zip Code | 06040 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Paul C Peracchio | 945 Main Street, Manchester, CT 06040 | Dentist | 2020-04-01 ~ 2021-03-31 |
| Bradley J Daar Dds | 945 Main Street, Manchester, CT 06040 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Christina Dean Blacher | 945 Main Street, Manchester, CT 06040 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2018-05-31 |
| Robert H Fish | 945 Main Street, Manchester, CT 06040 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Jerome I Baskin Accounting Serv | 945 Main Street, Manchester, CT 06040 | Certified Public Accountant Firm Permit | 1994-01-04 ~ 1994-12-31 |
| Jerome I. Baskin & Co. | 945 Main Street, Manchester, CT 06040 | Certified Public Accountant Firm Permit | 1993-02-25 ~ 1993-12-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mary Fosuah Nketia | 61 Cougar Drive, Manchester, CT 06040 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| New Seasons Inc. | 164 East Center Street, Manchester, CT 06040 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Kaylen Lam | 60 Chlistone Lane, Manchester, CT 06040 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Matilde Altamirano | 415 Gardner Street, Manchester, CT 06040 | Nail Technician | 2020-06-27 ~ 2022-04-30 |
| Meilan Meilan Chen | 174 Middle Tpke, Manchester, CT 06040 | Nail Technician | ~ |
| Prince Acheampong | 32 Bigelow Street, Manchester, CT 06040 | Notary Public Appointment | ~ |
| Erin C Boyle | 470 Porter Street, Manchester, CT 06040 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dejone Mitchell | 64 Ruby Dr Apt. P, Manchester, CT 06040 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Andrea H Clifford | 116 Longview Drive, Manchester, CT 06040 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Tabia Thornton-bey | 103 Walek Farms Road, Manchester, CT 06040 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06040 | |||
| City | Manchester |
| Zip Code | 06040 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Manchester |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sukhjinder K Khera Md | 73 West Ave, Essex, CT 06426-1137 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Mohammad S Khera | 115 Spencer St Ste 3, Winsted, CT 06098-1141 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Anjum Kumbkarni Md | 162 Riggs Rd, Orange, CT 06477 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Rohan Khera | 4211 Rawlins St Unit 419, Dallas, TX 75219-2713 | Controlled Substance Registration for Practitioner | 2020-05-11 ~ 2021-02-28 |
| Surendra Khera Md | 3 Kelly Farm Road, Simsbury, CT 06070 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Anjum Khan Md | 7 Newman Place, Brookfield, CT 06804 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Fatima Anjum Md | 1689 Madison Ave Apt 7, Bridgeport, CT 06606-4565 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| 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 |
| Min Jin Kim | 639 4th Ave Apt 5c, Brooklyn, NY 11232-1048 | Controlled Substance Registration for Practitioner | 2012-05-10 ~ 2013-02-28 |
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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).