ADNAN DERVISHI (Credential# 1632939) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is April 24, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
ADNAN DERVISHI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0070288. The credential type is controlled substance registration for practitioner. The effective date is April 24, 2019. The expiration date is February 28, 2021. The business address is 165 Beverly Rd, Wethersfield, CT 06109-3303. The current status is active.
| Licensee Name | ADNAN DERVISHI |
| Credential ID | 1632939 |
| Credential Number | CSP.0070288 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
165 Beverly Rd Wethersfield CT 06109-3303 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-04-24 |
| Effective Date | 2019-04-24 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-04-25 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1630014 | 1.062677 | Physician/Surgeon | 2019-04-24 | 2019-11-01 - 2020-10-31 | ACTIVE |
| 1659170 | 1.063478-RES | Resident Physician | 2019-07-01 | 2019-07-01 - 2020-06-30 | ACTIVE |
| Street Address | 165 Beverly Rd |
| City | Wethersfield |
| State | CT |
| Zip Code | 06109-3303 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marina C Sciucco Aprn | 117 Beverly Rd, Wethersfield, CT 06109-3303 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Thomas P Matthews | 135 Beverly Rd, Wethersfield, CT 06109-3303 | Crane Operator | 2019-09-23 ~ 2021-09-22 |
| Elsayed A Omar | 189 Beverly Rd, Wethersfield, CT 06109-3303 | Barber | 2018-11-01 ~ 2020-10-31 |
| Melissa Mccool | 169 Beverly Rd, Wethersfield, CT 06109-3303 | Registered Nurse | 2017-06-01 ~ 2018-05-31 |
| Elizabeth C Seniff | 139 Beverly Rd, Wethersfield, CT 06109-3303 | Real Estate Salesperson | 2010-12-02 ~ 2011-05-31 |
| Hunter L Finnance | 111 Beverly Rd, Wethersfield, CT 06109-3303 | Plumbing & Piping Unlimited Journeyperson | 2019-11-01 ~ 2020-10-31 |
| Donald M Stokes | 111 Beverly Rd, Wethersfield, CT 06109-3303 | Dietitian/nutritionist | 2013-11-01 ~ 2014-10-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Susan E Dimauro | 330 Ridge Rd, Wethersfield, CT 06109 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Mary Boccacio | 174 Longvue Drive, Wethersfield, CT 06109 | Esthetician | ~ |
| Steven C Hine | 294 Hang Dog Ln, Wethersfield, CT 06109 | Architect | 2020-08-01 ~ 2021-07-31 |
| Karolina Monika Fitrzyk | 41 Mountain Laurel, Wethersfield, CT 06109 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Matthew R Dobos | 33 Oxford St, Wethersfield, CT 06109 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Samantha Grabbe | 17 Rockland St, Wethersfield, CT 06109 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Judith M Martz | 307 Nott Street, Wethersfield, CT 06109 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Ups Store (the) | 1077 Silas Deane Hwy, Wethersfield, CT 06109 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Amber H Washington | 103 Parkview Drive, Wethersfield, CT 06109 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Kathleen A Mullady · Brancati | 75 Dale Rd, Wethersfield, CT 06109 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06109 | |||
| City | Wethersfield |
| Zip Code | 06109 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Wethersfield |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Adnan S Sadiq Md | 236, Stamford, CT 06903 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Adnan Zahib Md | 56 Franklin St, Waterbury, CT 06706 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Adnan K. Malik | 28 Adirondack Trl, Easton, CT 06612-2050 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Adnan Prsic | 200 College St Apt 432, New Haven, CT 06510-2451 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Adnan A Javaid | 424 Seville St Apt 2, Philadelphia, PA 19128-3601 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Muhammad Adnan Sohail | 410 Saybrook Rd Ste 201, Middletown, CT 06457-4777 | Controlled Substance Registration for Practitioner | 2019-12-12 ~ 2021-02-28 |
| Adnan Mallick | 7 Old Sherman Tpke Ste 212, Danbury, CT 06810-4174 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Mohammad Adnan Achour · Adnan Grocery | 562 Park Ave, Bridgeport, CT 06604 | Grocery Beer | 1999-05-24 ~ 2000-05-23 |
| 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 |
Please comment or provide details below to improve the information on ADNAN DERVISHI.
| 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).