AHMED MOHAMED SAMIR MOHY EL DIN MOSTAFA EL BAZ (Credential# 1642586) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 28, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
AHMED MOHAMED SAMIR MOHY EL DIN MOSTAFA EL BAZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0070527. The credential type is controlled substance registration for practitioner. The effective date is March 28, 2019. The expiration date is February 28, 2021. The business address is 186 Woodrow St, West Hartford, CT 06107. The current status is active.
| Licensee Name | AHMED MOHAMED SAMIR MOHY EL DIN MOSTAFA EL BAZ |
| Credential ID | 1642586 |
| Credential Number | CSP.0070527 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
186 Woodrow St West Hartford CT 06107 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-03-28 |
| Effective Date | 2019-03-28 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-03-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1635263 | 1.062481 | Physician/Surgeon | 2019-03-25 | 2019-11-01 - 2020-10-31 | ACTIVE |
| Street Address | 186 Woodrow St |
| City | West Hartford |
| State | CT |
| Zip Code | 06107 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| L Christine Barney | 186 Woodrow St, West Hartford, CT 06107 | Registered Nurse | 1996-11-12 ~ 1997-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rebecca L Stansfield | 73 Tunxis Road, West Hartford, CT 06107 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Kumari Joshi | 44 Bentwood Rd, West Hartford, CT 06107 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Laurie C Caines Md | 205 Stoner Drive, West Hartford, CT 06107 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Nicole K. Edlund | 11 Greenacres Avenue, West Hartford, CT 06107 | Master's Level Social Worker - Temporary Permit | ~ |
| Andrea M Yuliano | 39 Mountain Terrace Road, West Hartford, CT 06107 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Elizabeth M Ineson | 4 Linwold Dr, West Htfd, CT 06107 | Architect | 2020-08-01 ~ 2021-07-31 |
| Sarah G Potter | 19 Westland Ave, West Hartford, CT 06107 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Jessica C Abreu | 14 Deepwood Lane, West Hartford, CT 06107 | Real Estate Salesperson | 2020-06-18 ~ 2021-05-31 |
| William C Richter | 67 Hillsboro Drive, West Hartford, CT 06107 | Architect | 2020-08-01 ~ 2021-07-31 |
| Teresa M Stanton | 25 Common Dr., West Hartford, CT 06107 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06107 | |||
| City | West Hartford |
| Zip Code | 06107 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + West Hartford |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mohamed S Ahmed | Po Box 9317, Stamford, CT 06904 | Controlled Substance Registration for Practitioner | 2004-08-20 ~ 2005-02-28 |
| Amira M Mohamed Ahmed | 12 Turnberry Ln, Avon, CT 06001-3537 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ahmed S Ahmed | 2 Monterey Building, Hershey, PA 17033-2229 | Controlled Substance Registration for Practitioner | 2015-05-11 ~ 2017-02-28 |
| Mostafa R Amer | 21 Raymond Street, South Dartmouth, MA 02748 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Gamal Mostafa | 3725 W Pemberton Rd, Bloomfield Hills, MI 48302-1446 | Controlled Substance Registration for Practitioner | 2019-12-05 ~ 2021-02-28 |
| Samir Draa Md | 500 Albany Ave, Hartford, CT 06120 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Samir Iskhagi | 22 Cotton Down Way, Toronto Ontario, M274V7 | Controlled Substance Registration for Practitioner | 2012-12-13 ~ 2015-02-28 |
| Samir Dengle | 550 Darling St Unit 42c, Southington, CT 06489-2677 | Controlled Substance Registration for Practitioner | 2020-04-28 ~ 2021-02-28 |
| Samir H Kailani Md | 29 Hospital Hill Rd, Sharon, CT 06069-2095 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Samir M Hussain | 460 Brittany Ln, Cherry Hill, NJ 08003-4954 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Please comment or provide details below to improve the information on AHMED MOHAMED SAMIR MOHY EL DIN MOSTAFA EL BAZ.
| 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).