AMNA AZIZ (Credential# 1650167) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
AMNA AZIZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.063516. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 320 Pomfret St, Putnam, CT 06260-1836. The current status is active.
| Licensee Name | AMNA AZIZ |
| Credential ID | 1650167 |
| Credential Number | 1.063516 |
| Credential Type | Physician/Surgeon |
| Business Address |
320 Pomfret St Putnam CT 06260-1836 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-05-29 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-02-12 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1663964 | CSP.0071318 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-05-31 | 2019-05-31 - 2021-02-28 | ACTIVE |
| Street Address | 320 POMFRET ST |
| City | PUTNAM |
| State | CT |
| Zip Code | 06260-1836 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Day Kimball Hospital | 320 Pomfret St, Putnam, CT 06260-1836 | General Hospital | 2019-10-01 ~ 2021-09-30 |
| Gino C Bottino | 320 Pomfret St, Putnam, CT 06260-1836 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Marc B Cerrone | 320 Pomfret St, Putnam, CT 06260 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Anthony Chieffalo | 320 Pomfret St, Putnam, CT 06260-1836 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Ana Mafalda Andrade Tudela Martins | 320 Pomfret St, Putnam, CT 06260-1836 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Ronald J Franzino Md | 320 Pomfret St, Putnam, CT 06260 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Day Kimball Hospital | 320 Pomfret St, Putnam, CT 06260-1836 | Controlled Substance Registration for Hospitals | 2019-03-01 ~ 2021-02-28 |
| Susan Brazille | 320 Pomfret St, Putnam, CT 06260-1836 | Controlled Substance Registration for Practitioner | 2019-12-09 ~ 2021-02-28 |
| James S Peng | 320 Pomfret St, Putnam, CT 06260-1836 | Controlled Substance Registration for Practitioner | 2019-09-03 ~ 2021-02-28 |
| Ernesto Sire Diaz | 320 Pomfret St, Putnam, CT 06260-1836 | Controlled Substance Registration for Practitioner | 2019-08-23 ~ 2021-02-28 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Juan M Perez Velazquez | Day Kimball Hospital, Putnam, CT 06260-1836 | Physician/surgeon | 2018-07-01 ~ 2019-06-30 |
| Sagar Verma | 320 Pomfret Street, Putnam, CT 06260-1836 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amanda L Neal | 69 Hawkins Road, Putnam, CT 06260 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
| Kellys Tire Inc | 306 School St, Putnam, CT 06260 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Donna Dumas | 19 Arthur Street, Putnam, CT 06260 | Medication Administration Certification | 2020-07-16 ~ 2022-07-15 |
| Mcdonalds #13538 | 6 Rpovidence Pike, Putnam, CT 06260 | Frozen Dessert Retailer | 2020-06-22 ~ 2020-12-31 |
| Cynthia C Paquin | 95 Elvira Heights Road, Putnam, CT 06260 | Dental Hygienist | 2018-11-01 ~ 2019-10-31 |
| Scott J Grimmett · Price Chopper | 251 Kennedy Drive Ste A, Putnam, CT 06260 | Grocery Beer | 2020-08-08 ~ 2021-08-07 |
| Lyne A Grillo · Fauteux | 73-155 Perry St, Putnam, CT 06260 | Radiographer | 2020-09-01 ~ 2021-08-31 |
| Crossings Restaurant and Brew Pub (the) | 45-47 Main St, Putnam, CT 06260 | Manufacturer for Beer and Brew Pub | 2019-11-26 ~ 2021-03-25 |
| June Elizabeth Foley | 4 Libertyhighway, Putnam, CT 06260 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Kevin J Bates · K J B Bldg Works | 7 Rowe St, Putnam, CT 06260 | Home Improvement Contractor | 2020-06-12 ~ 2020-11-30 |
| Find all Licenses in zip 06260 | |||
| City | PUTNAM |
| Zip Code | 06260 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + PUTNAM |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amna Jafry | 282 Washington Ave, Hartford, CT 06106 | Physician/surgeon | 2006-09-25 ~ 2007-06-30 |
| Amna Iqbal | 35 Falcon Ridge Rd, Rocky Hill, CT 06067-1003 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Rehan Aziz | 1 Brittany Ln, Unionville, CT 06085-1416 | Physician/surgeon | 2016-05-01 ~ 2017-04-30 |
| Aliya Aziz Khan | 35 Harrington Ave, Shrewsbury, MA 01545 | Physician/surgeon | ~ |
| Wesam Aziz | 17806 W. Interstate 10, San Antonio, TX 78256 | Physician/surgeon | ~ |
| Aziz Khan | 47 Avonwood Rd, Avon, CT 06001 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Samir W Aziz | 40 Pleasant St, Ansonia, CT 06401 | Physician/surgeon | 2005-03-11 ~ 2006-03-31 |
| Aziz Ahmed | 5 Sunrise Ln, Scarsdale, NY 10583 | Physician/surgeon | 2013-01-01 ~ 2013-12-31 |
| Waseem I Aziz | 53 Charles Street, New Britain, CT 06051 | Physician/surgeon | 1994-03-14 ~ 1995-03-31 |
| Aziz Ahmed Soomro | 1 S Greeley Ave Ste 302, Chappaqua, NY 10514-3346 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Please comment or provide details below to improve the information on AMNA AZIZ.
| 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).