MATTHEW KOMRON ZARINGHALAM (Credential# 2013217) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 2, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
MATTHEW KOMRON ZARINGHALAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.065117. The credential type is physician/surgeon. The effective date is April 2, 2020. The expiration date is February 28, 2021. The business address is 562 Whitney Ave Apt 2f, New Haven, CT 06511-7702. The current status is active.
Licensee Name | MATTHEW KOMRON ZARINGHALAM |
Credential ID | 2013217 |
Credential Number | 1.065117 |
Credential Type | Physician/Surgeon |
Business Address |
562 Whitney Ave Apt 2f New Haven CT 06511-7702 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2020-04-02 |
Effective Date | 2020-04-02 |
Expiration Date | 2021-02-28 |
Refresh Date | 2020-04-04 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1431682 | CSP.0065947 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-06-19 | 2019-03-01 - 2021-02-28 | ACTIVE |
1492209 | 1.059944-RES | Resident Physician | 2017-06-12 | 2019-07-01 - 2020-06-30 | ACTIVE |
Street Address | 562 WHITNEY AVE APT 2F |
City | NEW HAVEN |
State | CT |
Zip Code | 06511-7702 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Veronica Meawad | 562 Whitney Ave Apt 2f, New Haven, CT 06511-7702 | Resident Physician | 2019-07-17 ~ 2021-06-30 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Matthew A Dunn Md | 562 Whitney Ave Apt 1f, New Haven, CT 06511-7702 | Controlled Substance Registration for Practitioner | 2013-03-06 ~ 2015-02-28 |
Ann M Balthazor | 562 Whitney Ave Apt 1, New Haven, CT 06511-7702 | Dietitian/nutritionist | 2015-09-01 ~ 2016-08-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Montessori School On Edgewood Inc. | 230 Edgewood Avenue, New Haven, CT 06511 | Public Charity | 2019-06-01 ~ 2020-05-31 |
Therese Parks · Visel Drug Store | 264 Munson St, New Haven, CT 06511 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Dazjia Monet Green | 115 Edgewood Ave Apt 64, New Haven, CT 06511 | Registered Nurse | 2020-06-27 ~ 2021-05-31 |
Carol Yam | 343 Humphrey St, New Haven, CT 06511 | Registered Nurse | ~ |
Marwan S Haddad | 38 Lincoln Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Mary Lou Gaeta Md | 558 Chapel Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Cary M Tucker | 64 Bishop St, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
Frank J Pannenborg | 505 Ellsworth Ave, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
Crystal E Gooding | 26 Woodland Street, New Haven, CT 06511 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
Kieran Jones | 260 Crown St Unit 1f, New Haven, CT 06511 | Registered Nurse | ~ |
Find all Licenses in zip 06511 |
City | NEW HAVEN |
Zip Code | 06511 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + NEW HAVEN |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Komron A Ostovar Md · Komron | 24 Hospital Ave, Danbury, CT 06810 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
Matthew J Dammeyer | Po Box 194, Benson, MN 56215-0194 | Physician/surgeon | ~ |
Matthew S Clark | Po Box 129, Montrose, NY 10548-0129 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
Matthew A Fox | 22 Llanfair Rd, Ardmore, PA 19003-2320 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Matthew Willett | 96 Mcintosh Dr, Portsmouth, RI 02871-1263 | Physician/surgeon | ~ |
Matthew Bushey Md | 1 Self Ct, Wallingford, CT 06492-2595 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Matthew P Brennan | 136 Copperridge Dr, Brandon, MS 39042-3700 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Matthew F Nichols | 270 Main St, Portland, CT 06480-1836 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Jonathan Matthew Vigdorchik | 535 E 70th St, New York, NY 10021-4823 | Physician/surgeon | ~ |
Matthew D. Sewell | 691 Westwind Dr, Berwyn, PA 19312-1143 | Physician/surgeon | 2010-12-07 ~ 2011-08-31 |
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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).