KHALIL KEEFE RAHMAN (Credential# 2046795) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2025. The license status is ACTIVE.
KHALIL KEEFE RAHMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.065759-RES. The credential type is resident physician. The effective date is July 1, 2020. The expiration date is June 30, 2025. The business address is 95 Beverly Dr, Avon, CT 06001-3515. The current status is active.
| Licensee Name | KHALIL KEEFE RAHMAN |
| Credential ID | 2046795 |
| Credential Number | 1.065759-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
95 Beverly Dr Avon CT 06001-3515 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-07-01 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2025-06-30 |
| Refresh Date | 2020-05-21 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 2033787 | CSP.0073514 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2020-06-14 | 2020-06-14 - 2021-02-28 | ACTIVE |
| Street Address | 95 BEVERLY DR |
| City | AVON |
| State | CT |
| Zip Code | 06001-3515 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kamran K Rahman | 95 Beverly Dr, Avon, CT 06001-3515 | Emergency Medical Technician | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Julie R Deitch | 5 Bridle Path, Avon, CT 06001 | Dental Hygienist | 2020-07-01 ~ 2021-06-30 |
| Brigitte Nicole Heleniak | 16 Sunset Trail, Avon, CT 06001 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Coffee Trade Inc (the) | 21 West Main St, Avon, CT 06001 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Elizabeth Stockwell | 44 Applewood Lane, Avon, CT 06001 | Real Estate Salesperson | ~ |
| Mollie Velma Lahaie | 14 Red Mountain Lane, Avon, CT 06001 | Registered Nurse | 2020-06-26 ~ 2020-08-31 |
| Meiling Chen | Avon Nail 315 W Main Street, Avon, CT 06001 | Nail Technician | ~ |
| Richard J Kaiser | 72 Westland Road, Avon, CT 06001 | Architect | 2020-08-01 ~ 2021-07-31 |
| Michele L Sweitzer | 12 Bluestone Lane, Avon, CT 06001 | Real Estate Salesperson | 2020-06-25 ~ 2021-05-31 |
| Caroline O Amin | 5 Colby Way, Avon, CT 06001 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Christine Burns | 102 New Road, Avon, CT 06001 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06001 | |||
| City | AVON |
| Zip Code | 06001 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + AVON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Saumik Zuhayr Rahman | 367 Orange St Apt 518, New Haven, CT 06511 | Resident Physician | 2020-06-11 ~ 2021-06-30 |
| Sarah Shireen Binti Rahman Gul | 20 York St., New Haven, CT 06510 | Resident Physician | 2019-06-11 ~ 2020-06-30 |
| Mufti Mushfiqur Rahman | 40 Prospect Ave Bldg 3f, Norwalk, CT 06850-3737 | Resident Physician | 2017-06-20 ~ 2021-06-19 |
| Al Rahman LLC | 379 Ellington Rd, East Hartford, CT 06108-1141 | Retail Gasoline Dealer | 2015-11-01 ~ 2016-10-31 |
| Al-rahman LLC | 379 Ellington Rd, East Hartford, CT 06108-1141 | Non Legend Drug Permit | 2016-01-01 ~ 2016-12-31 |
| Zia Ur Rahman · Zia's Limo | 45 Park Avenue, Windsor, CT 06095 | General Intrastate Livery Service | 2018-04-03 ~ |
| Khalil Market | 589 Valley St, New Haven, CT 06515 | Non Legend Drug Permit | 1997-01-01 ~ 1997-12-31 |
| Khalil Hussein | 5 Perryridge Rd, Greenwich, CT 06830-4608 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Khalil B Dahdah | 925 Oronoke Rd #22-c, Waterbury, CT 06708 | Physician/surgeon | ~ 1997-05-31 |
| Khalil I Innabi | 51 Annsville Trail, Yonkers, NY 10703 | Physician/surgeon | 2007-06-06 ~ 2008-07-31 |
Please comment or provide details below to improve the information on KHALIL KEEFE RAHMAN.
| 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).