MEHRAN MASSOUMI DDS (Credential# 277866) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
MEHRAN MASSOUMI DDS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0030817. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 80 Shunpike Rd Unit 201, Cromwell, CT 06416-4402. The current status is active.
| Licensee Name | MEHRAN MASSOUMI DDS |
| Credential ID | 277866 |
| Credential Number | CSP.0030817 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
80 Shunpike Rd Unit 201 Cromwell CT 06416-4402 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2001-04-24 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 703258 | 2.008806 | Dentist | 2000-10-05 | 2019-10-01 - 2020-09-30 | ACTIVE |
| Street Address | 80 SHUNPIKE RD UNIT 201 |
| City | CROMWELL |
| State | CT |
| Zip Code | 06416-4402 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| S. Jonathan Siegel | 80 Shunpike Rd Unit 301, Cromwell, CT 06416-4402 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Joan Pilz Day · Pilz | 80 Shunpike Rd Unit 206, Cromwell, CT 06416-4402 | Marital and Family Therapist | 2019-12-01 ~ 2020-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marcia B Henehan | 17 Crest Drive, Cromwell, CT 06416 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
| Sarah C Smith | 6 Court Street, Cromwell, CT 06416 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Joyce Tayeh | 5 Sunridge Lane, Cromwell, CT 06416 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Todd J Farris | 53 Lincoln Road, Cromwell, CT 06416 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Tiffany N Winkler | 50 Fawn Run, Cromwell, CT 06416 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Hasim J Shah | 131 Coles Rd, Cromwell, CT 06416 | Pharmacy Technician | 2020-06-23 ~ 2021-03-31 |
| Michelle R Berube | 17 Arrowwood Dr, Cromwell, CT 06416 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Joy Mekrut-suzio | 352 Main Street, Cromwell, CT 06416 | Speech and Language Pathologist | 2020-09-01 ~ 2021-08-31 |
| Gina M Branciforte | 24 Bellaire Manor, Cromwell, CT 06416 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Kimberly A Benson | 10 Springdale Road, Cromwell, CT 06416 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06416 | |||
| City | CROMWELL |
| Zip Code | 06416 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + CROMWELL |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mehran Motamed Md | 13 Timber Brook Road, Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Mehran Azar Md | 4699 Main Street, Bridgeport, CT 06606 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mehran M Sadeghi · Yale University School of Medicine | 300 George St Ste 770f, New Haven, CT 06511-6664 | Controlled Substance Laboratory | 2020-02-01 ~ 2021-01-31 |
| Mehran International LLC | 237 South Main St, Middletown, CT 06457 | Retail Gasoline Dealer | 2007-10-09 ~ 2008-10-31 |
| 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 |
| Amir Massoumi | 46 Cezanne, Irvine, CA 92603-0208 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
| Arundati Rao | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Erin K Fee | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Hae J Kim Pa | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-31 ~ 2009-02-28 |
Please comment or provide details below to improve the information on MEHRAN MASSOUMI DDS.
| 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).