ANJUM KHAN MD (Credential# 333234) 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.
ANJUM KHAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0033241. 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 7 Newman Place, Brookfield, CT 06804. The current status is active.
| Licensee Name | ANJUM KHAN MD |
| Credential ID | 333234 |
| Credential Number | CSP.0033241 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
7 Newman Place Brookfield CT 06804 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2003-03-04 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-09 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 558184 | 1.040601 | Physician/Surgeon | 2002-06-28 | 2019-11-01 - 2020-10-31 | ACTIVE |
| Street Address | 7 NEWMAN PLACE |
| City | BROOKFIELD |
| State | CT |
| Zip Code | 06804 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Juan Liang | 6 Tara Dr, Brookfield, CT 06804 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Lenore A Fox · Castellano | 16 Johns Rd, Brookfield, CT 06804 | Respiratory Care Practitioner | 2020-08-01 ~ 2021-07-31 |
| Xuefang Chen | 13 Hillside Court, Brookfield, CT 06804 | Real Estate Salesperson | ~ |
| J Scott Williams | 30 Obtuse Road South, Brookfield, CT 06804 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Liudmila Yakauleva | 317 Federal Road Suite C, Brookfield, CT 06804 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Brandi L Hennessey | 24 Riverview Court, Brookfield, CT 06804 | Real Estate Salesperson | ~ |
| Medical Warehouse Inc | 72 Grays Bridge Rd, Brookfield, CT 06804 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Heather Lynn Edelmann | 87 Heatherwood Drive, Brookfield, CT 06804 | Notary Public Appointment | 2020-06-25 ~ 2025-06-30 |
| Xiaoming Zheng | 540 Federal Rd, Brookfield, Connecticut 06804, Brookfield, CT 06804 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Shop Rite | Federal Rd, Brookfield, CT 06804 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06804 | |||
| City | BROOKFIELD |
| Zip Code | 06804 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BROOKFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Anjum Kumbkarni Md | 162 Riggs Rd, Orange, CT 06477 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Fatima Anjum Md | 1689 Madison Ave Apt 7, Bridgeport, CT 06606-4565 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Anjum Khera | 945 Main Street, Manchester, CT 06040 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Gul Khan | 41 Brittany Ave, Trumbull, CT 06611-1104 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mukhtar I Khan Md | Po Box 122, Chelsea, NY 12512 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Zeeshan A Khan | 6 Birchwood Ct Apt 2m, Mineola, NY 11501-4519 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Muzammil U Khan | 47 Winding Ln, Islandia, NY 11749-6146 | Controlled Substance Registration for Practitioner | 2014-07-31 ~ 2015-02-28 |
| Mohammed Khan | 24 Hospital Ave, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2009-09-02 ~ 2011-02-28 |
| Panyavee V Khan Md | 60 Rochford Ave, Hamden, CT 06514 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
| Adil H Khan | 168 York St Apt 2f, New Haven, CT 06511-4815 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
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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).