BAHMAN JABBARI MD (Credential# 349578) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 20, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.
BAHMAN JABBARI MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0034076. The credential type is controlled substance registration for practitioner. The effective date is March 20, 2017. The expiration date is February 28, 2019. The business address is 31 Silver Pine Drive, Newport Coast, CA 92657. The current status is lapsed.
| Licensee Name | BAHMAN JABBARI MD |
| Credential ID | 349578 |
| Credential Number | CSP.0034076 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
31 Silver Pine Drive Newport Coast CA 92657 |
| Business Type | INDIVIDUAL |
| Status | LAPSED |
| Active | 1 |
| Issue Date | 2003-09-22 |
| Effective Date | 2017-03-20 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2019-03-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 559420 | 1.041837 | Physician/Surgeon | 2003-09-09 | 2017-02-01 - 2018-01-31 | INACTIVE |
| Street Address | 31 silver pine drive |
| City | newport coast |
| State | CA |
| Zip Code | 92657 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Albert R Teng | 8 Scenic Bluff, Newport Coast, CA 92657 | Professional Engineer | 2005-02-01 ~ 2006-01-31 |
| Richard E Kalvoda | 24 Tesoro, Newport Coast, CA 92657 | Temporary Certified General Real Estate Appraiser | 2008-09-30 ~ 2009-03-30 |
| Maha Yousif Dmd | 8 Saint Remy Court, Newport Coast, CA 92657 | Controlled Substance Registration for Practitioner | 2003-03-01 ~ 2004-02-28 |
| Musa Omran M Bahia Dmd | 8 Saint Remy Court, Newport Coast, CA 92657 | Dentist | 2002-09-13 ~ 2003-09-30 |
| Susan T Stanton | 1 Seyne, Newport Coast, CA 92657-0117 | Marital and Family Therapist | 2020-05-01 ~ 2021-04-30 |
| John A Giannone Dvm | 21157 Newport Coast Dr, Newport Coast, CA 92657-1123 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Karen J Miller | 24 Still Water, Newport Coast, CA 92657-1642 | Real Estate Salesperson | 2014-06-25 ~ 2015-05-31 |
| Justin G Mahlmann | 6 Still Water, Newport Coast, CA 92657-1642 | Professional Engineer | 2013-02-01 ~ 2014-01-31 |
| Bonnie M Mora Dds | 11 Sailcrest, Newport Coast, CA 92657-1800 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| City | newport coast |
| Zip Code | 92657 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + newport coast |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alireza Jabbari Od | 240 Deercliff Rd, Avon, CT 06001-2824 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| 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 |
| Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
| Qi Che Md | Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Huu Duc D Luu | 630 Mix Ave Apt 6p, Hamden, CT 06514-2320 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Min Jin Kim | 639 4th Ave Apt 5c, Brooklyn, NY 11232-1048 | Controlled Substance Registration for Practitioner | 2012-05-10 ~ 2013-02-28 |
| Hae J Kim Pa | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-31 ~ 2009-02-28 |
| 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 |
| Aymen W Al Jabbari | 370 Prospect Ave, Unit A, Hartford, CT 06105 | Pharmacy Technician | 2019-04-01 ~ 2020-03-31 |
Please comment or provide details below to improve the information on BAHMAN JABBARI MD.
| 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).