AMIR MOHANI (Credential# 413154) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.
AMIR MOHANI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0037982. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is 104 Primrose Ct, Lufkin, TX 75904-5323. The current status is inactive.
Licensee Name | AMIR MOHANI |
Credential ID | 413154 |
Credential Number | CSP.0037982 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
104 Primrose Ct Lufkin TX 75904-5323 |
Business Type | INDIVIDUAL |
Status | INACTIVE |
Issue Date | 2005-08-30 |
Effective Date | 2015-03-01 |
Expiration Date | 2017-02-28 |
Refresh Date | 2018-01-29 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
564398 | 1.046816 | Physician/Surgeon | 2008-07-21 | 2015-01-01 - 2015-12-31 | INACTIVE |
Street Address | 104 PRIMROSE CT |
City | LUFKIN |
State | TX |
Zip Code | 75904-5323 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Lisa H Mclane | 1602 Woodland Drive, Lufkin, TX 75904 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Jessica Dotson Malone | 5421 Fm 2251, Lufkin, TX 75904 | Registered Nurse | 2019-08-01 ~ 2020-07-31 |
Priya Bhandari | 104 Primrose Court, Lufkin, TX 75904 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Fay T Weller | 30095 John Redditt, Lufkin, TX 75904 | Barber | 2008-01-28 ~ 2010-03-31 |
Martha M Owen | 1404 Cherry Hill Drive, Lufkin, TX 75904 | Registered Nurse | 2001-07-06 ~ 2001-11-30 |
Vivek Mangla | 2807 Daniel Mccall Drive, Lufkin, TX 75904 | Physician/surgeon | 2007-09-21 ~ 2008-09-30 |
Analou S Balahay | 1009 Ellis Ave Apt 8, Lufkin, TX 75904-3342 | Physical Therapist | ~ |
Trissa J Lee | 1705 Feagin Dr, Lufkin, TX 75904-5535 | Registered Nurse | 2012-03-28 ~ 2012-11-30 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Yesenia D Cabral | 936 Loan Star Road, Lufkin, TX 75901 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
Karen Marie Atkinson | 208 Rosedale Dr, Lufkin, TX 75901-5928 | Registered Nurse | 1985-05-31 ~ 1990-06-30 |
Steven D Costner | 1900 Birdsong Street, Lufkin, TX 75901 | Radiographer | ~ |
Anthony N Wells | 1209 Lotus Lane, Lufkin, TX 75901 | Respiratory Care Practitioner | 2002-12-16 ~ 2003-12-31 |
Charles E Dolese | 1200 Johnson, Lufkin, TX 75901 | Heating, Piping & Cooling Limited Journeyperson | ~ |
Tim Durham | Po Box 1003, Lufkin, TX 75902 | Electrical Limited Journeyperson | 2001-10-01 ~ 2002-09-30 |
City | LUFKIN |
Zip Code | 75904 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + LUFKIN |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Amir H Davarpanahfakhr | 20 York St Tmp 209, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2011-04-27 ~ 2013-02-28 |
M Amir Ahmadi | 111 Park St Apt 16m, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2004-10-04 ~ 2005-02-28 |
Amir Hasharoni Md | 24b Hillside Ave, Tenafly, NJ 07670 | Controlled Substance Registration for Practitioner | 2002-02-14 ~ 2003-02-28 |
Amir M Mohareb | 123 York St Apt 8k, New Haven, CT 06511-5624 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Amir Ata Rahnemai Azar | 91 4th St, Ansonia, CT 06401 | Controlled Substance Registration for Practitioner | 2017-06-22 ~ 2019-02-28 |
Amir M Wassif | 27 Shelly Ct, Plainview, NY 11803-5309 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Amir Mor | 5001 10th Ave Apt 5c, Brooklyn, NY 11219-3306 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Amir E Masoud | 3 Wildcat Rd, Madison, CT 06443-2415 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Amir H Lebastchi | 20 York St Tmp 209, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Amir Shamshirsaz | 221 Trumbull St, Hartford, CT 06103-1500 | Controlled Substance Registration for Practitioner | 2011-07-24 ~ 2013-02-28 |
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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).