FIROZ D MISTRY MD (Credential# 545442) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 21, 2004. The license expiration date date is October 31, 2005. The license status is INACTIVE.
FIROZ D MISTRY MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.025376. The credential type is physician/surgeon. The effective date is September 21, 2004. The expiration date is October 31, 2005. The business address is 29 Haynes St, Manchester, CT 06040. The current status is inactive.
| Licensee Name | FIROZ D MISTRY MD |
| Credential ID | 545442 |
| Credential Number | 1.025376 |
| Credential Type | Physician/Surgeon |
| Business Address |
29 Haynes St Manchester CT 06040 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1984-04-16 |
| Effective Date | 2004-09-21 |
| Expiration Date | 2005-10-31 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 147364 | CSP.0012267 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-02-29 - 2005-02-28 | INACTIVE |
| Street Address | 29 HAYNES ST |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06040 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mary Fosuah Nketia | 61 Cougar Drive, Manchester, CT 06040 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| New Seasons Inc. | 164 East Center Street, Manchester, CT 06040 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Kaylen Lam | 60 Chlistone Lane, Manchester, CT 06040 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Matilde Altamirano | 415 Gardner Street, Manchester, CT 06040 | Nail Technician | 2020-06-27 ~ 2022-04-30 |
| Meilan Meilan Chen | 174 Middle Tpke, Manchester, CT 06040 | Nail Technician | ~ |
| Prince Acheampong | 32 Bigelow Street, Manchester, CT 06040 | Notary Public Appointment | ~ |
| Erin C Boyle | 470 Porter Street, Manchester, CT 06040 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dejone Mitchell | 64 Ruby Dr Apt. P, Manchester, CT 06040 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Andrea H Clifford | 116 Longview Drive, Manchester, CT 06040 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Tabia Thornton-bey | 103 Walek Farms Road, Manchester, CT 06040 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06040 | |||
| City | MANCHESTER |
| Zip Code | 06040 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + MANCHESTER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marilyn S Mistry | 169 Dove Lane, Middletown, CT 06457 | Physician/surgeon | 2000-02-03 ~ 2001-02-28 |
| Chintan D Mistry | 169 Dove Lane, Middletown, CT 06457 | Physician/surgeon | 2000-01-27 ~ 2001-01-31 |
| Anisha Mistry | 111 Ledgewood Rd Apt 303, Groton, CT 06340-6603 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Tabassum Firoz | 267 Grant St, Bridgeport, CT 06610-2805 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jan Firoz | 43 Heritage Lane, Exton, PA 19341 | Asbestos Consultant-project Monitor | 1997-12-15 ~ 1999-01-31 |
| Firoz Haydar | 298 Central Ave Apt 1, Norwich, CT 06360 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Jay J Mistry | 52 Briscoe Ter, Hazlet, NJ 07730-1128 | Athletic Trainer | 2014-06-01 ~ 2015-05-31 |
| Monica Mistry | 185 Mountain St, Ellington, CT 06029-4311 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Pushpa Mistry | 24 Aldo Dr, Woodbridge, CT 06525-1735 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Vinita M Mistry | 56 Darby Dr, Mansfield, MA 02048-1606 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
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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).