FERESHTEH AHMADIAN MD (Credential# 551073) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
FERESHTEH AHMADIAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.033474. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 111 Beach Rd, Fairfield, CT 06484. The current status is active.
| Licensee Name | FERESHTEH AHMADIAN MD |
| Credential ID | 551073 |
| Credential Number | 1.033474 |
| Credential Type | Physician/Surgeon |
| Business Address |
111 Beach Rd Fairfield CT 06484 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1994-01-14 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-04-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 162447 | CSP.0021812 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 1255393 | CSP.0059041 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-11-19 | 2014-11-19 - 2015-02-28 | INACTIVE |
| Street Address | 111 BEACH RD |
| City | FAIRFIELD |
| State | CT |
| Zip Code | 06484 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Neal A Fischbach Md | 111 Beach Rd, Fairfield, CT 06824 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mary T Pronovost Md | 111 Beach Rd, Fairfield, CT 06824 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Smilow Cancer Hospital Fairfield Treatment Center | 111 Beach Rd, Fairfield, CT 06824-6668 | Controlled Substance Registration for Hospitals | 2019-03-01 ~ 2021-02-28 |
| David J Wohl | 111 Beach Rd, Fairfield, CT 06430 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Patricia A Bendick | 111 Beach Rd, Fairfield, CT 06824 | Dentist | 2019-10-01 ~ 2020-09-30 |
| Kevin Strong Md | 111 Beach Rd, Fairfield, CT 06824 | Physician/surgeon | 2008-08-20 ~ 2009-09-30 |
| Robert Friedman Dds | 111 Beach Rd, Fairfield, CT 06430 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Scott J Kudravy | 2a Garden Ter, Shelton, CT 06484 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Melissa E Filanowski | 265 Mohegan Rd, Shelton, CT 06484 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Danuta Adamson · Chmiel | 101 Dickinson Drive, Shelton, CT 06484 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Sandra E Mercier | 234 Deer Run, Huntington, CT 06484 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Ping Li | 17 Coram Rd 3c, Shelton, CT 06484 | Nail Technician | ~ |
| Victoria Mary Bucci | 53 Isinglass Rd, Shelton, CT 06484 | Master's Level Social Worker | ~ |
| Samuel L Smith | 122 Maple Avenue, Shelton, CT 06484 | Dietitian/nutritionist | 2020-08-01 ~ 2021-07-31 |
| Cindy Hubbell Vidal | 17 Sherwood Lane, Shelton, CT 06484 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Rosa Conners | 189 Coram Avenue, Shelton, CT 06484 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Erica Azzarito | 40 Clinton Drive, Shelton, CT 06484 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Find all Licenses in zip 06484 | |||
| City | FAIRFIELD |
| Zip Code | 06484 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + FAIRFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Fereshteh M Doost | 32 Second Ave., Burlington, MA 01803 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Fereshteh Bekhrad | 195 Front St, New Haven, CT 06513-3202 | Real Estate Broker | 2019-04-01 ~ 2020-03-31 |
| Fereshteh Z Ganjavi | 81 Patten Rd, North Haven, CT 06473-2828 | Community Health Worker | 2020-05-18 ~ 2023-03-31 |
| Fereshteh Ghofrany Md | 67 Lancelot Dr, North Haven, CT 06473-1015 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Fereshteh Boozarjomehri Md | 34 Springhurst Pk, Dobbs Ferry, NY 10522 | Controlled Substance Registration for Practitioner | 2003-03-01 ~ 2004-02-28 |
| Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
| John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
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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).