SHAUKAT A KHAN MD (Credential# 556795) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
SHAUKAT A KHAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.039209. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 15 Rainbow Rd, Bethany, CT 06524. The current status is active.
| Licensee Name | SHAUKAT A KHAN MD |
| Credential ID | 556795 |
| Credential Number | 1.039209 |
| Credential Type | Physician/Surgeon |
| Business Address |
15 Rainbow Rd Bethany CT 06524 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2000-12-28 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-05-21 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 261632 | CSP.0030476 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2001-02-22 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 15 RAINBOW RD |
| City | BETHANY |
| State | CT |
| Zip Code | 06524 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Catherine M Ford · Porto | 78 Tuttle Court, Bethany, CT 06524 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Erin Mcknight | 24 Timber Ln, Bethany, CT 06524 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Cheryl A Bevvino | 106 Sperry Rd, Bethany, CT 06524 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Catherine Geloso | 19 Amadeo Drive, Bethany, CT 06524 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Patricia Burke | 12 Miller Rd, Bethany, CT 06524 | Veterinarian | 2020-09-01 ~ 2021-08-31 |
| Complete Excavating Services LLC | 674 Amity Rd, Bethany, CT 06524 | Demolition Contractor | 2020-07-01 ~ 2021-06-30 |
| Brian K Coutermarsh | 32 Emerald Lane, Bethany, CT 06524 | Radiographer | 2020-09-01 ~ 2021-08-31 |
| Michelle L Amato | 172 Russell Rd, Bethany, CT 06524 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Joseph L Colaci | 57 Edwards Road, Bethany, CT 06524 | Nursing Home Administrator | 2020-05-01 ~ 2022-04-30 |
| Karen C Praskievicz | 85 Sperry Rd, Bethany, CT 06524 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Find all Licenses in zip 06524 | |||
| City | BETHANY |
| Zip Code | 06524 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + BETHANY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Shaukat A. Shah | 1805 N. California Street, Stockton, CA 95204 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Siddiq A Khan | 212 138th Ave Nw, Andover, MN 55304-6761 | Physician/surgeon | ~ |
| Talal Khan | 785 Mix Ave Apt C, Hamden, CT 06514-2126 | Physician/surgeon | 2010-04-01 ~ 2011-03-31 |
| Aliya Aziz Khan | 35 Harrington Ave, Shrewsbury, MA 01545 | Physician/surgeon | ~ |
| Mohammad R Khan Md | 20 N Main St, Norwalk, CT 06854-2656 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Naureen Khan Md | 35 Willard St Apt 4b, New Haven, CT 06515-2163 | Physician/surgeon | 2008-09-22 ~ 2009-10-31 |
| Mohammad Ali N Khan | 8020 S. 32 Way, Phoenix, AZ 85042 | Physician/surgeon | 2011-04-01 ~ 2012-03-31 |
| Amjad A Khan | 122 W 43rd St, Bayonne, NJ 07002-2005 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Abdul T Khan Md | 183 Stonebridge Rd Apt #a, Woodstock, CT 06281 | Physician/surgeon | 2002-02-28 ~ 2003-02-28 |
| Anwar M Khan Md | 241 Braeside Dr, Hamden, CT 06514 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
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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).