BEHROOZ EBRAHIMI-FARD (Credential# 560508) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 5, 2004. The license expiration date date is May 31, 2005. The license status is INACTIVE.
BEHROOZ EBRAHIMI-FARD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.042926. The credential type is physician/surgeon. The effective date is November 5, 2004. The expiration date is May 31, 2005. The business address is 2005 West Street, Southington, CT 06489. The current status is inactive.
| Licensee Name | BEHROOZ EBRAHIMI-FARD |
| Credential ID | 560508 |
| Credential Number | 1.042926 |
| Credential Type | Physician/Surgeon |
| Business Address |
2005 West Street Southington CT 06489 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2004-11-05 |
| Effective Date | 2004-11-05 |
| Expiration Date | 2005-05-31 |
| Refresh Date | 2009-07-08 |
| Street Address | 2005 West Street |
| City | Southington |
| State | CT |
| Zip Code | 06489 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sarah M Moon | 321 Pilgrim Lane, Southington, CT 06489 | Esthetician | ~ |
| Joanna Milewski | 23 Stacy Cate Drive, Southington, CT 06489 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Richard M Testa | 81 Winter Park Road, Southington, CT 06489 | Massage Therapist | 2020-08-01 ~ 2022-07-31 |
| Valley Roofing LLC | 88 Ladyslipper Lane, Southington, CT 06489 | Home Improvement Contractor | ~ |
| Dunkin Donuts · New England Donuts LLC | 856 Queen St, Southington, CT 06489 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Elizabeth E Pizzuto | 45 Water Street, Southington, CT 06489 | Real Estate Salesperson | 2020-06-18 ~ 2021-05-31 |
| Nicholas C Ingel | 515 West Street, Southington, CT 06489 | Heating, Piping & Cooling Limited Journeyperson | 2020-06-23 ~ 2021-08-31 |
| Tyrone J Correa | 84 Minthal Drive, Southington, CT 06489 | Real Estate Salesperson | 2020-06-19 ~ 2021-05-31 |
| Marilyn F Coppola | 114 Spring Hill Rd, Southington, CT 06489 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Christine M Liebler | 30 Sultana Terrace, Southington, CT 06489 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06489 | |||
| City | Southington |
| Zip Code | 06489 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Southington |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ali K Fard Md | 45 Wall Street, New York, NY 10005 | Physician/surgeon | 2000-05-30 ~ 2001-05-31 |
| Farzad Ebrahimi | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2014-07-01 ~ 2021-06-30 |
| Diana Sadjadi-fard | 416 Highland Avenue B-7, Cheshire, CT 06410 | Licensed Clinical Social Worker | 2020-03-01 ~ 2021-02-28 |
| Behrooz Vijuyeh | 12 Twin Circle Rd, West Haven, CT 06516-6230 | Real Estate Salesperson | ~ |
| Navid Behrooz | Teamhealth Northeast Group, Woodbury, NJ 08096 | Controlled Substance Registration for Practitioner | 2020-01-07 ~ 2021-02-28 |
| Kiran R Ebrahimi | 16 Arrowhead Way, Darien, CT 06820-5504 | Emergency Medical Technician | ~ |
| Azita Z Ebrahimi | 151 Guinea Rd, Stamford, CT 06903-3723 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Danielle Ebrahimi | 32 Anise Street, New Britain, CT 06053 | Professional Counselor | 2019-08-01 ~ 2020-07-31 |
| Ninus Ebrahimi | 5000 Cerrillos Dr, Woodland Hills, CA 91364-3012 | Dentist | 2016-08-03 ~ 2017-04-30 |
| Behrooz F Vijuyeh · 7-eleven | 1089 Campbell Avenue, West Haven, CT 06516 | Grocery Beer | 2004-03-16 ~ 2005-03-15 |
Please comment or provide details below to improve the information on BEHROOZ EBRAHIMI-FARD.
| 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).