SHIRIN HADDADY MD (Credential# 562486) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2014. The license expiration date date is June 30, 2015. The license status is INACTIVE.
SHIRIN HADDADY MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.044904. The credential type is physician/surgeon. The effective date is July 1, 2014. The expiration date is June 30, 2015. The business address is 55 Lake Ave N, Worcester, MA 01655. The current status is inactive.
| Licensee Name | SHIRIN HADDADY MD |
| Credential ID | 562486 |
| Credential Number | 1.044904 |
| Credential Type | Physician/Surgeon |
| Business Address |
55 Lake Ave N Worcester MA 01655 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2006-11-09 |
| Effective Date | 2014-07-01 |
| Expiration Date | 2015-06-30 |
| Refresh Date | 2015-10-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 441879 | CSP.0039382 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-11-15 | 2013-03-01 - 2015-02-28 | INACTIVE |
| Street Address | 55 LAKE AVE N |
| City | WORCESTER |
| State | MA |
| Zip Code | 01655 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nils Henninger | 55 Lake Ave N, Worcester, MA 01655-0002 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Wiley R Hall | 55 Lake Ave N, Worcester, MA 01655 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Susanne Muehlschlegel Md | 55 Lake Ave N, Worcester, MA 01655-0002 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Adalia H. Jun-o'connell | 55 Lake Ave N, Worcester, MA 01655-0002 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Leslie J Domalik | 55 Lake Ave N, Worcester, MA 01655-0002 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Raphael A Carandang Md | 55 Lake Ave N, Worcester, MA 01655-0002 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Daniel J Weber | 55 Lake Ave N, Worcester, MA 01655-0002 | Physician/surgeon | 2017-10-01 ~ 2018-09-30 |
| Craig Smith Md | 55 Lake Ave N, Worcester, MA 01655 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Mira Torres Md | 55 Lake Ave N, Worcester, MA 01655 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Brian Mady Md | 55 Lake Ave N, Worcester, MA 01655 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carolina Ionete | 55 Lake Avenue, Worcester, MA 01655 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Thomas J Fitzgerald | 55 Lake Ave, N, Worcester, MA 01655 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Majaz Moonis Md | Umassmemorial Health Care, Neurology, 55 Lake Ave, Worcester, MA 01655 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Ari Wilkenfeld | Neurology Department � 5th Floor, Worcester, MA 01655 | Physician/surgeon | ~ |
| Kate Daniello | 55 N Lake Ave, Worcester, MA 01655 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Brian Silver | 55 Lake Avenue North, Worcester, MA 01655 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Andrew Bouley | Umass Memorial, Department of Neurology, Worcester, MA 01655 | Physician/surgeon | 2019-04-01 ~ 2020-03-31 |
| Cheryl A Laflamme Aprn | 58 Bentwood Dr, Sturbridge, MA 01655 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lawrence S Rosenthal Md | Umass Memorial Medical Center, Worcester, MA 01655 | Physician/surgeon | 2016-08-01 ~ 2017-07-31 |
| Daniel Z Fisher Md | 55 Lake Ave North, Worcester, MA 01655 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Find all Licenses in zip 01655 | |||
| City | WORCESTER |
| Zip Code | 01655 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WORCESTER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Shirin Schilling | 8 The Crossways, West Hartford, CT 06117-1855 | Physician/surgeon | 2018-05-01 ~ 2019-04-30 |
| Shirin Shirani | 477 Bartlett Drive, Madison, CT 06443 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Shirin Mahooti Md | 127 Tally Ho Dr, Chadds Ford, PA 19317-9721 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Shirin Karimi Hund | 77 Silo Hill Road, Madison, CT 06443-8206 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Shirin Rahmati | 915 Main St Apt 312, Hartford, CT 06103-1333 | Pharmacist | 2016-12-12 ~ 2018-01-31 |
| Shirin P Tharakan | 465 Buckland Hills Dr, Manchester, CT 06042 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Shirin C Bryant | 10 Harding Ave, Bloomfield, CT 06002-3805 | Licensed Practical Nurse | 2019-11-01 ~ 2020-10-31 |
| Shirin Malekzadeh | 185 Wild Oak Drive, Southington, CT 06489 | Pharmacy Intern | 2004-08-02 ~ 2005-08-01 |
| Shirin Malek-zadeh | 185 Wild Oak Dr, Southington, CT 06489 | Pharmacy Technician | 2005-04-01 ~ 2006-03-31 |
| Shirin E Bolduc | 467 Farmington Ave 3, Bristol, CT 06010 | Notary Public Appointment | 1996-10-31 ~ 2001-10-31 |
Please comment or provide details below to improve the information on SHIRIN HADDADY MD.
| 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).