NAMI BAYAN (Credential# 563867) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2019. The license expiration date date is June 30, 2020. The license status is ACTIVE.
NAMI BAYAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.046285. The credential type is physician/surgeon. The effective date is July 1, 2019. The expiration date is June 30, 2020. The business address is 2 Ivy Brook Rd Ste 120, Shelton, CT 06484-6416. The current status is active.
| Licensee Name | NAMI BAYAN |
| Credential ID | 563867 |
| Credential Number | 1.046285 |
| Credential Type | Physician/Surgeon |
| Business Address |
2 Ivy Brook Rd Ste 120 Shelton CT 06484-6416 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - SUSPENDED - MAY NOT PRACTICE |
| Active | 1 |
| Issue Date | 2008-03-06 |
| Effective Date | 2019-07-01 |
| Expiration Date | 2020-06-30 |
| Refresh Date | 2019-09-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 498569 | CSP.0043301 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2008-04-01 | 2017-03-01 - 2019-02-28 | INACTIVE |
| 406959 | CSP.0037597 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-06-14 | 2006-03-14 - 2007-02-28 | INACTIVE |
| 947214 | CSP.0048458 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | - | INACTIVE |
| Street Address | 2 IVY BROOK RD STE 120 |
| City | SHELTON |
| State | CT |
| Zip Code | 06484-6416 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ruslana Aferzon | 2 Ivy Brook Rd Ste 110, Shelton, CT 06484-6416 | Hearing Instrument Specialist | 2020-04-01 ~ 2022-03-31 |
| Scott A Vander Vennet Md | 2 Ivy Brook Rd Ste 125, Shelton, CT 06484-6416 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mark Aferzon Md | 2 Ivy Brook Rd Ste 110, Shelton, CT 06484-6416 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| 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 | SHELTON |
| Zip Code | 06484 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + SHELTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Bayan T Takizawa | 716 Concord Rd, Sudbury, MA 01776-1417 | Physician/surgeon | 2016-03-01 ~ 2017-02-28 |
| Bayan LLC | 81 Painter Ave, West Haven, CT 06516-5829 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2011-07-01 ~ 2012-06-30 |
| Nami Waterbury · Nami Ct | Po Box 2924, Waterbury, CT 06723-2924 | Public Charity-exempt From Financial Requirements | 2018-09-11 ~ |
| Nami · F/k/a National Alliance for The Mentally Ill | 3803 Fairfax Dr Ste 100, Arlington, VA 22203-5860 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| Nami of Connecticut Inc. | 1030 New Britain Ave Ste 201, West Hartford, CT 06110-2258 | Public Charity | 2020-06-01 ~ 2021-05-31 |
| Nami Shoreline | 800 Village Walk Ste 208, Guilford, CT 06437-2762 | Public Charity-exempt From Financial Requirements | 2018-11-13 ~ |
| Nami Southeastern Ct | 401 W Thames St, Norwich, CT 06360-7151 | Public Charity-exempt From Financial Requirements | 2018-11-27 ~ |
| Nami of Elm City | 45 Knollwood Dr, New Haven, CT 06515-2413 | Public Charity-exempt From Financial Requirements | 2018-11-13 ~ |
| Nami Farmington Valley Inc | P.o Box 479, Avon, CT 06001 | Public Charity | 2020-06-01 ~ 2021-05-31 |
| Nami Manchester | Po Box 1611, Manchester, CT 06045-1611 | Public Charity-exempt From Financial Requirements | 2016-12-12 ~ |
Please comment or provide details below to improve the information on NAMI BAYAN.
| 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).