AFSHIN REZA SAM (Credential# 564343) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 27, 2009. The license expiration date date is May 31, 2010. The license status is INACTIVE.
AFSHIN REZA SAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.046761. The credential type is physician/surgeon. The effective date is April 27, 2009. The expiration date is May 31, 2010. The business address is 22314 Town Walk Drive, Hamden, CT 06518. The current status is inactive.
| Licensee Name | AFSHIN REZA SAM |
| Credential ID | 564343 |
| Credential Number | 1.046761 |
| Credential Type | Physician/Surgeon |
| Business Address |
22314 Town Walk Drive Hamden CT 06518 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2008-07-10 |
| Effective Date | 2009-04-27 |
| Expiration Date | 2010-05-31 |
| Refresh Date | 2010-09-01 |
| Street Address | 22314 Town Walk Drive |
| City | Hamden |
| State | CT |
| Zip Code | 06518 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Barbara Esposito Aprn | 209 Todd St, Hamden, CT 06518 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Sorrentos Brick Oven Pizzeria | 244 Skiff St, Hamden, CT 06518 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Jenna Bump | 61 Cannon St, Hamden, CT 06518 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jennifer E Pohl | 70 Norwood Avenue, Hamden, CT 06518 | Speech and Language Pathologist | 2020-07-01 ~ 2021-06-30 |
| Nicole O Miller-tyson | 648 Evergreen Ave, Hamden, CT 06518 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Nancy D Anderson | 399 Hillfield Road, Hamden, CT 06518 | Speech and Language Pathologist | 2020-08-01 ~ 2021-07-31 |
| Flowers From The Farm | 1035 Shepard Avenue, Hamden, CT 06518 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Lynda Burke | 68 Linden Avenue, Hamden, CT 06518 | Notary Public Appointment | 2011-12-08 ~ 2016-12-31 |
| Kelly Lynn Huppert | 1334 Town Walk Dr, Hamden, CT 06518 | Master's Level Social Worker | ~ |
| Robert L Engengro | 365 Forest Street, Hamden, CT 06518 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Find all Licenses in zip 06518 | |||
| City | Hamden |
| Zip Code | 06518 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Hamden |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Syed H Reza | 346 Main Ave Ste B, Norwalk, CT 06851-1592 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Ali Reza Rahimi | 1450 Chapel St, New Haven, CT 06511-4405 | Physician/surgeon | 1990-07-13 ~ 1991-05-31 |
| Hamid Reza Abbasi | 6600 Mn-29, Alexandria, MN 56308 | Physician/surgeon | 2020-04-02 ~ 2020-11-30 |
| Reza T Jalal Md | 67 Village Lane, Wethersfield, CT 06109 | Physician/surgeon | 1997-09-19 ~ 1998-09-30 |
| Abdur Reza Khan | 3442 Foothill Blvd, La Crescenta, CA 91214 | Physician/surgeon | ~ |
| Hamid Reza Danesh | 1431 Pawtucket Blvd, Lowell, MA 01854 | Physician/surgeon | 2005-09-01 ~ 2006-03-31 |
| Reza Milano | 267 Grand St., Bridgeport, CT 06610 | Resident Physician | 2018-06-25 ~ 2021-06-30 |
| Afshin Sam Md | 56 Franklin St, Waterbury, CT 06706 | Controlled Substance Registration for Practitioner | 2009-04-30 ~ 2011-02-28 |
| Afshin Karjoo | 1955 Mesic Hammock Way, Venice, FL 34292-4155 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Afshin Badii | 40 Waterside Plz Apt 24e, New York, NY 10010-2795 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Please comment or provide details below to improve the information on AFSHIN REZA SAM.
| 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).