BAYAN T TAKIZAWA (Credential# 564388) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2016. The license expiration date date is February 28, 2017. The license status is INACTIVE.
BAYAN T TAKIZAWA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.046806. The credential type is physician/surgeon. The effective date is March 1, 2016. The expiration date is February 28, 2017. The business address is 716 Concord Rd, Sudbury, MA 01776-1417. The current status is inactive.
Licensee Name | BAYAN T TAKIZAWA |
Credential ID | 564388 |
Credential Number | 1.046806 |
Credential Type | Physician/Surgeon |
Business Address |
716 Concord Rd Sudbury MA 01776-1417 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2008-07-21 |
Effective Date | 2016-03-01 |
Expiration Date | 2017-02-28 |
Refresh Date | 2017-06-03 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
394561 | CSP.0036960 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-02-09 | 2006-03-01 - 2007-02-28 | INACTIVE |
Street Address | 716 CONCORD RD |
City | SUDBURY |
State | MA |
Zip Code | 01776-1417 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Anthony F Ciccolo | 41 Fieldstone Farm Rd, Sudbury, MA 01776 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
Rita U Nothaft-fordiani | 40 Tanbark Rd, Sudbury, MA 01776 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Zachary G Jarvis | 93 Pokonoket Ave, Sudbury, MA 01776 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Mark E Sevier | 14 Arborwood Rd, Sudbury, MA 01776 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Niklas W Vigener | 36 Plantation Circle, Sudbury, MA 01776 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Joseph A Lebruto | 6 Allen Pl, Sudbury, MA 01776 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
George J. Gorman | 17 Sunset Path, Sudbury, MA 01776 | Certified Public Accountant Certificate | 2020-01-01 ~ 2020-12-31 |
Binoy Koodhathinkal | 77 Churchill Street, Sudbury, MA 01776 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Randall T Duke | 89 Stone Rd, Sudbury, MA 01776 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Craig E Blake | 300 Old Lancaster Rd, Sudbury, MA 01776 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Find all Licenses in zip 01776 |
City | SUDBURY |
Zip Code | 01776 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + SUDBURY |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Nami Bayan | 2 Ivy Brook Rd Ste 120, Shelton, CT 06484-6416 | Physician/surgeon | 2019-07-01 ~ 2020-06-30 |
Bayan LLC | 81 Painter Ave, West Haven, CT 06516-5829 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2011-07-01 ~ 2012-06-30 |
Bayan H Abunar | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2019-07-01 ~ 2023-06-30 |
Bayan Galal | 28 Holley Ln, Prospect, CT 06712-1483 | Emergency Medical Technician | 2019-07-26 ~ 2022-06-30 |
Bayan Hourani | 670 Black Rock Tpke, Fairfield, CT 06825-4746 | Pharmacy Technician | 2018-04-01 ~ 2019-03-31 |
Bayan Mahmoud Mansour | 104 Sandy Hollow Rd, Mystic, CT 06355-1718 | Pharmacy Intern | 2017-08-23 ~ 2020-09-30 |
Ma. Theresa Palenzuela Leuterio | 1070 Unit 1 Bayan Luma 8, Cavite, PH 4103 | Registered Nurse | ~ |
Meloryn Nicolas Cruz | B6l7 Emerald St. Sta Cecilia Subd. Gitnang Bayan 1, Rizal, PH 1850 | Physical Therapist | ~ |
Mark Linnard Paulino | 96 Dulong Bayan, San Jose Del Monte City,bulacan, PH 2023 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
Epiuel-anne Manese Dirige | 100 Bayan Bayanan Ave, Marikina Hts, Marikina City, PH 1810 | Registered Nurse | 2019-05-30 ~ 2019-09-30 |
Please comment or provide details below to improve the information on BAYAN T TAKIZAWA.
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).