TANNAZ MALEKZADEH DMD (Credential# 703668) is licensed (Dentist) with Connecticut Department of Consumer Protection. The license effective date is July 7, 2004. The license expiration date date is July 31, 2005. The license status is INACTIVE.
TANNAZ MALEKZADEH DMD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.009216. The credential type is dentist. The effective date is July 7, 2004. The expiration date is July 31, 2005. The business address is 38 N.main St#24, West Hartford, CT 06107. The current status is inactive.
| Licensee Name | TANNAZ MALEKZADEH DMD |
| Credential ID | 703668 |
| Credential Number | 2.009216 |
| Credential Type | Dentist |
| Business Address |
38 N.main St#24 West Hartford CT 06107 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2003-08-21 |
| Effective Date | 2004-07-07 |
| Expiration Date | 2005-07-31 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 354634 | CSP.0034334 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-02-29 - 2005-02-28 | INACTIVE |
| Street Address | 38 N.MAIN ST#24 |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06107 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rebecca L Stansfield | 73 Tunxis Road, West Hartford, CT 06107 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Kumari Joshi | 44 Bentwood Rd, West Hartford, CT 06107 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Laurie C Caines Md | 205 Stoner Drive, West Hartford, CT 06107 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Nicole K. Edlund | 11 Greenacres Avenue, West Hartford, CT 06107 | Master's Level Social Worker - Temporary Permit | ~ |
| Andrea M Yuliano | 39 Mountain Terrace Road, West Hartford, CT 06107 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Elizabeth M Ineson | 4 Linwold Dr, West Htfd, CT 06107 | Architect | 2020-08-01 ~ 2021-07-31 |
| Sarah G Potter | 19 Westland Ave, West Hartford, CT 06107 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Jessica C Abreu | 14 Deepwood Lane, West Hartford, CT 06107 | Real Estate Salesperson | 2020-06-18 ~ 2021-05-31 |
| William C Richter | 67 Hillsboro Drive, West Hartford, CT 06107 | Architect | 2020-08-01 ~ 2021-07-31 |
| Teresa M Stanton | 25 Common Dr., West Hartford, CT 06107 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06107 | |||
| City | WEST HARTFORD |
| Zip Code | 06107 |
| License Type | Dentist |
| License Type + County | Dentist + WEST HARTFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Shirin Malekzadeh | 185 Wild Oak Drive, Southington, CT 06489 | Pharmacy Intern | 2004-08-02 ~ 2005-08-01 |
| Tannaz Iranpour Boroujeni | 39 Waterside Close, Eastchester, NY 10709 | Physician/surgeon | ~ |
| Yousef Malekzadeh | 193d Park St, New Canaan, CT 06840 | Real Estate Salesperson | ~ |
| Tannaz Moin | 100 Temple St#208, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Tannaz Shoja | 500 Andrews Way, South Windsor, CT 06074 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Shirin Malekzadeh Khadivi | 2008 Kittiwake Lane, Cedar Park, TX 78613-4357 | Pharmacist | 2010-02-01 ~ 2011-01-31 |
| Ana L Roca | 331 2nd Ave # 2, Garwood, NJ 07027-1004 | Dentist | ~ |
| Narinderjit Mahal | CT | Dentist | ~ |
| Su J Lee | 480 2nd Ave Apt 10a, New York, NY 10016-9140 | Dentist | 2016-07-12 ~ 2017-03-31 |
| Priscila M Guzman | CT | Dentist | ~ |
Please comment or provide details below to improve the information on TANNAZ MALEKZADEH DMD.
| 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).