MICHAEL BAGHERI (Credential# 911692) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2010. The license expiration date date is June 30, 2011. The license status is INACTIVE.
MICHAEL BAGHERI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.048825. The credential type is physician/surgeon. The effective date is June 1, 2010. The expiration date is June 30, 2011. The business address is 1185 West Mountain View Rd, Johnson City, TN 37604. The current status is inactive.
| Licensee Name | MICHAEL BAGHERI |
| Credential ID | 911692 |
| Credential Number | 1.048825 |
| Credential Type | Physician/Surgeon |
| Business Address |
1185 West Mountain View Rd Johnson City TN 37604 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2010-06-01 |
| Effective Date | 2010-06-01 |
| Expiration Date | 2011-06-30 |
| Refresh Date | 2011-10-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 945280 | CSP.0048275 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | - | EXPIRED APPLICATION |
| Street Address | 1185 WEST MOUNTAIN VIEW RD |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37604 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Johnson City Bedding Company | 250 W. Market St., Johnson City, TN 37604 | Manufacturer of Bedding & Upholstered Furniture | 2016-05-01 ~ 2017-04-30 |
| Thomas Evely | 121 N Commerce Street, Johnson City, TN 37604 | Physician/surgeon | ~ |
| Anita F Fitzpatrick · Miles | 416 W Chestnut Street, Johnson City, TN 37604 | Licensed Practical Nurse | 2020-01-01 ~ 2020-12-31 |
| Brianna Monet Mitchell | 1185 W Mountain View Rd Apt 1218, Johnson City, TN 37604 | Registered Nurse - Temporary | 2018-07-25 ~ 2018-11-21 |
| Laure Beverage Company | 300 Boggs Ln, Johnson City, TN 37604 | Non-alcoholic Beverage & Water Bottlers | 1997-07-01 ~ 1998-06-30 |
| Dana Leigh Brown | 2913 Antioch Rd, Johnson City, TN 37604 | Registered Nurse | 2016-03-07 ~ 2017-01-31 |
| Diana L Heiman Md | Etsu Family Medicine Associates, Johnson City, TN 37604 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| George W Stano Jr | 123 Jack Martin Lane, Gray, TN 37604 | Podiatrist | 2011-04-01 ~ 2012-03-31 |
| Emmanuel E Okon | 1185 W Mountain View Road, Apt. 2227, Johnson City, TN 37604 | Physician/surgeon | 2010-12-01 ~ 2011-11-30 |
| Jacquilin A Watts | 6 Garden Way, Johnson City, TN 37604 | Registered Nurse | 2008-06-20 ~ 2009-06-30 |
| Find all Licenses in zip 37604 | |||
| City | JOHNSON CITY |
| Zip Code | 37604 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + JOHNSON CITY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Roshanak Bagheri Md | 89 Fenwood Ave, Old Saybrook, CT 06475 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kenneth Gross | 9 Michael St, Norwalk, CT 06854-3415 | Physician/surgeon | ~ |
| Michael Schwartz | Stamford, CT 06903-2828 | Physician/surgeon | 2013-01-01 ~ 2013-12-31 |
| Michael Marchese | 31 Remove, Bronx, NY 10465 | Physician/surgeon | ~ |
| Michael A. Contillo | 73 Market St, Yonkers, NY 10710-7602 | Physician/surgeon | ~ |
| M Michael Eisenberg | 36 E 72 St Apt #2n, New York, NY 10021 | Physician/surgeon | 2007-01-19 ~ 2008-01-31 |
| Michael D Greenaway | 446 Rte #81, Killingworth, CT 06419 | Physician/surgeon | 2014-10-01 ~ 2015-09-30 |
| Michael P Goldman | 15 Elm Pl, Greenwich, CT 06830-6615 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| V Subramoni | 8 Michael Way, Pennington, NJ 08534 | Physician/surgeon | 2000-08-18 ~ 2001-05-31 |
| Michael S Komarow | 755 2nd Ave Fl 2, New York, NY 10017-5977 | Physician/surgeon | 2013-04-01 ~ 2014-03-31 |
Please comment or provide details below to improve the information on MICHAEL BAGHERI.
| 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).