MONA G KHATTAB MD (Credential# 921476) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license status is EXPIRED APPLICATION.
MONA G KHATTAB MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0047415. The credential type is controlled substance registration for practitioner. The business address is 61 Piedmont Dr Apt 211a, Port Jefferson Station, NY 11776-1127. The current status is expired application.
| Licensee Name | MONA G KHATTAB MD |
| Credential ID | 921476 |
| Credential Number | CSP.0047415 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
61 Piedmont Dr Apt 211a Port Jefferson Station NY 11776-1127 |
| Business Type | INDIVIDUAL |
| Status | EXPIRED APPLICATION |
| Refresh Date | 2017-05-02 |
| Street Address | 61 PIEDMONT DR APT 211A |
| City | PORT JEFFERSON STATION |
| State | NY |
| Zip Code | 11776-1127 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joanne Louise Downing | 7 Cully Street, Port Jefferson Station, NY 11776 | Physical Therapist | 2020-04-01 ~ 2021-03-31 |
| Beth Anne Travis | 307 Woodhull Ave, Port Jefferson Station, NY 11776 | Registered Nurse - Temporary | 2020-04-22 ~ 2020-08-20 |
| Kelly Ann Kosciuk | 5 Hancock Street, Port Jefferson Station, NY 11776 | Registered Nurse | 2020-03-06 ~ 2021-02-28 |
| Praimchand Nardeo | 15a East Grove Street, Port Jefferson Station, NY 11776 | Tax Preparer/facilitator Permit | 2020-02-11 ~ 2022-02-28 |
| Paul Lappano | 45 Bedford Ave, Port Jefferson Station, NY 11776 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Stewart D Charaton | 3 Exeter Drive, Port Jefferson Station, NY 11776 | Notary Public Appointment | 2005-12-28 ~ 2010-12-31 |
| Jeffrey Lee Vacirca | 1500 Route 112 Building 4, Port Jefferson Station, NY 11776 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Kristen Youngberg | 1 Evelyn Rd, Port Jeff Sta, NY 11776 | Massage Therapist | 2018-09-19 ~ 2020-09-30 |
| Paul Alan Werfel | 36 Sahenandoah Avlvd, Port Jefferson Station, NY 11776 | Emergency Medical Technician | ~ |
| Clark S Homan | 2 Pagnotta Drive, Port Jefferson, NY 11776 | Physician/surgeon | 2007-09-24 ~ 2008-10-31 |
| Find all Licenses in zip 11776 | |||
| City | PORT JEFFERSON STATION |
| Zip Code | 11776 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + PORT JEFFERSON STATION |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mona A Chiurillo | 26 Meadow Rd, Cromwell, CT 06416-2475 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mona Shahriari | 12 Pinnacle Rd, Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Mona Sarrai Md | 711 Willard Ave #5, Newington, CT 06111 | Controlled Substance Registration for Practitioner | 2007-10-03 ~ 2008-02-29 |
| Mona Doss | 65 Addison Rd, Glastonbury, CT 06033-1603 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Mona Taleb | 80 Seymour St, Hartford, CT 06102-5037 | Controlled Substance Registration for Practitioner | 2016-05-26 ~ 2017-02-28 |
| Kevin F Mcgovern Dmd | 177 Mona Terr, Fairfield, CT 06824 | Controlled Substance Registration for Practitioner | 2009-04-01 ~ 2011-02-28 |
| Mona Elzarka | 961 Huntington Turnpike, Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mona H. Parikh Md | 162 Bradford Walk, New Britain, CT 06053 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Mona J Luperella | 23 Tuckahoe Road, Easton, CT 06612 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Laurie A Steiner | 86 Mona Terrace, Fairfield, CT 06824 | Controlled Substance Registration for Practitioner | 2011-03-14 ~ 2013-02-28 |
Please comment or provide details below to improve the information on MONA G KHATTAB MD.
| 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).