MARYAM ROSTAMI DDS (Credential# 975370) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.
MARYAM ROSTAMI DDS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0049363. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is 207 George St Apt 516, Middletown, CT 06457-6701. The current status is inactive.
| Licensee Name | MARYAM ROSTAMI DDS |
| Credential ID | 975370 |
| Credential Number | CSP.0049363 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
207 George St Apt 516 Middletown CT 06457-6701 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2010-11-18 |
| Effective Date | 2013-03-01 |
| Expiration Date | 2015-02-28 |
| Refresh Date | 2016-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 968997 | 2.010401 | Dentist | 2010-10-27 | 2012-09-01 - 2013-08-31 | INACTIVE |
| Street Address | 207 GEORGE ST APT 516 |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457-6701 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cheryl Bartlett | 207 George St Apt 516, Middletown, CT 06457-6701 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Mohammad Okasha Dmd | 207 George St Apt 516, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jennifer Claire Maguire | 207 George St Apt 512, Middletown, CT 06457-6701 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Elizabeth O'bryan | 207 George St Apt 507, Middletown, CT 06457-6701 | Notary Public Appointment | 2017-11-01 ~ 2022-10-31 |
| Victoria L Simpson | 207 George St Apt 509, Middletown, CT 06457-6701 | Engineer-in-training | 2019-08-09 ~ 2029-08-09 |
| Bryan Godduhn | 207 George St Apt 515, Middletown, CT 06457-6701 | Controlled Substance Registration for Practitioner | 2019-07-23 ~ 2021-02-28 |
| Carly N Haining | 207 George St Apt 508, Middletown, CT 06457-6701 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lori J Rosano · Rosano | 207 George St Apt 501, Middletown, CT 06457-6701 | Registered Nurse | 2017-10-01 ~ 2018-09-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth M Mailhot | 177 Timber Ridge Rd, Middletown, CT 06457 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Rebecca S Fennessy | 22 Keefe Ln, Middletown, CT 06457 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Eloise M Gagnon | 538 Bow Lane, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Salvatore Dimauro | 245 Dekoven Dr, Middletown, CT 06457 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Frank L Wright | 261 Spencer Dr, Middletown, CT 06457 | Barber | 2020-08-01 ~ 2022-07-31 |
| Gino A Cardella | 50 Sonoma Lane, Middletown, CT 06457 | Real Estate Salesperson | ~ |
| Shannon Lee Mcquillan | 5 Forest Glen Circle, Middletown, CT 06457 | Registered Nurse | 2020-06-26 ~ 2020-09-30 |
| Lori Dimauro · Carta | 244 Chamberlain Hill Road, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Gail A Corrow | 85 Dora Dr, Middletown, CT 06457 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Mariter V Perez | 8 Moss Glen, Middletown, CT 06457 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06457 | |||
| City | MIDDLETOWN |
| Zip Code | 06457 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MIDDLETOWN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Maryam Iftikhar | 38 Bolduc Ct, Wolcott, CT 06716-3146 | Controlled Substance Registration for Practitioner | 2019-04-10 ~ 2021-02-28 |
| Maryam Azadpur Dmd | 381 Hopmeadow St Ste 202, Simsbury, CT 06089 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Maryam Tahvildari | 130 Division St, Derby, CT 06418-1326 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Maryam Saleem | 64 Robbins St # 3304, Waterbury, CT 06708-2613 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Maryam Dastrange Sammet | 56 Franklin St, Waterbury, CT 06706-1253 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Maryam Oshomah | 1660 Ridge Rd, North Haven, CT 06473-2046 | Controlled Substance Registration for Practitioner | 2020-01-13 ~ 2021-02-28 |
| Maryam Etesami | Po Box 208042, Yale Medicine, New Haven, CT 06520-8042 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Maryam Hedayatzadeh Md | Womens Healthcare of New England, Norwalk, CT 06851 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Maryam Edalat Dds | 420 Easr 58th Street, New York City, NY 10022 | Controlled Substance Registration for Practitioner | 2000-02-29 ~ 2001-02-28 |
| Maryam Azizi | 814 Larchmont Acres Apt A, Larchmont, NY 10538-7370 | Controlled Substance Registration for Practitioner | 2019-09-24 ~ 2021-02-28 |
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| 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).