MARIAM SHAKIR AZEEM (Credential# 1024452) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
MARIAM SHAKIR AZEEM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0050835. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 56 Franklin Street, Waterbury, CT 06706. The current status is active.
| Licensee Name | MARIAM SHAKIR AZEEM |
| Credential ID | 1024452 |
| Credential Number | CSP.0050835 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
56 Franklin Street Waterbury CT 06706 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2011-08-08 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-25 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1401102 | 1.056175 | Physician/Surgeon | 2017-02-24 | 2020-02-01 - 2021-01-31 | ACTIVE |
| Street Address | 56 Franklin Street |
| City | Waterbury |
| State | CT |
| Zip Code | 06706 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicholas Druar | 56 Franklin Street, Waterbury, CT 06706 | Resident Physician | 2019-07-01 ~ 2025-06-30 |
| Bethel Girma Shiferaw | 56 Franklin Street, Waterbury, CT 06706 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Virginia Parker | 56 Franklin Street, Waterbury, CT 06706 | Resident Physician | 2019-07-01 ~ 2021-06-30 |
| Fnu Sidra | 56 Franklin Street, Waterbury, CT 06706 | Resident Physician | 2018-06-19 ~ 2021-06-22 |
| Abdul Haseeb | 56 Franklin Street, Waterbury, CT 06706 | Resident Physician | 2018-06-19 ~ 2021-06-22 |
| Sanum Munir | 56 Franklin Street, Waterbury, CT 06706 | Resident Physician | 2018-06-19 ~ 2021-06-22 |
| Vinod Kumar | 56 Franklin Street, Waterbury, CT 06706 | Resident Physician | 2018-06-19 ~ 2021-06-22 |
| Ahmed Kazi | 56 Franklin Street, Waterbury, CT 06706 | Resident Physician | 2018-06-19 ~ 2021-06-22 |
| Karl Hellstrand | 56 Franklin Street, Waterbury, CT 06706 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Ariel G Ong | 56 Franklin Street, Waterbury, CT 06706 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Yiajaira Morales | 424 Baldwin St., Waterbury, CT 06706 | Medication Administration Certification | 2020-05-01 ~ 2022-04-30 |
| Timiki M White | 921 Hamilton Avenue Unit 6, Waterbury, CT 06706 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
| Lymarie Torres Garcia | 107 Alpine Ave., Waterbury, CT 06706 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Ann M Iannantuoni | 456 Prospect Rd, Waterbury, CT 06706 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Brittany Morgan | 921 Hamilton Ave., Waterbury, CT 06706 | Medication Administration Certification | 2018-04-14 ~ 2020-04-13 |
| Chevelle Hinton | 35 Mountain Village Rd Unit 2, Waterbury, CT 06706 | Medication Administration Certification | 2020-05-19 ~ 2022-05-18 |
| Juan A Bano | 685 Summer St, Waterbury, CT 06706 | Asbestos Abatement Worker | ~ |
| Esther Campos Dasilva | 31 Benjamin St, Waterbury, CT 06706 | Emergency Medical Responder | ~ |
| Rebecca L Diblasi | 295 Edgewood Avenue, Waterbury, CT 06706 | Real Estate Salesperson | 2020-06-11 ~ 2021-05-31 |
| Rnz Services LLC | 76 Lounsbury Ave Apt 2, Waterbury, CT 06706 | Home Improvement Contractor | 2020-06-12 ~ 2020-11-30 |
| Find all Licenses in zip 06706 | |||
| City | Waterbury |
| Zip Code | 06706 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Waterbury |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mariam Azeem | 263 Farmington Avenue, Farmington, CT 06032 | Controlled Substance Registration for Practitioner | ~ |
| Ali A Azeem | 2 Park Pl Apt 11b, Hartford, CT 06106-5012 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Meena Azeem | 641 W 169th St Apt 5a, New York, NY 10032-2925 | Controlled Substance Registration for Practitioner | 2017-04-08 ~ 2019-02-28 |
| Muhammad W Azeem Md | 915 River Road, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Omar R Shakir | 600 W Putnam Ave, Greenwich, CT 06830 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Muhammad Umer Azeem | 246 E Mountain St Unit C, Worcester, MA 01606-1285 | Controlled Substance Registration for Practitioner | 2020-03-24 ~ 2021-02-28 |
| Shakir Mclean | 2625 Park Ave Unit 4a, Bridgeport, CT 06604-1338 | Controlled Substance Registration for Practitioner | 2015-07-06 ~ 2017-02-28 |
| Mariam B Totonchy | 129 York Street Apt 3k, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Mariam Nasiri | 62 Lazy Brook Rd, Monroe, CT 06468-3316 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mariam Totonchy | 129 York Street, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on MARIAM SHAKIR AZEEM.
| 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).