JACQUELINE MALEKIRAD (Credential# 1081751) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.
JACQUELINE MALEKIRAD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0053024. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is 5 Perryridge Rd, Greenwich, CT 06830-4608. The current status is inactive.
| Licensee Name | JACQUELINE MALEKIRAD |
| Credential ID | 1081751 |
| Credential Number | CSP.0053024 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
5 Perryridge Rd Greenwich CT 06830-4608 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - DOES NOT WISH TO RENEW |
| Issue Date | 2012-08-01 |
| Effective Date | 2015-03-01 |
| Expiration Date | 2017-02-28 |
| Refresh Date | 2016-03-02 |
| Street Address | 5 PERRYRIDGE RD |
| City | GREENWICH |
| State | CT |
| Zip Code | 06830-4608 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tushaar V Shrimanker | 5 Perryridge Rd, Greenwich, CT 06830-4608 | Resident Physician | 2020-06-22 ~ 2023-06-26 |
| Caroline Pham | 5 Perryridge Rd, Greenwich, CT 06830-4608 | Resident Physician | 2020-06-22 ~ 2023-06-26 |
| Kasandra Erazo | 5 Perryridge Rd, Greenwich, CT 06830-4608 | Resident Physician | 2020-04-27 ~ 2023-06-26 |
| June E Jeon | 5 Perryridge Rd, Greenwich, CT 06830-4608 | Resident Physician | 2020-06-22 ~ 2023-06-26 |
| Umar Hasan | 5 Perryridge Rd, Greenwich, CT 06830-4608 | Resident Physician | 2020-06-22 ~ 2023-06-26 |
| Chanjuan Zhong | 5 Perryridge Rd, Greenwich, CT 06830-4608 | Resident Physician | 2019-06-24 ~ 2022-06-27 |
| Leilei Teng | 5 Perryridge Rd, Greenwich, CT 06830-4608 | Resident Physician | 2020-06-22 ~ 2022-06-26 |
| Greenwich Hospital | 5 Perryridge Rd, Greenwich, CT 06830-4608 | General Hospital | 2019-10-01 ~ 2021-09-30 |
| Harry Eswar Subramanian | 5 Perryridge Rd, Greenwich, CT 06830-4608 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Diana M Adams | 5 Perryridge Rd, Greenwich, CT 06830-4608 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kisha A Mitchell Richards | 5 Perryridge Rd Rm, Greenwich, CT 06830-4608 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Alexandra M Friedman | 10 Perryridge Rd, Greenwich, CT 06830-4608 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Sabrina Chateauvert | 2 Perryridge Rd, Greenwich, CT 06830-4608 | Registered Nurse | 2020-02-06 ~ 2020-09-30 |
| Steven D Smith | 5 Perryridge Rd Rm 1-3217, Greenwich, CT 06830-4608 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Paul B Sygall Md | 5 Perryridge Rd, Room 2-248, Greenwich, CT 06830-4608 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Joshua I Hrabosky | Greenwich Hospital, Greenwich, CT 06830-4608 | Psychologist | 2020-03-01 ~ 2021-02-28 |
| Front Porch Properties LLC | 10 Perryridge Rd, Greenwich, CT 06830-4608 | Real Estate Broker | 2017-04-01 ~ 2018-03-31 |
| Sarah S Esaa | 5 Perryridge Rd Rm 1-3217, Greenwich, CT 06830-4608 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Nicole L Nocera | 5 Perryridge Rd Rm 1-3217, Greenwich, CT 06830-4608 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Steven V Buslovich | 38 Lake Avenue, Greenwich, CT 06830-4608 | Physician/surgeon | 2014-04-01 ~ 2015-03-31 |
| Find all Licenses in zip 06830-4608 | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Junior League of Greenwich Conn Inc. | 231 East Putnam Ave., Greenwich, CT 06830 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Michelle Yoo | 35 Putnam Green, Greenwich, CT 06830 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-01-31 |
| Michele S Bergen | Greenwich Medical Building, Greenwich, CT 06830 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Black Forest Pastry | 52 Lewis Street, Greenwich, CT 06830 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Maurasaca Pallchisaca Gloria Veronica | 103 Greenwich Ave, Greenwich, CT 06830 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Deborah B Huffard | 107 Maple Ave, Greenwich, CT 06830 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Joann H Alexander | 157 Stanwich Road, Greenwich, CT 06830 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Dandan Tu | 24 Byfield Ln, Greenwich, CT 06830 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Mohamed Akli Zetchi | 2 Perryridge Road, Greenwich, CT 06830 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Gateway Classical Music Society Inc | 292 Stanwich Road, Greenwich, CT 06830 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Find all Licenses in zip 06830 | |||
| City | GREENWICH |
| Zip Code | 06830 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + GREENWICH |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jacqueline Campisi | Po Box 475, Mystic, CT 06355-0475 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Jacqueline M. S. Winterkorn | Po Box 222, Roxbury, CT 06783-0222 | Controlled Substance Registration for Practitioner | 2015-05-05 ~ 2017-02-28 |
| Jacqueline Rohan | 122 Water St Apt 121, Leominster, MA 01453-3270 | Controlled Substance Registration for Practitioner | 2020-03-24 ~ 2021-02-28 |
| Jacqueline Goulart Berliner | 25 Grove St, Cos Cob, CT 06807-2020 | Controlled Substance Registration for Practitioner | 2020-05-21 ~ 2021-02-28 |
| Jacqueline N Brysacz | 821 Orange St, New Haven, CT 06511-2507 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Jacqueline A Bonanno | 524 E 20th St Apt 8c, New York, NY 10009-1307 | Controlled Substance Registration for Practitioner | 2015-05-28 ~ 2017-02-28 |
| Jacqueline K Henchel | 290 Mckinley Ave, New Haven, CT 06515-2012 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jacqueline C Martin | 26 Chamberlain Hwy, Kensington, CT 06037-1921 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jacqueline D Fernandes | 108 Macomber Ln, Portsmouth, RI 02871-4115 | Controlled Substance Registration for Practitioner | ~ |
| Jacqueline L Hartzler Md | 55 Trumbull St Apt 102, Hartford, CT 06103-2401 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
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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).