AMIR E MASOUD (Credential# 1084981) 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.
AMIR E MASOUD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0053282. 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 3 Wildcat Rd, Madison, CT 06443-2415. The current status is active.
| Licensee Name | AMIR E MASOUD |
| Credential ID | 1084981 |
| Credential Number | CSP.0053282 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
3 Wildcat Rd Madison CT 06443-2415 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2012-08-14 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2018-12-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1282581 | 1.054351 | Physician/Surgeon | 2015-07-02 | 2019-07-01 - 2020-06-30 | ACTIVE |
| Street Address | 3 WILDCAT RD |
| City | MADISON |
| State | CT |
| Zip Code | 06443-2415 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Katherine M Masoud | 3 Wildcat Rd, Madison, CT 06443-2415 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Caitlyn Beverly Darosa | Lyle Dr, Madison, CT 06443 | Registered Nurse | ~ |
| Roberts Food Center · Rjf Inc Dba | 514 Old Toll Rd, Madison, CT 06443 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Karen D Leonetti · Rapuano | 553 Green Hill Rd, Madison, CT 06443 | Radiographer | 2020-09-01 ~ 2021-08-31 |
| Pasquale Sabatasso | 122 River Edge Farms Road, Madison, CT 06443 | Barber | 2020-07-01 ~ 2022-06-30 |
| Madision Health Foods · Jum Ok Coker | 59 Wall St, Madison, CT 06443 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Madison Community Services Inc. | P.o. Box 148, Madison, CT 06443 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Shaina Michele Levinson | 52 East Wharf Rd, Madison, CT 06443 | Master's Level Social Worker | ~ |
| Stephen G Lynch · Lynch, Stephen Gerard | 12 Milestone Lane, Madison, CT 06443 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| David F Courtney Md | 38 Old Duck Hole Road, Madison, CT 06443 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Sydni E Marmor | 560 Opening Hill Road, Madison, CT 06443 | Professional Counselor | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06443 | |||
| City | MADISON |
| Zip Code | 06443 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MADISON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Katherine M Masoud | 3 Wildcat Rd, Madison, CT 06443-2415 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Masoud Azodi Md | 390 Livingston Street, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Amir Mor | 5001 10th Ave Apt 5c, Brooklyn, NY 11219-3306 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Amir M Wassif | 27 Shelly Ct, Plainview, NY 11803-5309 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Amir Ata Rahnemai Azar | 91 4th St, Ansonia, CT 06401 | Controlled Substance Registration for Practitioner | 2017-06-22 ~ 2019-02-28 |
| Amir Hasharoni Md | 24b Hillside Ave, Tenafly, NJ 07670 | Controlled Substance Registration for Practitioner | 2002-02-14 ~ 2003-02-28 |
| Amir Shamshirsaz | 221 Trumbull St, Hartford, CT 06103-1500 | Controlled Substance Registration for Practitioner | 2011-07-24 ~ 2013-02-28 |
| Amir Mohani | 104 Primrose Ct, Lufkin, TX 75904-5323 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| M Amir Ahmadi | 111 Park St Apt 16m, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2004-10-04 ~ 2005-02-28 |
| Amir H Davarpanahfakhr | 20 York St Tmp 209, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2011-04-27 ~ 2013-02-28 |
Please comment or provide details below to improve the information on AMIR E MASOUD.
| 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).