SAMIN FAZELI (Credential# 1130656) is licensed (Dental Hygienist) with Connecticut Department of Consumer Protection. The license status is EXPIRED APPLICATION.
SAMIN FAZELI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #13. The credential type is dental hygienist. The business address is 20 Norman Ln Nw, Rome, GA 30165-9611. The current status is expired application.
| Licensee Name | SAMIN FAZELI |
| Credential ID | 1130656 |
| Credential Number | 13 |
| Credential Type | Dental Hygienist |
| Business Address |
20 Norman Ln Nw Rome GA 30165-9611 |
| Business Type | INDIVIDUAL |
| Status | EXPIRED APPLICATION - EXPIRED APPLICATION |
| Refresh Date | 2016-02-19 |
| Street Address | 20 NORMAN LN NW |
| City | ROME |
| State | GA |
| Zip Code | 30165-9611 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Adam Joseph Jimenez | 24 Westvalley Dr, Rome, GA 30165 | Registered Nurse - Temporary | 2018-06-11 ~ 2018-10-08 |
| Linda J Trammell | 6 Stewart Court, Rome, GA 30165 | Registered Nurse | 2013-09-01 ~ 2014-08-31 |
| Libbie K Sams | 106 N Elm Street, Rome, GA 30165 | Licensed Practical Nurse | 2004-01-08 ~ 2005-01-31 |
| Sanjay G Reddy | 5 Honeytree Trail, Ne, Rome, GA 30165 | Physician/surgeon | 2007-10-09 ~ 2008-02-29 |
| Daryl A Floyd | 8 Fernwood Drive, Rome, GA 30165 | Physical Therapist | 2001-12-26 ~ 2002-10-31 |
| Beverley M Floyd | 8 Fernwood Drive, Rome, GA 30165 | Registered Nurse | 1999-11-04 ~ 2000-09-30 |
| Dermatran Health Solutions | 85 Technology Pkwy Nw, Rome, GA 30165-1382 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
| Timothy W Smith | 24 Birchfield Dr Ne, Rome, GA 30165-7454 | Heating, Piping & Cooling Limited Contractor | 2008-10-01 ~ 2009-08-31 |
| Backcountry for Christ International Inc | 4 Bob White Ct Ne, Rome, GA 30165-9614 | Public Charity-exempt From Financial Requirements | 2015-10-23 ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kendra Jade Mcgregor | 5943 Springhouse Rd, Rome, NY 13440-7862 | Physician Assistant | 2020-06-25 ~ 2021-03-31 |
| Jenna N Lee | 8294 Northgate Dr, Rome, NY 13440-1943 | Pharmacist | ~ |
| Aldous B Odulio | 115 Rose Ln Apt 10b, Rome, NY 13440-3644 | Physical Therapist | 2020-01-01 ~ 2020-12-31 |
| Pivot Quarry Investments LLC | 210 E. 2nd Avenue, Rome, GA 30161 | Securities - Exemptions | 2019-12-30 ~ |
| Patrick D Surace | 707 Lynwood St, Rome, NY 13440-2123 | Engineer-in-training | 2010-01-12 ~ 2020-01-12 |
| Garrett E Luszczki | 21 Bickford Ln, Rome, ME 04963-3445 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Douglas R Cahill | 8312 Greenview Dr, Rome, NY 13440 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Norwood Capital Investments, LLC | 210 E 2nd Avenue, Rome, GA 30161 | Securities - Exemptions | 2019-10-04 ~ |
| Dave Patrick R Luy | 519 W Dominick St Apt 2, Rome, NY 13440-4830 | Physical Therapist | 2019-11-01 ~ 2020-10-31 |
| Donald P Darcangelo | 1322 Craig St, Rome, NY 13440-2355 | Heating, Piping & Cooling Limited Journeyperson | 2019-09-01 ~ 2020-08-31 |
| Find all Licenses in ROME | |||
| City | ROME |
| Zip Code | 30165 |
| License Type | Dental Hygienist |
| License Type + County | Dental Hygienist + ROME |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jabbar Fazeli Md | 554 Whalley Avenue, New Haven, CT 06511 | Physician/surgeon | 2002-11-08 ~ 2003-10-31 |
| Zacharia K El-samin | 21 Pine Tree Terrace, Brooklyn, CT 06234 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Marie C Edouard | CT | Dental Hygienist | ~ |
| Jennifer L Souza | CT | Dental Hygienist | ~ |
| Ana Stepanchuk | 350 Meadow St Apt 32, Agawam, MA 01001-2229 | Dental Hygienist | ~ |
| Hui Ran | 41 Sumerset Dr, Mechanicville, NY 12118 | Dental Hygienist | 2019-09-01 ~ 2020-08-31 |
| Shu H Lin | 4 Spencer Dr, Westerly, RI 02891-1284 | Dental Hygienist | 2017-02-23 ~ 2017-10-31 |
| Sue A. Mchugh | 30 Stevens Ln, Cohasset, MA 02025-1838 | Dental Hygienist | ~ |
| Joy Miu | 18 Vernon Ct, Woodbridge, CT 06525-1618 | Dental Hygienist | 2020-05-01 ~ 2021-04-30 |
| Mary Kloter | Dental Hygienist | 2002-10-21 ~ 2003-11-30 |
Please comment or provide details below to improve the information on SAMIN FAZELI.
| 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).