TAMARA A.S. JOHN
Controlled Substance Registration for Practitioner


Address: 400 Blake St Apt 4310, New Haven, CT 06515-4420

TAMARA A.S. JOHN (Credential# 1170790) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.

Business Overview

TAMARA A.S. JOHN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0055017. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 400 Blake St Apt 4310, New Haven, CT 06515-4420. The current status is lapsed.

Basic Information

Licensee Name TAMARA A.S. JOHN
Credential ID 1170790
Credential Number CSP.0055017
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 400 Blake St Apt 4310
New Haven
CT 06515-4420
Business Type INDIVIDUAL
Status LAPSED
Active 1
Issue Date 2013-07-03
Effective Date 2017-03-01
Expiration Date 2019-02-28
Refresh Date 2019-03-06

Other licenses

ID Credential Code Credential Type Issue Term Status
1491785 1.059520-RES Resident Physician 2017-07-01 2017-07-01 - 2018-06-30 INACTIVE

Office Location

Street Address 400 BLAKE ST APT 4310
City NEW HAVEN
State CT
Zip Code 06515-4420

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Hannah Homafar 400 Blake St Apt 4220, New Haven, CT 06515-4420 Resident Physician 2014-06-25 ~ 2020-06-30
Anahita Aghaei Lasboo Dr 400 Blake St Apt 4214, New Haven, CT 06515-4420 Controlled Substance Registration for Practitioner 2011-11-23 ~ 2013-02-28
Joie Cheng 400 Blake St Apt 4306, New Haven, CT 06515-4420 Controlled Substance Registration for Practitioner 2011-03-01 ~ 2013-02-28
Elina Kurkurina 400 Blake St Apt 4220, New Haven, CT 06515-4420 Emergency Medical Technician 2016-06-22 ~ 2018-09-30

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Competitor

Search similar business entities

City NEW HAVEN
Zip Code 06515
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW HAVEN

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Tamara L Jessiman Lnm 31 Gerard St, Manchester, CT 06040 Controlled Substance Registration for Practitioner 2004-02-29 ~ 2005-02-28
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Dataset Information

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).

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