BASIL N WAOZ (Credential# 1175653) 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.
BASIL N WAOZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0055580. 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 1 Hospital Plaza, Stamford, CT 06902-3628. The current status is lapsed.
| Licensee Name | BASIL N WAOZ |
| Credential ID | 1175653 |
| Credential Number | CSP.0055580 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
1 Hospital Plaza Stamford CT 06902-3628 |
| Business Type | INDIVIDUAL |
| Status | LAPSED |
| Active | 1 |
| Issue Date | 2013-07-22 |
| Effective Date | 2017-03-01 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2019-03-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1491305 | 1.059202-RES | Resident Physician | 2013-07-01 | 2013-07-01 - 2018-06-30 | INACTIVE |
| Street Address | 1 hospital plaza |
| City | STAMFORD |
| State | CT |
| Zip Code | 06902-3628 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lauren Page | 1 Hospital Plaza, Stamford, CT 06902 | Resident Physician | 2020-07-01 ~ 2024-06-30 |
| Kristen Langan | 1 Hospital Plaza, Stamford, CT 06902 | Resident Physician | 2020-07-01 ~ 2024-06-30 |
| Brady Coad | 1 Hospital Plaza, Stamford, CT 06902 | Resident Physician | 2020-07-01 ~ 2024-06-30 |
| Marie Sullivan | 1 Hospital Plaza, Stamford, CT 06902 | Resident Physician | 2020-07-01 ~ 2024-06-30 |
| Takiyah Mitchell | 1 Hospital Plaza, Stamford, CT 06902 | Resident Physician | 2019-07-01 ~ 2023-06-30 |
| Lisa Mcnamee | 1 Hospital Plaza, Stamford, CT 06902 | Resident Physician | 2019-07-01 ~ 2023-06-30 |
| Colleen Delaney | 1 Hospital Plaza, Stamford, CT 06902 | Resident Physician | 2019-07-01 ~ 2023-06-30 |
| Rachel Silverstein | 1 Hospital Plaza, Stamford, CT 06902 | Resident Physician | 2018-03-01 ~ 2022-06-30 |
| Azlyn Goff | 1 Hospital Plaza, Stamford, CT 06902 | Resident Physician | 2017-07-01 ~ 2021-06-30 |
| Rachel Talley-bruns | 1 Hospital Plaza, Stamford, CT 06902 | Resident Physician | 2017-11-01 ~ 2021-06-30 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicole S Feagin | 30 Shelburne Rd, Stamford, CT 06902-3628 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Randall D Grant | 30 Shelburne Rd, Stamford, CT 06902-3628 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Tracy Shevell Md | 30 Shelburne Rd, Stamford, CT 06902-3628 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| John F Ciannella Md | One Hospital Plaza, Stamford, CT 06902-3628 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Hebroon Obaid | 30 Shelburne Rd, Stamford, CT 06902-3628 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Shelley Smith Tickett | 30 Shelburne Rd, Stamford, CT 06902-3628 | Physician/surgeon | 2018-04-01 ~ 2019-03-31 |
| Kamal Addagatla | Department of Surgery, Stamford, CT 06902-3628 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Michelle R Maly | 30 Shelburne Rd, Stamford, CT 06902-3628 | Controlled Substance Registration for Practitioner | 2017-04-21 ~ 2019-02-28 |
| Chao Guo | 59 Liberty Street, Stamford, CT 06902-3628 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Molly Findley | 30 Shelburne Rd, Stamford, CT 06902-3628 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Find all Licenses in zip 06902-3628 | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jeris Maydeli Flores | 153 Fairfield Av, Stamford, CT 06902 | Nail Technician | ~ |
| Reynaldo De La Cruz | 64 Brookside Drive, Stamford, CT 06902 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Darren J Petillo | 5 Hundley Court, Stamford, CT 06902 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Antonios Restaurant | 405 West Main St, Stamford, CT 06902 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Edward Smith | 184 Fairfield Ave., Stamford, CT 06902 | Home Improvement Contractor | ~ |
| Margaret A Dorrance | 24c Hamilton Court, Stamford, CT 06902 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Carolyn Maguire | 48 Nelson St, Stamford, CT 06902 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Evelyne Joassin | 17 George St., Stamford, CT 06902 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Andrea Bynoe | 34 Melrose Pl, Stamford, CT 06902 | Notary Public Appointment | 1994-04-06 ~ 1999-04-30 |
| Ravi K Ahuja | 296 Westover Rd, Stamford, CT 06902 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06902 | |||
| City | STAMFORD |
| Zip Code | 06902 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + STAMFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Basil J Papaharis | 194 South Ave, New Canaan, CT 06840 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Basil Etc | 872 East Main St, Torrington, CT 06790 | Non-alcoholic Beverage & Water Bottlers | 2006-04-26 ~ 2006-06-30 |
| Basil's | 91 S Main St, Newtown, CT 06470 | Bakery | 1996-08-14 ~ 1997-06-30 |
| Basil Hayden Two By Two Rye | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2018-03-15 ~ 2021-03-14 |
| Basil Hayden's | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2019-03-01 ~ 2022-02-28 |
| Honey Basil Ale | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2019-02-04 ~ 2022-02-03 |
| Basil Hayden Rye | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2020-03-09 ~ 2023-03-07 |
| Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
| Basil Hayden 10yr Lto | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2018-09-28 ~ 2021-09-27 |
| Pearl Strawberry Basil | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2018-02-17 ~ 2021-02-15 |
Please comment or provide details below to improve the information on BASIL N WAOZ.
| 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).