AHSAN FAYYAZ MALIK (Credential# 1177164) 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.
AHSAN FAYYAZ MALIK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0055779. 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 78 Lancaster Way, Cheshire, CT 06410-1523. The current status is active.
| Licensee Name | AHSAN FAYYAZ MALIK |
| Credential ID | 1177164 |
| Credential Number | CSP.0055779 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
78 Lancaster Way Cheshire CT 06410-1523 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2013-08-05 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-15 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1180895 | 1.052537 | Physician/Surgeon | 2013-10-28 | 2019-10-01 - 2020-09-30 | ACTIVE |
| 1169913 | CSP.0054923 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | - | PENDING |
| Street Address | 78 LANCASTER WAY |
| City | CHESHIRE |
| State | CT |
| Zip Code | 06410-1523 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Salma Kamal | 78 Lancaster Way, Cheshire, CT 06410 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mr B's · Bimonte's Pizza Castle | 155 Highland Ave, Cheshire, CT 06410 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Traci L Bonassar | 452 Castle Glenn, Cheshire, CT 06410 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Faith H Morico · Hennessey | 177 Wallingford Rd, Cheshire, CT 06410 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Renee D Kane | 40 Willow St, Cheshire, CT 06410 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Kara Capuano | 20 Renee Court, Cheshire, CT 06410 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Eugenia A Marquez | 22 Currier Way, Cheshire, CT 06410 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Mahnaz M Emamian | 471 West Main St, Cheshire, CT 06410 | Esthetician | ~ |
| Margarita A. Norris | 302 Highland Avenue, Cheshire, CT 06410 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Wendell D Wallace Juedes | 545 Country Club Rd, Cheshire, CT 06410 | Podiatrist | 2020-04-01 ~ 2021-03-31 |
| Hyunjung An | 55 Moneta Ln., Cheshire, CT 06410 | Acupuncturist | ~ |
| Find all Licenses in zip 06410 | |||
| City | CHESHIRE |
| Zip Code | 06410 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + CHESHIRE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Raj Ahsan | 127 Greyrock Pl Apt 1602, Stamford, CT 06901-3116 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Asad Ahsan Dds | 100 Morgan St Apt 108, Stamford, CT 06905-5446 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Tomalika Ahsan | 20 York St, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Ahsan U Shah | 763 Saw Mill Rd, West Haven, CT 06516 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Sadaf R Ahsan | 20 Warren Farm Rd, Hopewell Junction, NY 12533-6502 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ahsan Syed | 5500 Carrick Court, Columbia, MO 65203 | Controlled Substance Registration for Practitioner | 1993-01-15 ~ 1995-02-01 |
| Khurram J Malik Md | 87 Grandview Ave, Waterbury, CT 06708-2514 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Ali Malik | 2800 Main St, Bridgeport, CT 06606 | Controlled Substance Registration for Practitioner | 2019-05-31 ~ 2021-02-28 |
| Shrutie Malik | 225 Williamson St, Elizabeth, NJ 07202 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sajda Malik | 170 Flanders Rd, Niantic, CT 06357-1208 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).