MINA FARKHONDEH (Credential# 1218243) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
MINA FARKHONDEH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.053094. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 115 Elm St, Enfield, CT 06082-3712. The current status is active.
| Licensee Name | MINA FARKHONDEH |
| Credential ID | 1218243 |
| Credential Number | 1.053094 |
| Credential Type | Physician/Surgeon |
| Business Address |
115 Elm St Enfield CT 06082-3712 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2014-06-02 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-04-30 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1024619 | CSP.0050906 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2011-08-12 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 115 ELM ST |
| City | ENFIELD |
| State | CT |
| Zip Code | 06082-3712 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Richard A Segool | 115 Elm St, Enfield, CT 06082 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Dena A Hoberman | 115 Elm St, Enfield, CT 06082 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ray Scott Smith | 115 Elm St, Enfield, CT 06082-3712 | Dentist | 2019-08-01 ~ 2020-07-31 |
| Linda Thomson Aprn | 115 Elm St, Enfield, CT 06082 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kaitlyn A Pelligrinelli | 38 Haynes St, Enfield, CT 06082 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Sharon M Smith | 11 Eleanor Rd, Enfield, CT 06082 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Kerry A Tanguay · Lang | 11 Somers Road, Enfield, CT 06082 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Colleen E Galbraith | 12 Southview St, Enfield, CT 06082 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Paul F Misbach | 502 Taylor Road, Enfield, CT 06082 | Real Estate Salesperson | ~ |
| Catherine R Mcculloch | 84 Wynwood Drive, Enfield, CT 06082 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Phillip G Seidel | 318 North Maple St, Enfield, CT 06082 | Optician | 2020-05-01 ~ 2021-04-30 |
| Matthew Crossen | 19 Elan Street, Enfield, CT 06082 | Real Estate Salesperson | 2020-06-19 ~ 2021-05-31 |
| Baco's Pizza Inc | 410 Enfield St, Enfield, CT 06082 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Jessica G Martin | 72 Belmont Ave, Enfield, CT 06082 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Find all Licenses in zip 06082 | |||
| City | ENFIELD |
| Zip Code | 06082 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + ENFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mina Kim Md | 190 Saddle Ridge Rd, Southbury, CT 06488-4709 | Physician/surgeon | 2016-12-01 ~ 2017-11-30 |
| Mina L Xu | 360 State St Apt 3105, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mina R Rasoulpour | 9 Wentworth Park, Farmington, CT 06032-1559 | Physician/surgeon | 2016-06-01 ~ 2017-05-31 |
| Mina Safwat Sobhi Fanous | 222 Lenox Rd, Brooklyn, NY 11226 | Physician/surgeon | 2018-09-10 ~ 2018-11-30 |
| Mina Fatimah Obbehat | 127 Colwyn Lane, Bala Cynwyd, PA 19004 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Mina Foods Inc · Mina Foods | 100 Research Dr, Milford, CT 06460-2838 | Ct Out of State Shipper Beer | 2020-08-12 ~ 2021-08-11 |
| Mina Mina | Uconn Health Center Rm L6082, Farmington, CT 06032 | Dentist | 2020-05-01 ~ 2021-04-30 |
| Akram Aldahabi · Mina's Market | 1905 Central Ave, Bridgeport, CT 06610 | Grocery Beer | 1999-02-11 ~ 2000-02-10 |
| Manook and Mina | 2 Oleander Dr, Clinton, CT 06413-1079 | Vending Machine Operator | 2013-11-13 ~ 2014-06-30 |
| Mina Foods | 100 Research Dr, Milford, CT 06460-2838 | Milk Sub-dealer | 2020-07-01 ~ 2022-06-30 |
Please comment or provide details below to improve the information on MINA FARKHONDEH.
| 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).