FARAH I CHINWALLA (Credential# 1232491) 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.
FARAH I CHINWALLA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0057865. 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 60 Peter Rafferty Dr, Trenton, NJ 08690-1816. The current status is active.
Licensee Name | FARAH I CHINWALLA |
Credential ID | 1232491 |
Credential Number | CSP.0057865 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
60 Peter Rafferty Dr Trenton NJ 08690-1816 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2014-07-07 |
Effective Date | 2019-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2018-12-27 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1212120 | 1.053194-DO | Physician/Surgeon | 2014-06-24 | 2019-07-01 - 2020-06-30 | ACTIVE |
Street Address | 60 PETER RAFFERTY DR |
City | TRENTON |
State | NJ |
Zip Code | 08690-1816 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Robert Wood Johnson University Hospital At Hamilton Foundation Inc | 1 Hamilton Health Place, Hamilton, NJ 08690 | Public Charity | 2020-03-25 ~ 2020-11-30 |
Jing-jing Yang | Medical Diagnostic Laboratories, LLC, Hamilton, NJ 08690 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Stephanie Paluchowski | 30 Chickadee Way, Hamilton, NJ 08690 | Physical Therapist | 2018-08-09 ~ 2018-12-31 |
Amy L Meltzer | 583 Flock Rd, Hamilton Sq, NJ 08690 | Registered Nurse | 2017-03-01 ~ 2018-02-28 |
Barbara B Kavalek · William Raveis Real Estate Inc | 120 Sparrow Drive, Hamilton Square, NJ 08690 | Real Estate Salesperson | 2005-06-01 ~ 2006-05-31 |
Razwana Hamid Md | 1202 Whitehorse Hamilton Sq Rd, Hamilton, NJ 08690 | Physician/surgeon | 1999-09-02 ~ 2000-08-31 |
Lauren M Pearson | 61 Country Lane, Hamilton Sq, NJ 08690 | Registered Nurse | 1998-03-13 ~ 1999-05-31 |
Sharon A Manto | 7 Jericho Drive, Trenton, NJ 08690 | Optometrist | 1996-12-04 ~ 1998-01-31 |
Ellen G Mc Cormick | 27 Crestwood Dr., Hamilton Square, NJ 08690 | Radiographer | 2002-09-09 ~ 2003-10-31 |
Michelle Nicole Cavallo | 4 Overton Rd, Hamilton Square, NJ 08690-1513 | Certified Public Accountant License | 2020-01-15 ~ 2020-12-31 |
Find all Licenses in zip 08690 |
City | TRENTON |
Zip Code | 08690 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + TRENTON |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Sharon B Farah | 4 Nursery St, Norwalk, CT 06850-1720 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Joseph Farah | 64 Mallory Road, Roxbury, CT 06783 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Farah Zeeda | 2800 Main St, Bridgeport, CT 06606 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
Farah Naim | 500 Prospect Street Apt 2c, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2011-04-01 ~ 2013-02-28 |
Farah T. Rahiem | 282 Willow Street, New Haven, CT 06511-4601 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Farah Hamdard Md | 2 North Main St Apt P#319, Beacon Falls, CT 06403 | Controlled Substance Registration for Practitioner | 2007-02-07 ~ 2008-02-28 |
Farah Choudhry Md | 1625 Straits Tpke, Middlebury, CT 06762 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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 |
Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
Arundati Rao | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on FARAH I CHINWALLA.
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).