AZIZ ASHIROV
Controlled Substance Registration for Practitioner


Address: 395 Porter Lake Dr Apt 201, Longmeadow, MA 01106-1245

AZIZ ASHIROV (Credential# 1338602) 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.

Business Overview

AZIZ ASHIROV is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0062238. 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 395 Porter Lake Dr Apt 201, Longmeadow, MA 01106-1245. The current status is active.

Basic Information

Licensee Name AZIZ ASHIROV
Credential ID 1338602
Credential Number CSP.0062238
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 395 Porter Lake Dr Apt 201
Longmeadow
MA 01106-1245
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2016-03-12
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2018-12-28

Other licenses

ID Credential Code Credential Type Issue Term Status
1328500 12.006492 Advanced Practice Registered Nurse 2016-03-10 2019-12-01 - 2020-11-30 ACTIVE
1336995 10.132882 Registered Nurse 2016-03-10 2019-12-01 - 2020-11-30 ACTIVE
1337014 10.132685-TEMP Registered Nurse - Temporary 2016-03-03 2016-03-03 - 2016-06-30 INACTIVE

Office Location

Street Address 395 PORTER LAKE DR APT 201
City LONGMEADOW
State MA
Zip Code 01106-1245

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Susan M Neville 43 Lincoln Road, Longmeadow, MA 01106 Registered Nurse 2020-07-01 ~ 2021-06-30
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Competitor

Search similar business entities

City LONGMEADOW
Zip Code 01106
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + LONGMEADOW

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Ali S Aziz Md Uconn - Dept of Psychiatry, Farmington, CT 06030 Controlled Substance Registration for Practitioner 1994-07-06 ~ 1996-06-01
Aziz R Maksoud 80 Seymour Street, Hartford, CT 06105 Controlled Substance Registration for Practitioner 2007-03-01 ~ 2008-02-29
Hammad A Aziz Md 325 Clerke Dr, Glen Allen, VA 23059-5822 Controlled Substance Registration for Practitioner 2015-05-22 ~ 2017-02-28
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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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