BETHANN MOHAMED (Credential# 1359817) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2018. The license expiration date date is February 28, 2019. The license status is INACTIVE.
BETHANN MOHAMED is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.055730. The credential type is physician/surgeon. The effective date is March 1, 2018. The expiration date is February 28, 2019. The business address is 20 York Street, New Haven, CT 06510. The current status is inactive.
| Licensee Name | BETHANN MOHAMED |
| Credential ID | 1359817 |
| Credential Number | 1.055730 |
| Credential Type | Physician/Surgeon |
| Business Address |
20 York Street New Haven CT 06510 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2016-09-16 |
| Effective Date | 2018-03-01 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2019-06-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1171579 | CSP.0055208 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-07-01 | 2017-03-01 - 2019-02-28 | LAPSED |
| Street Address | 20 York Street |
| City | New Haven |
| State | CT |
| Zip Code | 06510 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tiantian Shi | 20 York Street, New Haven, CT 06510 | Resident Physician | 2018-06-25 ~ 2022-06-30 |
| Mohammad Zain-ul-abideen | 20 York Street, New Haven, CT 06510 | Resident Physician | 2019-07-05 ~ 2021-07-04 |
| Brita Roy | 20 York Street, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Christopher Morton | 20 York Street, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Sean X Gu | 20 York Street, New Haven, CT 06450 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Deepika Kumar | 20 York Street, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Colin Klenk | 20 York Street, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Rodrigo Salas Zubillago | 20 York Street, New Haven, CT 06510 | Resident Physician | 2020-06-24 ~ 2021-06-30 |
| Fernando A Pinero | 20 York Street, New Haven, CT 06510 | Resident Podiatrist | 2020-07-01 ~ 2021-06-30 |
| Jacob D. Siegel | 20 York Street, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gary P Bernardi Jr | Yale New Haven Hospital, New Haven, CT 06510 | Advanced Practice Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Katherine G Kennedy | 65 Trumbull St, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Molly Elizabeth Mcadow | 333 Cedar Street, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Brady Dunkle | 58 Vernon Street, New Haven, CT 06510 | Registered Nurse | ~ |
| Karin Ann Price | 20 York St, New Haven, Ct 06510, New Haven, CT 06510 | Registered Nurse - Temporary | 2020-06-25 ~ 2020-10-23 |
| G C S Constuction LLC | 142 Temple Street, New Haven, CT 06510 | Major Contractor | 2020-07-01 ~ 2021-06-30 |
| Paul L Mccarthy Md · Yale School of Medicine | Dept of Pediatrics, New Haven, CT 06510 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Lauren E Cohn Md | Yale New-haven Hospital, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Bong Francois | 900 Chapel St Apt 901, New Haven, CT 06510 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Pelli Clarke Pelli Architects Inc. | 1056 Chapel St, New Haven, CT 06510 | Architecture Corporation | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06510 | |||
| City | New Haven |
| Zip Code | 06510 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + New Haven |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mohamed Elmousely | 14 Sunrise Ter, Lagrangeville, NY 12540-6615 | Physician/surgeon | ~ |
| Mohamed M Elrahman | Po Box 233, Croswell, MI 48422 | Physician/surgeon | 1993-02-25 ~ 1994-03-31 |
| Mohamed A Abdullahi | 527 Willoughby Ave, Brooklyn, NY 11206-6815 | Physician/surgeon | ~ |
| Mohamed Pacha Hamdani | 25 Shirley St, Wilbraham, MA 01095-2033 | Physician/surgeon | ~ |
| Nasser Mohamed | 99 Woodland St, Hartford, CT 06105-1207 | Physician/surgeon | 2015-06-01 ~ 2016-05-31 |
| Mohamed B Jah | 5750 Lockwood Dr, Meridian, MS 39305-9021 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Mohamed Kamel | 51 Locust St, Northampton, MA 01060-2545 | Physician/surgeon | 2018-03-01 ~ 2019-02-28 |
| Mohamed Y Ahmed Md | 15 Sampson Terrace, Danbury, CT 06810 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Mohamed Tariq Sameen | 80-20 Broadway, Elmhurst, NY 11373 | Physician/surgeon | ~ 1999-10-31 |
| Mohamed El-shahawy | 6230 5th Ave Apt 114f, Pittsburgh, PA 15232-2900 | Physician/surgeon | 1985-08-20 ~ 1988-08-31 |
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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).