BABAK MARDANI (Credential# 1362831) 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.
BABAK MARDANI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0063319. 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 271 Putnam Rd, Pomfret Center, CT 06259-1223. The current status is active.
| Licensee Name | BABAK MARDANI |
| Credential ID | 1362831 |
| Credential Number | CSP.0063319 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
271 Putnam Rd Pomfret Center CT 06259-1223 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-06-25 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2018-12-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1343278 | 1.055367 | Physician/Surgeon | 2016-06-22 | 2020-02-01 - 2021-01-31 | ACTIVE |
| Street Address | 271 PUTNAM RD |
| City | POMFRET CENTER |
| State | CT |
| Zip Code | 06259-1223 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alan B Chubbuck | 281 Putnam Rd, Pomfret Center, CT 06259-1223 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Beth A. Poland | 123 Ragged Hill Road, Pomfret Center, CT 06259 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Saara A Slevinsky · Kahonen | 244 Paine Road, Pomfret Center, CT 06259 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Sandra Fredrickson | 135 Cooney Road, Pomfret Center, CT 06259 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Lillian R Erskine | 443 Hampton Road, Abington, CT 06259 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Gary J Pazienza | 120 Cooney Road, Pomfret Center, CT 06259 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Jennifer L Jasmin | 524 Mashamoquet Rd, Pomfret Center, CT 06259 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Irina P Ionkina | 185 Babbitt Hill Road, Pomfret Center, CT 06259 | Master's Level Social Worker | 2019-01-01 ~ 2019-12-31 |
| Donna J Navarro | 88 Freedley Rd, Pomfret Center, CT 06259 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Jennifer W Mahr | 89 Covell Road, Pomfret Center, CT 06259 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Philip Raiford | 172 Peterson Rd, Pomfret Center, CT 06259 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06259 | |||
| City | POMFRET CENTER |
| Zip Code | 06259 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + POMFRET CENTER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Babak Sarani Md | Po Box 208062, New Haven, CT 06520-8062 | Controlled Substance Registration for Practitioner | 2005-03-28 ~ 2006-02-28 |
| Babak Hakimizadeh | 323 Main St, West Haven, CT 06516-4424 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Babak Saadatmand Md | 1767 Hermitage Blvd, Tallahassee, FL 32308 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Babak Edraki Md | Dept Ob/gyn, Yale Univ School, New Haven, CT 06520-8063 | Controlled Substance Registration for Practitioner | 1996-03-01 ~ 1997-02-28 |
| Grechetto Colli Mardani | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2009-05-14 ~ 2012-05-13 |
| 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 |
| Qi Che Md | Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Arundati Rao | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Erin K Fee | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on BABAK MARDANI.
| 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).