MARIAM TOTONCHY (Credential# 1408963) 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.
MARIAM TOTONCHY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0064891. 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 129 York Street, New Haven, CT 06511. The current status is active.
| Licensee Name | MARIAM TOTONCHY |
| Credential ID | 1408963 |
| Credential Number | CSP.0064891 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
129 York Street New Haven CT 06511 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-04-07 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2018-12-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1408327 | 1.056347 | Physician/Surgeon | 2017-04-06 | 2019-02-01 - 2020-01-31 | ACTIVE |
| Street Address | 129 York Street |
| City | New Haven |
| State | CT |
| Zip Code | 06511 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tijil Agarwal | 129 York Street, New Haven, CT 06511 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
| Emad Nourollah-zadeh | 129 York Street, New Haven, CT 06511 | Resident Physician | 2014-06-25 ~ 2020-06-30 |
| Andrea V Haas | 129 York Street, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Jamie S Ferance | 129 York Street, New Haven, CT 06511 | Registered Nurse | 2000-06-12 ~ 2001-08-31 |
| Elizabeth J Zdanowicz | 129 York Street, New Haven, CT 06511 | Notary Public Appointment | 1991-09-01 ~ 1996-08-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Montessori School On Edgewood Inc. | 230 Edgewood Avenue, New Haven, CT 06511 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Therese Parks · Visel Drug Store | 264 Munson St, New Haven, CT 06511 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dazjia Monet Green | 115 Edgewood Ave Apt 64, New Haven, CT 06511 | Registered Nurse | 2020-06-27 ~ 2021-05-31 |
| Carol Yam | 343 Humphrey St, New Haven, CT 06511 | Registered Nurse | ~ |
| Marwan S Haddad | 38 Lincoln Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mary Lou Gaeta Md | 558 Chapel Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Cary M Tucker | 64 Bishop St, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Frank J Pannenborg | 505 Ellsworth Ave, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Crystal E Gooding | 26 Woodland Street, New Haven, CT 06511 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Kieran Jones | 260 Crown St Unit 1f, New Haven, CT 06511 | Registered Nurse | ~ |
| Find all Licenses in zip 06511 | |||
| City | New Haven |
| Zip Code | 06511 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + New Haven |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mariam B Totonchy | 129 York Street Apt 3k, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Mariam Nasiri | 62 Lazy Brook Rd, Monroe, CT 06468-3316 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Saumya Mariam Easaw | 330 E39th Street, New York, NY 10016 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mariam Shakir Azeem | 56 Franklin Street, Waterbury, CT 06706 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mariam Amiri-sherieff Dpm | 180 Glenbrook Road, Stamford, CT 06902 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
| Mariam Hakim-zargar Md | 18 Terrace Drive, Avon, CT 06001 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mariam Azeem | 263 Farmington Avenue, Farmington, CT 06032 | Controlled Substance Registration for Practitioner | ~ |
| 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 |
| 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 MARIAM TOTONCHY.
| 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).