FATIMA A KHAN (Credential# 1430405) 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.
FATIMA A KHAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0065844. 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 1003 Easton Rd Apt C612, Willow Grove, PA 19090-2065. The current status is active.
Licensee Name | FATIMA A KHAN |
Credential ID | 1430405 |
Credential Number | CSP.0065844 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
1003 Easton Rd Apt C612 Willow Grove PA 19090-2065 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2017-06-12 |
Effective Date | 2019-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2019-01-16 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1489088 | 1.058386-RES | Resident Physician | 2017-06-22 | 2017-06-22 - 2020-06-30 | ACTIVE |
Street Address | 1003 EASTON RD APT C612 |
City | WILLOW GROVE |
State | PA |
Zip Code | 19090-2065 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Heidi T Hepner | 2714 Carrell Lane, Willow Grove, PA 19090 | Tax Preparer/facilitator Permit | 2020-02-11 ~ 2022-02-28 |
Samantha Pronzato | 2405 Maryland Road Apt 126, Willow Grove, PA 19090 | Physical Therapist | 2020-02-01 ~ 2021-01-31 |
Nicholas J Markert | 614 Lakevue Drive, Willow Grove, PA 19090 | Lottery Or Otb Service Provider Employee | 2020-01-01 ~ 2020-12-31 |
Robert L Heineman | 2530 Ball Rd, Willow Grove, PA 19090 | Physical Therapist | ~ |
Regina Poskus | 805 Division Ave, Willow Grove, PA 19090 | Registered Nurse | 2008-11-14 ~ 2010-01-31 |
Kathleen Perry | 523 E Moreland Rd, Willow Grove, PA 19090 | Registered Nurse | 1992-05-27 ~ 1993-04-30 |
Hem C Chatterjee | 1703 Alba Rd, Willow Grove, PA 19090 | Professional Engineer | 2001-02-01 ~ 2002-01-31 |
Victor D Lewis Jr | 1001 Easton Rd Apt #901m, Willow Grove, PA 19090 | Architect | 1996-08-01 ~ 1997-07-31 |
Schechter Insitutes Inc (the) | 2300 Computer Rd Ste D18, Willow Grove, PA 19090-1736 | Public Charity | 2014-04-22 ~ 2015-11-30 |
Mom 4r Marines · America 4r Marines | 30 Hideaway Dr, Willow Grove, PA 19090-1910 | Public Charity | 2011-03-25 ~ 2012-05-31 |
Find all Licenses in zip 19090 |
City | WILLOW GROVE |
Zip Code | 19090 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WILLOW GROVE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Fatima Zahir | 24 Hospital Ave, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2009-09-11 ~ 2011-02-28 |
Tara J Miska | 20 Fatima Dr, Bethany, CT 06524-3214 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Constancia Fatima Macatangay | Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2013-03-18 ~ 2015-02-28 |
Fatima B Martinez | 26 Kowal Ct, Newington, CT 06111-5323 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Fatima Jalil | 185 Canal Street, Shelton, CT 06484 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Fatima Ajaz | Uconn Health Ctr, Farmington, CT 06030-1235 | Controlled Substance Registration for Practitioner | 2012-02-24 ~ 2013-02-28 |
Aisha Fatima Siddiqi | 115 Colonial Rd, Stamford, CT 06906 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Fatima Anjum Md | 1689 Madison Ave Apt 7, Bridgeport, CT 06606-4565 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Fatima Mawji | 1 Broad St Unit 28f, Stamford, CT 06901-2339 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Fatima A Aidashti | 1248 Farmington Ave Apt C8, West Hartford, CT 06107-2624 | Controlled Substance Registration for Practitioner | 2013-08-07 ~ 2015-02-28 |
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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).