BEHNAZ FARHANG (Credential# 1430443) 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.
BEHNAZ FARHANG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0065849. 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 2612 Southwest Pkwy Apt 229, Wichita Falls, TX 76308-4620. The current status is active.
| Licensee Name | BEHNAZ FARHANG |
| Credential ID | 1430443 |
| Credential Number | CSP.0065849 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
2612 Southwest Pkwy Apt 229 Wichita Falls TX 76308-4620 |
| 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 | 2019-02-25 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1489072 | 1.058370-RES | Resident Physician | 2017-06-22 | 2017-06-22 - 2020-06-30 | ACTIVE |
| Street Address | 2612 SOUTHWEST PKWY APT 229 |
| City | WICHITA FALLS |
| State | TX |
| Zip Code | 76308-4620 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Bernadette M Gabucan | 3001 Kemp Bld, Wichita Falls, TX 76308 | Registered Nurse | 2003-07-16 ~ 2004-04-30 |
| Tina Darwish | 3001 Kemp Blvd Apt 1321, Wichita Falls, TX 76308-1057 | Licensed Practical Nurse | 2012-01-01 ~ 2012-12-31 |
| Marcia J Odal | 2401 Brentwood Dr, Wichita Falls, TX 76308-3903 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Kathy Michelle Hill | 6 Villa Ct, Wichita Falls, TX 76308-4650 | Pharmacy Technician | 2019-12-31 ~ 2020-03-31 |
| Kimberly J Johnson | 4611 Taft Blvd Apt 169, Wichita Falls, TX 76308-4905 | Registered Nurse - Temporary | 2012-09-19 ~ 2013-01-17 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Aditya Gadam Rao | 4215 Canyon Trails Dr, Wichita Falls, TX 76309-2705 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Sunday Nmn Broadhurst | 4404 Wendover Street, Wichita Falls, TX 76309 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Carrie E Tamm | 4600 Mistletoe Drive, Wichita Falls, TX 76310 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Kyle Pate Falkner | 3919 Barnett Rd Apt 317, Wichita Falls, TX 76310-1728 | Registered Nurse | 2020-05-15 ~ 2020-12-31 |
| Kevin Baker | 1530 P B Ln # B4306, Wichita Falls, TX 76302-2612 | Registered Nurse | 2020-03-10 ~ 2020-12-31 |
| Andi Wisdom | 1675 Victory Ave, Wichita Falls, TX 76301-6154 | Registered Nurse | 2018-11-02 ~ 2019-11-30 |
| Lorenzo Desantis | 4835 Tortuga Trl, Wichita Falls, TX 76309-1201 | Home Improvement Contractor | 2019-06-13 ~ 2019-11-30 |
| Danielle Marie Tyler | 3433 Taylor Rd, Wichita Falls, TX 76305-3803 | Registered Nurse | 2018-09-12 ~ 2019-06-30 |
| Hollie Logue | 1306 Hunt St, Wichita Falls, TX 76302-2126 | Registered Nurse | 2018-04-01 ~ 2019-03-31 |
| Natura World Usa LLC | 8600 Central Fwy N, Wichita Falls, TX 76305-5917 | Manufacturer of Bedding & Upholstered Furniture | 2011-05-04 ~ 2012-04-30 |
| Find all Licenses in WICHITA FALLS | |||
| City | WICHITA FALLS |
| Zip Code | 76308 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WICHITA FALLS |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Farhang Alaee | 500 Chase Pkwy, Waterbury, CT 06708-3346 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| 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 |
| 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 |
| Huu Duc D Luu | 630 Mix Ave Apt 6p, Hamden, CT 06514-2320 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Min Jin Kim | 639 4th Ave Apt 5c, Brooklyn, NY 11232-1048 | Controlled Substance Registration for Practitioner | 2012-05-10 ~ 2013-02-28 |
| Qi Che Md | Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Hae J Kim Pa | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-31 ~ 2009-02-28 |
| Ali Rahimi | Waterbury, CT 06721 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
Please comment or provide details below to improve the information on BEHNAZ FARHANG.
| 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).