NILOUFAR AZAMI (Credential# 1488104) is licensed (Resident Dentist) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2016. The license expiration date date is June 30, 2019. The license status is INACTIVE.
NILOUFAR AZAMI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.011981-RES. The credential type is resident dentist. The effective date is July 1, 2016. The expiration date is June 30, 2019. The business address is 263 Farmington Ave # Mc3905, Farmington, CT 06030-0001. The current status is inactive.
| Licensee Name | NILOUFAR AZAMI |
| Credential ID | 1488104 |
| Credential Number | 2.011981-RES |
| Credential Type | Resident Dentist |
| Credential SubCategory | RES |
| Business Address |
263 Farmington Ave # Mc3905 Farmington CT 06030-0001 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - INACTIVE |
| Issue Date | 2016-07-01 |
| Effective Date | 2016-07-01 |
| Expiration Date | 2019-06-30 |
| Refresh Date | 2019-07-01 |
| Street Address | 263 FARMINGTON AVE # MC3905 |
| City | FARMINGTON |
| State | CT |
| Zip Code | 06030-0001 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rawan J.j. Sarsour | 263 Farmington Ave # Mc3905, Farmington, CT 06030-0001 | Provisional Faculty Dentist | 2020-04-21 ~ 2021-04-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Wendy A Miller | Mc1921 Farmington Ave # 263, Farmington, CT 06030-0001 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Jason J Ziegler | 2 Courthouse Square, Farmington, CT 06030-0001 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Bryden T Considine | L2104 of Medicine Rm, Farmington, CT 06030-0001 | Resident Physician | 2017-07-03 ~ 2021-06-30 |
| Dillon Paulo | 4260 Cordoba Ct, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2024-06-30 |
| Erica Shen Nofziger | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2027-06-30 |
| Omar Ibrahim | 263 Farmington Ave # Mc-1321, Farmington, CT 06030-0001 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Jillian L Fortier | Uconn Health Center, Department of Surgery, Farmington, CT 06030-0001 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Douglas Zelisko | 263 Farmington Ave Dept Of, Farmington, CT 06030-0001 | Physician/surgeon | 2020-04-23 ~ 2021-01-31 |
| Ruchir D Trivedi | 263 Farmington Ave # Mc-1405, Farmington, CT 06030-0001 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Angela Hart | General Medicine- Outpatient Pavilion, Farmington, CT 06030-0001 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Find all Licenses in zip 06030-0001 | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eric Anthony Brueckner | 263 Farmington Ave., Farmington, CT 06030 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Derrick B Bremang | Residency Program, Farmington, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-06-30 |
| David M Shafer | Uconn Health Center, Farmington, CT 06030 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Michael J Murphy | Dept of Dermatology, Farmington, CT 06030 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Richard F Kaplan | Univ. of Ct., Farmington, CT 06030 | Psychologist | 2020-06-01 ~ 2021-05-31 |
| Nicholas George Vitale | 22 Woods Drive, Norwich, CT 06030 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| Bruce E Gould | Univ of Conn Health Center, Farmington, CT 06030 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Vinayak M Sathe | Uconn Health Center,263 Farmington Ave, Farmington, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Shobhana Pathani | Department of Medicine, 263 Farmington Ave, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Patricia L Almeida | John Dempsey Hospital, Farmington, CT 06030 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Find all Licenses in zip 06030 | |||
| City | FARMINGTON |
| Zip Code | 06030 |
| License Type | Resident Dentist |
| License Type + County | Resident Dentist + FARMINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Niloufar Mobashery | 20 Dennison Road, Essex, CT 06426 | Physician/surgeon | 2008-01-15 ~ 2009-01-31 |
| Niloufar H Shoushtari Md | 16 Spring Valley Road, East Longmeadow, MA 01028 | Physician/surgeon | 1999-11-17 ~ 2001-01-31 |
| Tae W Kwon | Hartford, CT 06103 | Resident Dentist | 2016-07-01 ~ 2019-06-30 |
| Joseph J Lee | New Britain, CT 06053 | Resident Dentist | 2016-07-01 ~ 2019-06-30 |
| May L Siu | 20 York Street, New Haven, CT 06510 | Resident Dentist | 2020-06-22 ~ 2021-06-30 |
| Jia Liu | 143 Brittany Farms Rd Apt D, New Britain, CT 06053-1140 | Resident Dentist | 2017-07-01 ~ 2020-06-30 |
| Sara Ehsani | Farmington, CT 06032 | Resident Dentist | 2016-07-01 ~ 2018-06-30 |
| Anjali Nanda | Farmington, CT 06032 | Resident Dentist | 2016-07-01 ~ 2019-06-30 |
| Joy H Chang | 277 Main St Apt B1, Farmington, CT 06032-2935 | Resident Dentist | 2015-07-01 ~ 2018-06-30 |
| Judy L Yip | 20 York St, New Haven, CT 06510-3220 | Resident Dentist | 2017-06-27 ~ 2019-06-30 |
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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).