HANNAH HOMAFAR (Credential# 1490747) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is June 25, 2014. The license expiration date date is June 30, 2020. The license status is ACTIVE.
HANNAH HOMAFAR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.058849-RES. The credential type is resident physician. The effective date is June 25, 2014. The expiration date is June 30, 2020. The business address is 400 Blake St Apt 4220, New Haven, CT 06515-4420. The current status is active.
| Licensee Name | HANNAH HOMAFAR |
| Credential ID | 1490747 |
| Credential Number | 1.058849-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
400 Blake St Apt 4220 New Haven CT 06515-4420 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2014-06-25 |
| Effective Date | 2014-06-25 |
| Expiration Date | 2020-06-30 |
| Refresh Date | 2019-05-16 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1004707 | CSP.0050595 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2011-07-20 | 2015-03-01 - 2017-02-28 | INACTIVE |
| 1249130 | 1.053672 | Physician/Surgeon | 2014-11-18 | 2014-11-18 - 2015-07-31 | INACTIVE |
| Street Address | 400 BLAKE ST APT 4220 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06515-4420 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elina Kurkurina | 400 Blake St Apt 4220, New Haven, CT 06515-4420 | Emergency Medical Technician | 2016-06-22 ~ 2018-09-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tamara A.s. John | 400 Blake St Apt 4310, New Haven, CT 06515-4420 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Anahita Aghaei Lasboo Dr | 400 Blake St Apt 4214, New Haven, CT 06515-4420 | Controlled Substance Registration for Practitioner | 2011-11-23 ~ 2013-02-28 |
| Joie Cheng | 400 Blake St Apt 4306, New Haven, CT 06515-4420 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lakiya D Nichols | 114 Davis Street, New Haven, CT 06515 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Danielle E Guadalupe | 30 Whittier Road, New Haven, CT 06515 | Master's Level Social Worker | 2020-07-01 ~ 2021-06-30 |
| Mcdonald's | 1094 Whalley Ave, New Haven, CT 06515 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Hilda Rocio Sanango | 86 Springside Av, New Haven, CT 06515 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Manuel Francisco Cabrera | 86 Springside Av Apt D5, New Haven, CT 06515 | Nail Technician | ~ |
| Arthur L Sanders | 2001 Chapel St, New Haven, CT 06515 | Architect | 2020-08-01 ~ 2021-07-31 |
| Athan Construction LLC | 243 West Elm St, New Haven, CT 06515 | Home Improvement Contractor | 2020-06-25 ~ 2020-11-30 |
| Jessica L Feinleib | 72 Barnett, New Haven, CT 06515 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Joyce A Gambrell-jones | 241 Alden Ave, New Haven, CT 06515 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Charmaine Waller | 110 Harper Ave, New Haven, CT 06515 | Licensed Practical Nurse | ~ |
| Find all Licenses in zip 06515 | |||
| City | NEW HAVEN |
| Zip Code | 06515 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hannah Raila | 20 York St., New Haven, CT 06510-3220 | Resident Physician | 2015-07-01 ~ 2018-06-30 |
| Hannah A Hughes | 45 Sycamore Ave Apt 536, Charleston, SC 29407-6721 | Resident Physician | 2017-07-01 ~ 2021-06-30 |
| Hannah Deselms | 24 Hospital Ave, Danbury, CT 06810-6099 | Resident Physician | 2019-06-20 ~ 2023-06-30 |
| Hannah Radecki | 90 S Main St, Middletown, CT 06457-3649 | Resident Physician | 2018-06-25 ~ 2022-07-03 |
| Hannah Takahashi Oakland | 200 College St Apt 344, New Haven, CT 06510-2448 | Resident Physician | 2019-07-01 ~ 2021-06-30 |
| Hannah Nikkole Russell | 20 York St., New Haven, CT 06510-3220 | Resident Physician | 2016-09-01 ~ 2018-06-30 |
| Hannah Abigail Fuson | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Hannah Shakartzi | 1 Hospital Plaza, Stamford, CT 06902 | Resident Physician | 2017-07-01 ~ 2021-06-30 |
| Hannah Krenek Luu | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
| Hannah B's Inc | 56 Lathrop Rd, Plainfield, CT 06374 | Operator of Weighing & Measuring Devices | 2006-08-17 ~ 2007-07-31 |
Please comment or provide details below to improve the information on HANNAH HOMAFAR.
| 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).