AMIR IMANZADEH (Credential# 1491768) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
AMIR IMANZADEH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.059503-RES. The credential type is resident physician. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 185 Canal St Unit 3085, Shelton, CT 06484-8139. The current status is active.
| Licensee Name | AMIR IMANZADEH |
| Credential ID | 1491768 |
| Credential Number | 1.059503-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
185 Canal St Unit 3085 Shelton CT 06484-8139 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-07-01 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1646043 | CSP.0070597 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-04-08 | 2019-04-08 - 2021-02-28 | ACTIVE |
| Street Address | 185 CANAL ST UNIT 3085 |
| City | SHELTON |
| State | CT |
| Zip Code | 06484-8139 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Esther Olukoya | 185 Canal St Unit 3084, Shelton, CT 06484-8139 | Licensed Practical Nurse | 2020-06-01 ~ 2021-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Scott J Kudravy | 2a Garden Ter, Shelton, CT 06484 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Melissa E Filanowski | 265 Mohegan Rd, Shelton, CT 06484 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Danuta Adamson · Chmiel | 101 Dickinson Drive, Shelton, CT 06484 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Sandra E Mercier | 234 Deer Run, Huntington, CT 06484 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Ping Li | 17 Coram Rd 3c, Shelton, CT 06484 | Nail Technician | ~ |
| Victoria Mary Bucci | 53 Isinglass Rd, Shelton, CT 06484 | Master's Level Social Worker | ~ |
| Samuel L Smith | 122 Maple Avenue, Shelton, CT 06484 | Dietitian/nutritionist | 2020-08-01 ~ 2021-07-31 |
| Cindy Hubbell Vidal | 17 Sherwood Lane, Shelton, CT 06484 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Rosa Conners | 189 Coram Avenue, Shelton, CT 06484 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Erica Azzarito | 40 Clinton Drive, Shelton, CT 06484 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Find all Licenses in zip 06484 | |||
| City | SHELTON |
| Zip Code | 06484 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + SHELTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amir Rahsepar | 267 Grant St., Bridgeport, CT 06612 | Resident Physician | 2018-07-01 ~ 2022-06-30 |
| Rahnemai A Ata Amir | 130 Division St, Derby, CT 06418 | Resident Physician | 2017-07-01 ~ 2018-06-30 |
| Amir R Reihani | 130 Division St, Derby, CT 06418 | Resident Physician | 2019-07-01 ~ 2022-06-30 |
| Amir H Lebaschi | 221 Trumbull Street, Hartford, CT 06103 | Resident Physician | 2017-07-01 ~ 2023-06-30 |
| Amir Azarbal | 360 State St Apt 2708, New Haven, CT 06510-3627 | Resident Physician | 2019-07-10 ~ 2021-06-30 |
| Amir Khan | 360 State St Apt 2214, New Haven, CT 06510-3621 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Amir Soheil Tolebeyan | 15 York St # LLCi710, New Haven, CT 06510-3221 | Resident Physician | 2019-07-10 ~ 2021-06-30 |
| Mohammad Amir Usmani | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2022-06-30 |
| Amir K. Tadros | 263 Farmington Ave, Mc3905, Farmington, CT 06030-3905 | Resident Dentist | 2017-07-01 ~ 2023-06-30 |
| Dipak Vyas · Amir Market | 924 Washington Blvd, Stamford, CT 06901 | Grocery Beer | 2005-08-29 ~ 2006-08-28 |
Please comment or provide details below to improve the information on AMIR IMANZADEH.
| 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).