SARFARAZ MEMON (Credential# 1511674) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2018. The license expiration date date is June 30, 2021. The license status is ACTIVE.
SARFARAZ MEMON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.060605-RES. The credential type is resident physician. The effective date is July 1, 2018. The expiration date is June 30, 2021. The business address is 22 Still Lane, West Hartford, CT 06117. The current status is active.
| Licensee Name | SARFARAZ MEMON |
| Credential ID | 1511674 |
| Credential Number | 1.060605-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
22 Still Lane West Hartford CT 06117 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-07-01 |
| Effective Date | 2018-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2018-05-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1145936 | 1.051784 | Physician/Surgeon | 2013-04-15 | 2020-03-01 - 2021-02-28 | ACTIVE |
| 1159889 | CSP.0054586 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-04-25 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 22 Still Lane |
| City | West Hartford |
| State | CT |
| Zip Code | 06117 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mary Alice Mancini | 22 Still Lane, West Hartford, CT 06117 | Notary Public Appointment | 1999-11-01 ~ 2004-10-31 |
| David M Miskin | 22 Still Lane, West Hartford, CT 06100 | Notary Public Appointment | 1965-02-16 ~ 1970-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cathy Tran | 20 Lindy Lane, West Hartford, CT 06117 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Renaissance Craftsmen LLC | 263 Simsbury Road, West Hartford, CT 06117 | Home Improvement Contractor | 2020-06-27 ~ 2020-11-30 |
| Lev Tsarkov | 116 Lyman Road, West Hartford, CT 06117 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Scott Lee Ratchford | 67 Balfour Dr., West Hartford, CT 06117 | Professional Counselor | ~ |
| Gary Neidle | 8 Stratford Rd, West Hartford, CT 06117 | Real Estate Salesperson | 2020-06-26 ~ 2021-05-31 |
| Beverly Vincent | 37 Harwich Lane, West Hartford, CT 06117 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Marc D Palter | 94 Beacon Hill Dr, West Hartford, CT 06117 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| David L Friar | 35 Porter Dr, W Hartford, CT 06117 | Architect | 2020-08-01 ~ 2021-07-31 |
| Adlin C Daye | 147 Mohawk Drive, West Hartford, CT 06117 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Derek M Mcdermott | 61 Ferncliff Drive, West Hartford, CT 06117 | Emergency Medical Technician | ~ |
| Find all Licenses in zip 06117 | |||
| City | West Hartford |
| Zip Code | 06117 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + West Hartford |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mohammed I Memon | 9 Milne Ave, Shelton, CT 06484 | Physician/surgeon | 1994-05-05 ~ 1995-04-30 |
| Yasmeen K Memon | 28 Coleman Terrace, Tenafly, NJ 07670 | Physician/surgeon | 2003-03-04 ~ 2003-12-31 |
| Aurangzeb Memon | 7070 Grelot Rd Apt 1128, Mobile, AL 36695-2650 | Physician/surgeon | 2016-10-13 ~ 2017-07-31 |
| Fatima Memon | 2623 W Webster Road, Royal Oak, MI 48073 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Mohammed Sarfaraz Ali | 475 Saint Marks Ave Apt 7f, Brooklyn, NY 11238-7448 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Shafia S Memon | 6 Jules Court, Unionville, CT 06085 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mohammed A Memon | 415 Silas Deane Highway, Wethersfield, CT 06109 | Controlled Substance Registration for Practitioner | 2019-12-13 ~ 2021-02-28 |
| Jin Woo Yoo | 44 Orange St Apt 317, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Yan Zhu | 27 Brainerd Rd # B, Branford, CT 06405-6302 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Tao Zuo | 20 York St., New Haven, CT 06510-3220 | Resident Physician | 2016-07-25 ~ 2020-06-30 |
Please comment or provide details below to improve the information on SARFARAZ MEMON.
| 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).