NADER ROY MOHTADI (Credential# 1525800) 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 INACTIVE.
NADER ROY MOHTADI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0068782. 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 5333 Mcauley Dr., Ypsilanti, MI 48197. The current status is inactive.
| Licensee Name | NADER ROY MOHTADI |
| Credential ID | 1525800 |
| Credential Number | CSP.0068782 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
5333 Mcauley Dr. Ypsilanti MI 48197 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LACK OF ACTIVE MEDICAL LICENSE |
| Issue Date | 2018-06-22 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-04-24 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1507721 | 1.061377 | Physician/Surgeon | 2018-06-18 | 2018-12-01 - 2019-11-30 | INACTIVE |
| Street Address | 5333 McAuley Dr. |
| City | Ypsilanti |
| State | MI |
| Zip Code | 48197 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kevin Kamal Hannawa | 5333 Mcauley Dr., Ypsilanti, MI 48197 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Richard Allan Bowerman | 5333 Mcauley Dr., Ypsilanti, MI 48197 | Physician/surgeon | 2018-05-04 ~ 2018-12-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carl C Blackwood | 5613 Hampshire Lane, Ypsilanti, MI 48197 | Advanced Practice Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Alyssa K Copeland | 8808 Amaranth Lane, Ypsilanti, MI 48197 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Marcie M Moore | 200 W Michigan Ave, Ypsilanti, MI 48197 | Registered Nurse | 2016-04-01 ~ 2017-03-31 |
| Ave Maria College of The Americas | 300 W Forest Ave., Ypsilanti, MI 48197 | Public Charity-exempt From Financial Requirements | ~ |
| Eastern Michigan University Foundation | 1349 S. Huron Street, Ypsilanti, MI 48197 | Public Charity-exempt From Financial Requirements | ~ |
| Opal C Williams | 4125 Hawks Cove, Ann Arbor, MI 48197 | Registered Nurse | 2004-07-12 ~ 2005-08-31 |
| Noreen Taylor | P.o. Box 972271, Ypsilanti, MI 48197 | Licensed Practical Nurse | 1984-05-30 ~ 1991-08-31 |
| Regina M Crincoli | 4855 Lakeridge St, Ypsilanti, MI 48197 | Registered Nurse | 2006-05-25 ~ 2007-07-31 |
| Douglas J Holcomb | 1455 Roosevelt, Ypsilanti, MI 48197 | Electrical Unlimited Journeyperson | ~ |
| Donald R Stout | 461 Brookside Rd, Ypsilanti, MI 48197 | Electrical Unlimited Journeyperson | ~ |
| Find all Licenses in zip 48197 | |||
| City | Ypsilanti |
| Zip Code | 48197 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Ypsilanti |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nader Bahadory | 228 Scotland Rd, Norwich, CT 06360-1654 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Claudia M Nader | Hospital of St.raphael, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Nader Vakili Dmd | 62 Loveland Street, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2000-02-29 ~ 2001-02-28 |
| Nader N Habib Md | 413 Canoe Brook, Shelton, CT 06484 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Nader Qasi Md | 1 Long Wharf Drive, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
| Elie T Nader | 65 Dwight St Chelxa Camp 37, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Bruno R Nader · Nader and Associates | 7 Mannions Lane #17, Danbury, CT 06810 | Home Improvement Contractor | 2000-06-22 ~ 2000-11-30 |
| 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 |
| Hae J Kim Pa | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-31 ~ 2009-02-28 |
Please comment or provide details below to improve the information on NADER ROY MOHTADI.
| 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).