FERESHTEH GHOFRANY MD (Credential# 158424) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.
FERESHTEH GHOFRANY MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0016983. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2009. The expiration date is February 28, 2011. The business address is 67 Lancelot Dr, North Haven, CT 06473-1015. The current status is inactive.
| Licensee Name | FERESHTEH GHOFRANY MD |
| Credential ID | 158424 |
| Credential Number | CSP.0016983 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
67 Lancelot Dr North Haven CT 06473-1015 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 2009-03-01 |
| Expiration Date | 2011-02-28 |
| Refresh Date | 2013-03-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 541643 | 1.015813 | Physician/Surgeon | 1972-11-02 | 2009-09-01 - 2010-08-31 | INACTIVE |
| Street Address | 67 LANCELOT DR |
| City | NORTH HAVEN |
| State | CT |
| Zip Code | 06473-1015 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robin M Lane | 39 Lancelot Dr, North Haven, CT 06473-1015 | Real Estate Salesperson | 2017-06-01 ~ 2018-05-31 |
| Steven M Mascia | 63 Lancelot Dr, North Haven, CT 06473-1015 | Real Estate Salesperson | 2018-06-01 ~ 2019-05-31 |
| High Point Consultants LLC | 19 Lancelot Dr, North Haven, CT 06473-1015 | Joint Practice | 2020-05-01 ~ 2021-04-30 |
| Diane Marie Goldschmidt | 65 Lancelot Dr, North Haven, CT 06473-1015 | Real Estate Salesperson | 2014-10-07 ~ 2015-05-31 |
| Sara E Barrows | 51 Lancelot Dr, North Haven, CT 06473-1015 | Athletic Trainer | 2013-10-01 ~ 2014-09-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Renee A Rollier | 90 Fallon Drive, North Haven, CT 06473 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Carly J Brueggestrat Aprn | 191 Cloudland Rd, North Haven, CT 06473 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Heesuk Hyun | 769 Middletown Ave, North Haven, CT 06473 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Jacqueline N Sancho | 9 Corey Rd, North Haven, CT 06473 | Physical Therapist Assistant | 2020-08-01 ~ 2021-07-31 |
| Irene L Smith | 35 Debra Lane, North Haven, CT 06473 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Jane S Jane | 380 Skiff Street, North Haven, CT 06473 | Psychologist | 2020-09-01 ~ 2021-08-31 |
| Shana Kathleen Lipp | [email protected], North Haven, CT 06473 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Haifeng Piao | 201 Universal Drive, North Haven, CT 06473 | Nail Technician | ~ |
| Xuefan Piao | 32 Lexington Gardens, North Haven, CT 06473 | Nail Technician | ~ |
| Zachary A Cuzzocreo | 45 Thorpe Street, North Haven, CT 06473 | Real Estate Salesperson | 2020-06-20 ~ 2021-05-31 |
| Find all Licenses in zip 06473 | |||
| City | NORTH HAVEN |
| Zip Code | 06473 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NORTH HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Fereshteh Boozarjomehri Md | 34 Springhurst Pk, Dobbs Ferry, NY 10522 | Controlled Substance Registration for Practitioner | 2003-03-01 ~ 2004-02-28 |
| 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 |
| Shukrulla Ghofrany | 13 Thomes St, Norwalk, CT 06853-1026 | Physician/surgeon | 2011-05-01 ~ 2012-04-30 |
| Shieva Ghofrany Md | 9 Thomes St, Rowayton, CT 06853 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Erin K Fee | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Hae J Kim Pa | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-31 ~ 2009-02-28 |
| Arundati Rao | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Qi Che Md | Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Min Jin Kim | 639 4th Ave Apt 5c, Brooklyn, NY 11232-1048 | Controlled Substance Registration for Practitioner | 2012-05-10 ~ 2013-02-28 |
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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).