MOHAMED REZA MANSOOR MD (Credential# 161367) 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 ACTIVE.
MOHAMED REZA MANSOOR MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0023391. 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 289 Western Blvd, Glastonbury, CT 06033-1256. The current status is active.
| Licensee Name | MOHAMED REZA MANSOOR MD |
| Credential ID | 161367 |
| Credential Number | CSP.0023391 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
289 Western Blvd Glastonbury CT 06033-1256 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-03-01 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 552167 | 1.034571 | Physician/Surgeon | 1995-06-16 | 2019-08-01 - 2020-07-31 | ACTIVE |
| Street Address | 289 WESTERN BLVD |
| City | GLASTONBURY |
| State | CT |
| Zip Code | 06033-1256 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Consulting Optical | 295 Western Blvd, Glastonbury, CT 06033-1256 | Optical Selling Permit | 2019-09-01 ~ 2020-08-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vanessa Segal | 46 Salem Court, Glastonbury, CT 06033 | Hairdresser/cosmetician | ~ |
| Laura Nadeau | 3641 Hebron Ave, Glastonbury, CT 06033 | Respiratory Care Practitioner | 2020-08-01 ~ 2021-07-31 |
| Abigail Lynn Hubbard | 55 Brookview Drive, Glastonbury, CT 06033 | Emergency Medical Technician | ~ |
| Maureen E Booth | 36 Hubbard Run Drive, Glastonbury, CT 06033 | Speech and Language Pathologist | 2020-07-01 ~ 2021-06-30 |
| Wendy B Johnson | 1789 Main St, Glastonbury, CT 06033 | Architect | 2020-08-01 ~ 2021-07-31 |
| Michael D Devanney Pa | 28 Evergreen Ln, Glastonbury, CT 06033 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
| Sophie C Gomez · Pirog | 81 Three Mile Rd, Glastonbury, CT 06033 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Jennifer R Briones | 90 Deerfield Drive, Glastonbury, CT 06033 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Munson's Chocolates | 135 Glastonbury Blvd, Glastonbury, CT 06033 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Yulhun Sung | 245 Griswold St Unit A, Glastonbury, CT 06033 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Find all Licenses in zip 06033 | |||
| City | GLASTONBURY |
| Zip Code | 06033 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + GLASTONBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Muhammad S Mansoor | 132 Kyles Way, Shelton, CT 06484-6614 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Mansoor Anwer | 10 Sky View Drive, Avon, CT 06001 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mansoor A Sheikh | 1763 S Citrus Cv, Mesa, AZ 85204-7322 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ibrahim Mansoor | 12123 Town Walk Drive, Hamden, CT 06518 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Reza Pakdaman | 56 Franklin St, Waterbury, CT 06706-1253 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Reza Yavari Md | 82 Bradley Rd, Madison, CT 06443-2684 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Reza N. Samad | 310 E 24th St Apt 10, New York, NY 10010-4012 | Controlled Substance Registration for Practitioner | 2013-05-08 ~ 2015-02-28 |
| Reza Sharafi Md | 311 Lowell St Apt 3117, Andover, MA 01810 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Reza Saffari | 77 Adam St #1001, Quincy, MA 02169 | Controlled Substance Registration for Practitioner | 2003-03-01 ~ 2004-02-28 |
| Mohammad Reza Moienafshari Md | 61 Pomeroy Ave, Meriden, CT 06450-7482 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).