AMIR BEHZAD RAZAVI
Controlled Substance Registration for Practitioner


Address: 1418 Baytowne Cir E, Miramar Beach, FL 32550-4890

AMIR BEHZAD RAZAVI (Credential# 1629901) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is February 4, 2019. The license expiration date date is February 28, 2021. The license status is INACTIVE.

Business Overview

AMIR BEHZAD RAZAVI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0070203. The credential type is controlled substance registration for practitioner. The effective date is February 4, 2019. The expiration date is February 28, 2021. The business address is 1418 Baytowne Cir E, Miramar Beach, FL 32550-4890. The current status is inactive.

Basic Information

Licensee Name AMIR BEHZAD RAZAVI
Credential ID 1629901
Credential Number CSP.0070203
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 1418 Baytowne Cir E
Miramar Beach
FL 32550-4890
Business Type INDIVIDUAL
Status INACTIVE - LACK OF ACTIVE MEDICAL LICENSE
Issue Date 2019-02-04
Effective Date 2019-02-04
Expiration Date 2021-02-28
Refresh Date 2020-04-24

Other licenses

ID Credential Code Credential Type Issue Term Status
1613675 1.062331 Physician/Surgeon 2019-02-01 2019-02-01 - 2019-09-30 INACTIVE

Office Location

Street Address 1418 BAYTOWNE CIR E
City MIRAMAR BEACH
State FL
Zip Code 32550-4890

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Charles E Womack Md Junit 1110/tops'l Beach Manor, Miramar Beach, FL 32550 Physician/surgeon 2004-04-20 ~ 2005-03-31
Gary F Turnier 9950 Us Highway 98 W, Miramar Beach, FL 32550-4992 Dentist 2020-05-01 ~ 2021-04-30

Competitor

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City MIRAMAR BEACH
Zip Code 32550
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MIRAMAR BEACH

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Dataset Information

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).

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