MINOO HOLLIS (Credential# 1640013) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 21, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
MINOO HOLLIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0070491. The credential type is controlled substance registration for practitioner. The effective date is March 21, 2019. The expiration date is February 28, 2021. The business address is 71 Haynes St, Manchester, CT 06040-4131. The current status is active.
Licensee Name | MINOO HOLLIS |
Credential ID | 1640013 |
Credential Number | CSP.0070491 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
71 Haynes St Manchester CT 06040-4131 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2019-03-21 |
Effective Date | 2019-03-21 |
Expiration Date | 2021-02-28 |
Refresh Date | 2019-03-25 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1624533 | 1.062479 | Physician/Surgeon | 2019-03-20 | 2020-01-01 - 2020-12-31 | ACTIVE |
Street Address | 71 HAYNES ST |
City | MANCHESTER |
State | CT |
Zip Code | 06040-4131 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Tahir Mohammad Chaudhry | 71 Haynes St, Manchester, CT 06040-4131 | Resident Physician | 2019-07-01 ~ 2022-06-30 |
Tracey L Carpenter | 71 Haynes St, Manchester, CT 06040-4131 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
Darci Moran Pa | 71 Haynes St, Manchester, CT 06040 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
Sean M. Mclaughlin Md | 71 Haynes St, Manchester, CT 06040-4188 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Amee Mehta | 71 Haynes St, Manchester, CT 06040 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Megan T. Cummings | 71 Haynes St, Manchester, CT 06040-4131 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Paul Allen Schwiger Jr | 71 Haynes St, Manchester, CT 06040-4131 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Mark Gerard Amirault | 71 Haynes St, Manchester, CT 06040-4131 | Controlled Substance Registration for Practitioner | 2019-05-29 ~ 2021-02-28 |
Amanda Lu | 71 Haynes St, Manchester, CT 06040-4131 | Controlled Substance Registration for Practitioner | 2019-05-29 ~ 2021-02-28 |
Mehdi Momen | 71 Haynes St, Manchester, CT 06040-4131 | Controlled Substance Registration for Practitioner | 2019-05-20 ~ 2021-02-28 |
Find all Licenses in the same address |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Keri Lee Pinnock | 353 Main Street, Manchester, CT 06040-4131 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Dominique Kalil Md | 71 Haynes St Rm 1209, Manchester, CT 06040-4131 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Mary Fosuah Nketia | 61 Cougar Drive, Manchester, CT 06040 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
New Seasons Inc. | 164 East Center Street, Manchester, CT 06040 | Public Charity | 2019-06-01 ~ 2020-05-31 |
Kaylen Lam | 60 Chlistone Lane, Manchester, CT 06040 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Matilde Altamirano | 415 Gardner Street, Manchester, CT 06040 | Nail Technician | 2020-06-27 ~ 2022-04-30 |
Meilan Meilan Chen | 174 Middle Tpke, Manchester, CT 06040 | Nail Technician | ~ |
Prince Acheampong | 32 Bigelow Street, Manchester, CT 06040 | Notary Public Appointment | ~ |
Erin C Boyle | 470 Porter Street, Manchester, CT 06040 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Dejone Mitchell | 64 Ruby Dr Apt. P, Manchester, CT 06040 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Andrea H Clifford | 116 Longview Drive, Manchester, CT 06040 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
Tabia Thornton-bey | 103 Walek Farms Road, Manchester, CT 06040 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 06040 |
City | MANCHESTER |
Zip Code | 06040 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MANCHESTER |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Alice R Holland | 6 Hollis St, Fairfield, CT 06824-6410 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Kevin J Gill Md | 3 Springvale Dr, Hollis, NH 03049-6013 | Controlled Substance Registration for Practitioner | 2011-01-14 ~ 2013-02-28 |
Tiffany Rhodes | 26 Deacon Ln, Hollis, NH 03049 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Scott Hollis Dds | 520 Albany Ave, Hartford, CT 06120 | Controlled Substance Registration for Practitioner | 1995-08-16 ~ 1996-02-28 |
John Hasychak IIi | 66 Crestwood Dr, Hollis, NH 03049-6003 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Jennifer M Garcia | 8814 187th St, Hollis, NY 11423-1826 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Nicole M Hollis | 29 Last Leaf Circle, Windsor, CT 06095 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Joyce Mary Akhtar Md | 8016 188th St, Hollis, NY 11423 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Valeriy Aranbayev | 19340 85th Road, Hollis, NY 11423 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Somaira Rafiq Yasin | 52 Hollis Landing, Glastonbury, CT 06033 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on MINOO HOLLIS.
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).