ABDUL S FARZIN (Credential# 164075) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is June 21, 1994. The license expiration date date is September 1, 1995. The license status is INACTIVE.
ABDUL S FARZIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0022209. The credential type is controlled substance registration for practitioner. The effective date is June 21, 1994. The expiration date is September 1, 1995. The business address is Pacific Phy Services, Hemet, CA 92543. The current status is inactive.
| Licensee Name | ABDUL S FARZIN |
| Credential ID | 164075 |
| Credential Number | CSP.0022209 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
Pacific Phy Services Hemet CA 92543 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 1994-06-21 |
| Expiration Date | 1995-09-01 |
| Refresh Date | 2004-04-23 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 551151 | 1.033552 | Physician/Surgeon | 1994-03-04 | 1994-03-07 - 1995-03-31 | INACTIVE |
| Street Address | PACIFIC PHY SERVICES |
| City | HEMET |
| State | CA |
| Zip Code | 92543 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Charity Gay A Novera | 621 S Palm Ave Unit F, Hemet, CA 92543-5858 | Registered Nurse | 2016-05-01 ~ 2017-04-30 |
| Mark R Scarito | 1640 Bella Vista Dr, Hemet, CA 92543-6820 | Registered Nurse | 2015-03-01 ~ 2016-02-29 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alan W Woodis | 5001 W Florida Ave Space 608, Hemet, CA 92545 | Land Surveyor | 2020-02-01 ~ 2021-01-31 |
| Maria Anthony | 4540 Cloudywing Rd, Hemet, CA 92545-8950 | Registered Nurse | 2018-08-01 ~ 2019-07-31 |
| Joseph Charles Manuel | 26559 Girard St., Hemet, CA 92544 | Registered Nurse | 2017-02-01 ~ 2017-04-30 |
| William P Blase | 2390 E. Florida Ave, Hemet, CA 92544 | Physician/surgeon | 2014-05-01 ~ 2015-04-30 |
| Elizabeth A Johnson | 1850 Cajon Dr, Hemet, CA 92544 | Licensed Practical Nurse | 1992-12-22 ~ 1993-11-30 |
| Jason K Baker | 41352 Merriwood Dr, Hemet, CA 92544 | Physical Therapist | 1998-10-19 ~ 1999-10-31 |
| Sharon Y Bailey | 41773 Jennifer Ave, Hemet, CA 92544 | Registered Nurse | 2003-08-25 ~ 2004-08-31 |
| City | HEMET |
| Zip Code | 92543 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + HEMET |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Farzin S Farshidi | 221 Trumbull St Apt 1608, Hartford, CT 06103-1528 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Farzin Imani Md | 2800 Main St, Bridgeport, CT 06606 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Abdul R Rahimyar Md | Po Box 726, Fairfield, CT 06824 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mansur Abdul Ghani | 189 Elm St, New Haven, CT 06511-8945 | Controlled Substance Registration for Practitioner | 2019-06-05 ~ 2021-02-28 |
| Abdul Haseeb | 56 Franklin St, Waterbury, CT 06706-1253 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Abdul H Khaliq | 45 S Main St, West Hartford, CT 06107-2441 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Abdul Q Bhutta | 273 Greene Street, New Haven, CT 06511-6943 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Abdul Elfar | 203 Roosevelt Drive, Fishkill, NY 12524 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Abdul R K Hashim Md | 4704 N University Dr Apt 625, Nacogdoches, TX 75965 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Abdul Qadir Dar | 2800 Main St, Bridgeport, CT 06606-4201 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on ABDUL S FARZIN.
| 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).