MARYAM IFTIKHAR (Credential# 1646987) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is April 10, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
MARYAM IFTIKHAR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0070630. The credential type is controlled substance registration for practitioner. The effective date is April 10, 2019. The expiration date is February 28, 2021. The business address is 38 Bolduc Ct, Wolcott, CT 06716-3146. The current status is active.
| Licensee Name | MARYAM IFTIKHAR |
| Credential ID | 1646987 |
| Credential Number | CSP.0070630 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
38 Bolduc Ct Wolcott CT 06716-3146 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-04-10 |
| Effective Date | 2019-04-10 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-04-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1619914 | 23.004424 | Physician Assistant | 2019-04-10 | 2019-11-01 - 2020-10-31 | ACTIVE |
| 1078055 | PTN.0014352 | PHARMACY TECHNICIAN | 2012-06-19 | 2012-06-19 - 2013-03-31 | INACTIVE |
| Street Address | 38 BOLDUC CT |
| City | WOLCOTT |
| State | CT |
| Zip Code | 06716-3146 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Meghan O Nonamaker | 14 Bolduc Ct, Wolcott, CT 06716-3146 | Nursing Home Administrator | 2018-12-18 ~ 2020-09-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Erica Estelle Loureiro | 90 Averyll Ave, Wolcott, CT 06716 | Esthetician | ~ |
| Mary Ann T Scozzafava | 4 Cambridge Drive, Wolcott, CT 06716 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Suzanne M Anderson · Andersen | 112 Potuccos Ring Road, Wolcott, CT 06716 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Wolcott Stove & Camping Ctr | 1623 Wolcott Rd, Wolcott, CT 06716 | Sterilization Permit for Bedding & Upholstered Furniture | 2020-06-25 ~ 2021-04-30 |
| Amanda L Thompson | 1529 Woodtick Road, Wolcott, CT 06716 | Real Estate Salesperson | 2020-06-25 ~ 2021-05-31 |
| Brian Menzies | 11 Longmeadow Drive Extension, Wolcott, CT 06716 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Alayna Jean Freer | 5 Evas Terrace, Wolcott, CT 06716 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Ronald S Jurzyk | 464 Wolcott Road, Wolcott, CT 06716 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Subway #11588 | 654 Wolcott Road, Wolcott, CT 06716 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Susan G Manzolino | 130 Long Meadow Dr, Wolcott, CT 06716 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Find all Licenses in zip 06716 | |||
| City | WOLCOTT |
| Zip Code | 06716 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WOLCOTT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Asma Iftikhar | 6 Peppermill Rd, Roslyn, NY 11576-3106 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Maryam Rostami Dds | 207 George St Apt 516, Middletown, CT 06457-6701 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Maryam Tahvildari | 130 Division St, Derby, CT 06418-1326 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Maryam Azadpur Dmd | 381 Hopmeadow St Ste 202, Simsbury, CT 06089 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Maryam Dastrange Sammet | 56 Franklin St, Waterbury, CT 06706-1253 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Maryam Saleem | 64 Robbins St # 3304, Waterbury, CT 06708-2613 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mian Harris Iftikhar | 263 Farmington Ave, Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | ~ |
| Maryam Oshomah | 1660 Ridge Rd, North Haven, CT 06473-2046 | Controlled Substance Registration for Practitioner | 2020-01-13 ~ 2021-02-28 |
| Maryam Hedayatzadeh Md | Womens Healthcare of New England, Norwalk, CT 06851 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Maryam Etesami | Po Box 208042, Yale Medicine, New Haven, CT 06520-8042 | 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).