TAHIR MOHAMMAD CHAUDHRY (Credential# 1663360) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2019. The license expiration date date is June 30, 2022. The license status is ACTIVE.
TAHIR MOHAMMAD CHAUDHRY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.063518-RES. The credential type is resident physician. The effective date is July 1, 2019. The expiration date is June 30, 2022. The business address is 71 Haynes St, Manchester, CT 06040-4131. The current status is active.
| Licensee Name | TAHIR MOHAMMAD CHAUDHRY |
| Credential ID | 1663360 |
| Credential Number | 1.063518-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
71 Haynes St Manchester CT 06040-4131 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-07-01 |
| Effective Date | 2019-07-01 |
| Expiration Date | 2022-06-30 |
| Refresh Date | 2019-06-18 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1647199 | CSP.0070634 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-05-29 | 2019-05-29 - 2021-02-28 | ACTIVE |
| Street Address | 71 HAYNES ST |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06040-4131 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| 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 |
| Minoo Hollis | 71 Haynes St, Manchester, CT 06040-4131 | Controlled Substance Registration for Practitioner | 2019-03-21 ~ 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 | Resident Physician |
| License Type + County | Resident Physician + MANCHESTER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Khola Samreen Tahir | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2019-07-01 ~ 2021-06-30 |
| Mohammad Sulman Ali | 252 Spring St Apt 7, Naugatuck, CT 06770-2935 | Resident Physician | 2017-06-28 ~ 2023-06-27 |
| Benefsha Mohammad | 44066 Parliamentary Sq, Ashburn, VA 20147-4927 | Resident Physician | 2015-07-01 ~ 2021-06-30 |
| Mohammad Shehryar Khan | 20 York St, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Mohammad Zain-ul-abideen | 20 York Street, New Haven, CT 06510 | Resident Physician | 2019-07-05 ~ 2021-07-04 |
| Mohammad Abdul Rauf | 64 Robbins Street, Room 3304, Waterbury, CT 06708 | Resident Physician | 2017-07-17 ~ 2020-07-16 |
| Mohammad Samer Younes | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2017-07-01 ~ 2020-06-30 |
| Mohammad J Ghomashi | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2018-06-28 ~ 2018-07-27 |
| Mohammad Amir Usmani | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2022-06-30 |
| Ikram Mohammad Irfanullah | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
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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).