ABRAHAM J KHORASANI (Credential# 1668676) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
ABRAHAM J KHORASANI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.064256. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 25 Scarlet Lane, Windsor, CT 06095. The current status is active.
| Licensee Name | ABRAHAM J KHORASANI |
| Credential ID | 1668676 |
| Credential Number | 1.064256 |
| Credential Type | Physician/Surgeon |
| Business Address |
25 Scarlet Lane Windsor CT 06095 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-09-18 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-04-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1353960 | CSP.0062755 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-07-06 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 1488590 | 1.057985-RES | Resident Physician | 2016-06-28 | 2016-06-28 - 2020-06-30 | ACTIVE |
| Street Address | 25 Scarlet Lane |
| City | Windsor |
| State | CT |
| Zip Code | 06095 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cherene M Scott | 123 Clover St, Windsor, CT 06095 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Marianne Lauri | 9 Mohawk Circle, Windsor, CT 06095 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Elaine R Birthwright Rowe | 71 Ford Road, Windsor, CT 06095 | Real Estate Salesperson | ~ |
| Annmarie Blair-atkinson | 19 Hope Circle, Windsor, CT 06095 | Medication Administration Certification | 2020-05-23 ~ 2022-05-22 |
| Cristina Valente | 39 Lochview Dr, Windsor, CT 06095 | Master's Level Social Worker | 2020-07-01 ~ 2021-06-30 |
| Bridget C Tran | 500 Huckleberry Rd, Windsor, CT 06095 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Kelli Price | 15 Berrios Hill Road, Windsor, CT 06095 | Professional Counselor | 2020-09-01 ~ 2021-08-31 |
| Yalanda Squirewell | 217 Willowcrest Drive, Windsor, CT 06095 | Real Estate Salesperson | ~ |
| Omason O Modeste | 30 Lepage Rd, Windsor, CT 06095 | Emergency Medical Technician | 2017-04-06 ~ 2020-06-30 |
| Mark E Allen | 372 Broad St, Windsor, CT 06095 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06095 | |||
| City | Windsor |
| Zip Code | 06095 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Windsor |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Abraham Tzadik | Farmington, CT 06032 | Physician/surgeon | 1982-11-22 ~ 1987-11-30 |
| Ami Abraham Do | 5 Tudor Rd, Hicksville, NY 11801-5326 | Physician/surgeon | 2015-01-01 ~ 2015-12-31 |
| Bassem O Abraham | 725 Ferris Way, Hershey, PA 17033 | Physician/surgeon | 2006-02-23 ~ 2007-02-28 |
| Abraham Tzou | 713 Swarthmore Dr, Newark, DE 19711 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Nitya Abraham | 1 Strawberry Hill Ave Apt 2f, Stamford, CT 06902 | Physician/surgeon | ~ |
| Abraham Knoll | 160 West St Bldg 1, Cromwell, CT 06416-2441 | Physician/surgeon | ~ |
| Abraham I Levine | 26 Wilson Ave, Rowayton, CT 06853 | Physician/surgeon | 1996-10-01 ~ 1997-10-31 |
| Stephen Abraham | 43-30 46th Street, Sunnyside, NY 11104 | Physician/surgeon | ~ |
| Zef A Abraham | 47 London Terrace, New Rochelle, NY 10804 | Physician/surgeon | 1992-05-27 ~ 1993-05-31 |
| Reginald Abraham Md | 4801 Fruitvale Ave #120, Bakersfield, CA 93308 | Physician/surgeon | 2004-07-20 ~ 2005-04-30 |
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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).