MARYAM AZIZI
Controlled Substance Registration for Practitioner


Address: 814 Larchmont Acres Apt A, Larchmont, NY 10538-7370

MARYAM AZIZI (Credential# 1693052) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is September 24, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

MARYAM AZIZI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0072463. The credential type is controlled substance registration for practitioner. The effective date is September 24, 2019. The expiration date is February 28, 2021. The business address is 814 Larchmont Acres Apt A, Larchmont, NY 10538-7370. The current status is active.

Basic Information

Licensee Name MARYAM AZIZI
Credential ID 1693052
Credential Number CSP.0072463
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 814 Larchmont Acres Apt A
Larchmont
NY 10538-7370
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2019-09-24
Effective Date 2019-09-24
Expiration Date 2021-02-28
Refresh Date 2020-01-14

Other licenses

ID Credential Code Credential Type Issue Term Status
1670704 1.064270 Physician/Surgeon 2019-09-20 2019-09-20 - 2020-07-31 ACTIVE

Office Location

Street Address 814 LARCHMONT ACRES APT A
City LARCHMONT
State NY
Zip Code 10538-7370

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Alan B Bernstein 29 Mountain Ave, Larchmont, NY 10538 Physician/surgeon 2019-01-01 ~ 2019-12-31
Gay B Prizio 14 N. Chatsworth Avenue, Larchmont, NY 10538 Real Estate Salesperson 2019-06-01 ~ 2020-05-31
Nestor J Kyritsis 26 Plymouth Rd, Larchmont, NY 10538 Architect 2018-12-17 ~ 2019-07-31
Jill K Patricot 63 Chestnut Avenue, Larchmont, NY 10538 Real Estate Salesperson 2020-06-01 ~ 2021-05-31
Kinnan K O'connell 81 Willow Ave, Larchmont, NY 10538 Certified General Real Estate Appraiser 2020-05-01 ~ 2021-04-30
Sandra Rose 76 Wendt Ave, Larchmont, NY 10538 Certified Residential Real Estate Appraiser 2020-05-01 ~ 2021-04-30
John D Parker 10 Rockhill Terrace, Larchmont, NY 10538 Real Estate Broker 2019-04-01 ~ 2020-03-31
Leslie Ellen Coplin 4 Concord Avenue, Larchmont, NY 10538 Master's Level Social Worker 2020-04-06 ~ 2021-03-31
Tuccimar Inc. 46 Vanderburgh Ave, Larchmont, NY 10538 Demolition Contractor 2020-04-06 ~ 2021-04-30
Denise Digioia Aprn 35 N Chatsworth Avenue, Larchmont, NY 10538 Registered Nurse 2020-05-01 ~ 2021-04-30
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Competitor

Search similar business entities

City LARCHMONT
Zip Code 10538
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + LARCHMONT

Similar businesses

Licensee Name Office Address Credential Effective / Expiration
Ghobad Azizi Md 2539-5 Costmary Lane, Wilmington, NC 28412 Controlled Substance Registration for Practitioner 2001-05-07 ~ 2002-02-28
Maryam Rostami Dds 207 George St Apt 516, Middletown, CT 06457-6701 Controlled Substance Registration for Practitioner 2013-03-01 ~ 2015-02-28
Maryam Iftikhar 38 Bolduc Ct, Wolcott, CT 06716-3146 Controlled Substance Registration for Practitioner 2019-04-10 ~ 2021-02-28
Maryam Azadpur Dmd 381 Hopmeadow St Ste 202, Simsbury, CT 06089 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Maryam Tahvildari 130 Division St, Derby, CT 06418-1326 Controlled Substance Registration for Practitioner 2017-03-01 ~ 2019-02-28
Maryam Saleem 64 Robbins St # 3304, Waterbury, CT 06708-2613 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 Oshomah 1660 Ridge Rd, North Haven, CT 06473-2046 Controlled Substance Registration for Practitioner 2020-01-13 ~ 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
Maryam Hedayatzadeh Md Womens Healthcare of New England, Norwalk, CT 06851 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28

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Dataset Information

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).

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