IMTIAZ SAMAD MD (Credential# 171948) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2001. The license expiration date date is February 28, 2002. The license status is INACTIVE.
IMTIAZ SAMAD MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0024341. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2001. The expiration date is February 28, 2002. The business address is 7993 Cedarwood Dr, Rome, NY 13440. The current status is inactive.
| Licensee Name | IMTIAZ SAMAD MD |
| Credential ID | 171948 |
| Credential Number | CSP.0024341 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
7993 Cedarwood Dr Rome NY 13440 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 2001-03-01 |
| Expiration Date | 2002-02-28 |
| Refresh Date | 2009-01-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 552653 | 1.035059 | Physician/Surgeon | 1996-02-02 | 1999-09-20 - 2000-09-30 | INACTIVE |
| Street Address | 7993 CEDARWOOD DR |
| City | ROME |
| State | NY |
| Zip Code | 13440 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Douglas R Cahill | 8312 Greenview Dr, Rome, NY 13440 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Madalana Leana Pegues | 119 East Thomas St, Rome, NY 13440 | Physical Therapist | 2018-04-24 ~ 2019-02-28 |
| Carey Lee Marrello | 167 Northwood Circle, Rome, NY 13440 | Registered Nurse | 2019-04-01 ~ 2020-03-31 |
| Russell G Foote | 518 River Rd, Rome, NY 13440 | Licensed Practical Nurse | 2016-11-01 ~ 2017-10-31 |
| Matthew J Seogne | 107 Riverview Pkwy N, Rome, NY 13440 | Tv & Radio Limited Dish Antenna Technician | ~ |
| Austin H Perry | 9117 Floyd Ave Apt 16, Rome, NY 13440 | Tv & Radio Limited Dish Antenna Technician | ~ |
| Kelley A Graichen | 200 Canal Street, Rome, NY 13440 | Licensed Practical Nurse | 2009-05-11 ~ 2010-06-30 |
| Lynn A Hinds-sharpe · Hinds | P.o Box 1048, Rome, NY 13440 | Licensed Practical Nurse | 2002-03-12 ~ 2003-04-30 |
| Patricia M Ross · Merchant | 5291 Golly Rd, Rome, NY 13440 | Licensed Practical Nurse | ~ 1995-09-30 |
| Robert C Croley | 5699 Boyd Road, Rome, NY 13440 | Registered Nurse | 2006-09-25 ~ 2007-10-31 |
| Find all Licenses in zip 13440 | |||
| City | ROME |
| Zip Code | 13440 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + ROME |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Reza N. Samad | 310 E 24th St Apt 10, New York, NY 10010-4012 | Controlled Substance Registration for Practitioner | 2013-05-08 ~ 2015-02-28 |
| Arman Samad-zadeh | 15 New St, West Hartford, CT 06107 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Imran Samad Qureshi | 379 W Pleasantview Avenue, Hackensack, NJ 07601 | Controlled Substance Registration for Practitioner | 2017-11-20 ~ 2019-02-28 |
| Imtiaz L Qureshi Md` | 111 North Rengstorff Ave#114, Mountain View, CA 94043 | Controlled Substance Registration for Practitioner | 2003-04-15 ~ 2004-02-28 |
| Aized A Imtiaz | Hartford Hospital, Hartford, CT 06102 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| M Imtiaz-ul Islam Md | 4324 Avalon Haven Dr, North Haven, CT 06473 | Controlled Substance Registration for Practitioner | 2001-09-20 ~ 2002-02-28 |
| Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
| Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
| Min Jin Kim | 639 4th Ave Apt 5c, Brooklyn, NY 11232-1048 | Controlled Substance Registration for Practitioner | 2012-05-10 ~ 2013-02-28 |
| Arundati Rao | CT | 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).