MARYAM AZADPUR DMD (Credential# 172276) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
MARYAM AZADPUR DMD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0024470. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 381 Hopmeadow St Ste 202, Simsbury, CT 06089. The current status is active.
| Licensee Name | MARYAM AZADPUR DMD |
| Credential ID | 172276 |
| Credential Number | CSP.0024470 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
381 Hopmeadow St Ste 202 Simsbury CT 06089 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-03-01 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-14 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 702377 | 2.007907 | Dentist | 1993-05-04 | 2019-09-01 - 2020-08-31 | ACTIVE |
| Street Address | 381 HOPMEADOW ST STE 202 |
| City | SIMSBURY |
| State | CT |
| Zip Code | 06089 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amanda Ogrin | 24 Alan Drive, Weatogue, CT 06089 | Professional Counselor Associate | ~ |
| Joseph A Galiette | 283 Hopmeadow St, Weatogue, CT 06089 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Xia Gao | 145 Cooper Ave Unit16, Weatogue, CT 06089 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Gary J Guimond | 63 Hilltop Dr, Weatogue, CT 06089 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Elizabeth J Langevin | 21 Sand Hill Rd, Weatogue, CT 06089 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Samuel D. Buonocore | 7 Caryn Ln, Weatogue, CT 06089 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Trent Tao She | 3 Cooper Avenue, Weatogue, CT 06089 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Hiu Lui Yeung | 84 Simsbury Manor Dr, Weatogue, CT 06089 | Nail Technician | 2020-06-23 ~ 2022-03-31 |
| Xiangyu Dong | 20 Hopmeadow St Unit 426, Weatogue, CT 06089 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Arielle H Marlette | 81 Cooper Avenue, Simsbury, CT 06089 | Advanced Practice Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06089 | |||
| City | SIMSBURY |
| Zip Code | 06089 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SIMSBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| 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 Iftikhar | 38 Bolduc Ct, Wolcott, CT 06716-3146 | Controlled Substance Registration for Practitioner | 2019-04-10 ~ 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 |
| 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 |
| Maryam Edalat Dds | 420 Easr 58th Street, New York City, NY 10022 | Controlled Substance Registration for Practitioner | 2000-02-29 ~ 2001-02-28 |
| Maryam Azizi | 814 Larchmont Acres Apt A, Larchmont, NY 10538-7370 | Controlled Substance Registration for Practitioner | 2019-09-24 ~ 2021-02-28 |
Please comment or provide details below to improve the information on MARYAM AZADPUR DMD.
| 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).