MOIZ KHAN (Credential# 1994437) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is December 23, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
MOIZ KHAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0072940. The credential type is controlled substance registration for practitioner. The effective date is December 23, 2019. The expiration date is February 28, 2021. The business address is 23902 Hillside Ave, Bellerose, NY 11426-1330. The current status is active.
Licensee Name | MOIZ KHAN |
Credential ID | 1994437 |
Credential Number | CSP.0072940 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
23902 Hillside Ave Bellerose NY 11426-1330 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2019-12-23 |
Effective Date | 2019-12-23 |
Expiration Date | 2021-02-28 |
Refresh Date | 2019-12-26 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1691822 | 1.064694 | Physician/Surgeon | 2019-12-20 | 2019-12-20 - 2020-08-31 | ACTIVE |
Street Address | 23902 HILLSIDE AVE |
City | BELLEROSE |
State | NY |
Zip Code | 11426-1330 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Rukshana A Miah | 241-31 87 Ave, Bellerose, NY 11426 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
Pamela I Liarikos | 87-22 254th St, Bellerose, NY 11426 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
Gene G Tronco | 247-70a, Bellerose, NY 11426 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Karan Lal | 81 07 249st, Bellerose, NY 11426 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Katherine Mae Reyes Tinampay | 80-31 251 Street, Bellerose, New York City, NY 11426 | Registered Nurse | 2017-11-06 ~ 2018-11-30 |
Sara Najam | 93-02 241st Street, Bellerose, NY 11426 | Dentist | 2018-01-18 ~ 2018-10-31 |
Catherine Wing Yiu C Chan | 251-24 71st Ave #87b, Bellerose, NY 11426 | Pharmacist | 2016-02-01 ~ 2018-01-31 |
Luisa E Arichabala | 242-17 88 Drive, Bellerose, NY 11426 | Registered Nurse | 2017-07-01 ~ 2018-06-30 |
Nathan Arnold Miller Christopherson | 24520 Grand Central Parkway, Bellerose, NY 11426 | Registered Nurse | 2017-03-01 ~ 2018-02-28 |
Saji Mary Samuel | 82 55 247th St, Bellerose, NY 11426 | Professional Engineer | 2012-05-16 ~ 2013-01-31 |
Find all Licenses in zip 11426 |
City | BELLEROSE |
Zip Code | 11426 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BELLEROSE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Moiz V Master Md | 33 Highland Street, New Britain, CT 06052 | Controlled Substance Registration for Practitioner | 1999-05-11 ~ 2000-02-28 |
Gul Khan | 41 Brittany Ave, Trumbull, CT 06611-1104 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Mukhtar I Khan Md | Po Box 122, Chelsea, NY 12512 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Imad Khan | 56 Franklin St, Waterbury, CT 06706-1253 | Controlled Substance Registration for Practitioner | 2011-04-18 ~ 2013-02-28 |
Adil H Khan | 168 York St Apt 2f, New Haven, CT 06511-4815 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Mohammed Khan | 24 Hospital Ave, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2009-09-02 ~ 2011-02-28 |
Muzammil U Khan | 47 Winding Ln, Islandia, NY 11749-6146 | Controlled Substance Registration for Practitioner | 2014-07-31 ~ 2015-02-28 |
Izaz M Khan | 494 Worthington Rdg, Berlin, CT 06037-2341 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Farqan U Khan | 675 Main St, Middletown, CT 06457-2732 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Faraz Khan | 5 Rogers Rd, Wolcott, CT 06716 | 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).