MANSUR JAVAID (Credential# 2015871) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 10, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
MANSUR JAVAID is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0073343. The credential type is controlled substance registration for practitioner. The effective date is March 10, 2020. The expiration date is February 28, 2021. The business address is 5435 Woodcrest Highlands Rd, Eau Claire, WI 54701-9327. The current status is active.
Licensee Name | MANSUR JAVAID |
Credential ID | 2015871 |
Credential Number | CSP.0073343 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
5435 Woodcrest Highlands Rd Eau Claire WI 54701-9327 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2020-03-10 |
Effective Date | 2020-03-10 |
Expiration Date | 2021-02-28 |
Refresh Date | 2020-03-12 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
548883 | 1.031044 | Physician/Surgeon | 1990-08-14 | 2020-03-09 - 2020-11-30 | ACTIVE |
160773 | CSP.0018568 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1994-02-14 - 1995-12-01 | INACTIVE |
Street Address | 5435 WOODCREST HIGHLANDS RD |
City | EAU CLAIRE |
State | WI |
Zip Code | 54701-9327 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
National Pku Alliance Inc. | E4495 Golf View Ct., Eau Claire, WI 54701 | Public Charity | 2019-12-01 ~ 2020-11-30 |
Michael D Rosendahl | 3126 Mcelroy Street, Eauclaire, WI 54701 | Hairdresser/cosmetician | 2019-10-01 ~ 2021-09-30 |
Kenneth F Lee | 3818 Timber Creek Court, Eau Claire, WI 54701 | Professional Engineer | 2017-02-01 ~ 2018-01-31 |
Dennis S Nelson · Midwest Mnfctrng | 2620 Stein Blvd, Eau Calire, WI 54701 | Professional Engineer | 1990-01-25 ~ 1991-01-31 |
Sharon K Pellatt | S. 8220 Todd Road, Eau Claire, WI 54701 | Registered Nurse | 2014-01-01 ~ 2014-12-31 |
Linda K Bohacek | 3303 Evergreen Lane, Eau Claire, WI 54701 | Dental Hygienist | 2008-03-24 ~ 2009-05-31 |
Robert Bohacek | Oakwood Hills, Eau Claire, WI 54701 | Veterinarian | 2001-12-06 ~ 2002-12-31 |
Jennifer L Anderson | 3706 Briar Way, Eau Claire, WI 54701 | Registered Nurse | ~ 1996-09-30 |
Patricia A Prince | 1229 Cummings St, Eauclaire, WI 54701 | Registered Nurse | 2002-05-08 ~ 2003-01-31 |
Bushra K Javaid | 5435 Woodcrest Highlands Road, Eau Claire, WI 54701 | Controlled Substance Registration for Practitioner | 1994-01-21 ~ 1995-12-01 |
Find all Licenses in zip 54701 |
City | EAU CLAIRE |
Zip Code | 54701 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + EAU CLAIRE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Hana I Javaid | 44 Republic Dr Apt 239, Bloomfield, CT 06002-5460 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Adnan A Javaid | 424 Seville St Apt 2, Philadelphia, PA 19128-3601 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Waleed Javaid Md | 75 Avonwood Road, Avon, CT 06001 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Mansur Abdul Ghani | 189 Elm St, New Haven, CT 06511-8945 | Controlled Substance Registration for Practitioner | 2019-06-05 ~ 2021-02-28 |
Bushra K Javaid | 5435 Woodcrest Highlands Road, Eau Claire, WI 54701 | Controlled Substance Registration for Practitioner | 1994-01-21 ~ 1995-12-01 |
Marcey C Mansur · Mansur | 87 Del Mar Dr., Brookfield, CT 06804 | Massage Therapist | 2003-01-15 ~ 2003-10-31 |
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 |
Erin K Fee | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Min Jin Kim | 639 4th Ave Apt 5c, Brooklyn, NY 11232-1048 | Controlled Substance Registration for Practitioner | 2012-05-10 ~ 2013-02-28 |
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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).