DORNAZSADAT ALEBRAHIM (Credential# 2052142) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is June 9, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
DORNAZSADAT ALEBRAHIM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.065899-RES. The credential type is resident physician. The effective date is June 9, 2020. The expiration date is June 30, 2021. The business address is 152 Temple St Apt 614, New Haven, CT 06510-2614. The current status is active.
| Licensee Name | DORNAZSADAT ALEBRAHIM |
| Credential ID | 2052142 |
| Credential Number | 1.065899-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
152 Temple St Apt 614 New Haven CT 06510-2614 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-06-09 |
| Effective Date | 2020-06-09 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 2051777 | CSP.0074336 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2020-06-18 | 2020-06-18 - 2021-02-28 | ACTIVE |
| Street Address | 152 TEMPLE ST APT 614 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06510-2614 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Natalia Matilde Tijaro Ovalle | 152 Temple St Apt 619, New Haven, CT 06510-2614 | Resident Physician | 2020-06-11 ~ 2021-06-30 |
| Jemma Rachel Benson | 152 Temple St Apt 610, New Haven, CT 06510-2614 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Morgan M Pomeranz | 152 Temple St Apt 701, New Haven, CT 06510-2614 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Sei-gyung Kim | 152 Temple St Apt 609, New Haven, CT 06510-2614 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Jamie P Morano Md | 152 Temple St Apt 702, New Haven, CT 06510-2614 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Shalini R Patel | 152 Temple St Apt 615, New Haven, CT 06510-2614 | Controlled Substance Registration for Practitioner | 2010-12-09 ~ 2013-02-28 |
| Rebecca J Wong | 152 Temple St Apt 618, New Haven, CT 06510-2614 | Controlled Substance Registration for Practitioner | 2010-11-18 ~ 2011-02-28 |
| Bayindir Cimsit | 152 Temple St Apt 701, New Haven, CT 06510-2614 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gary P Bernardi Jr | Yale New Haven Hospital, New Haven, CT 06510 | Advanced Practice Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Katherine G Kennedy | 65 Trumbull St, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Molly Elizabeth Mcadow | 333 Cedar Street, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Brady Dunkle | 58 Vernon Street, New Haven, CT 06510 | Registered Nurse | ~ |
| Karin Ann Price | 20 York St, New Haven, Ct 06510, New Haven, CT 06510 | Registered Nurse - Temporary | 2020-06-25 ~ 2020-10-23 |
| G C S Constuction LLC | 142 Temple Street, New Haven, CT 06510 | Major Contractor | 2020-07-01 ~ 2021-06-30 |
| Paul L Mccarthy Md · Yale School of Medicine | Dept of Pediatrics, New Haven, CT 06510 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Lauren E Cohn Md | Yale New-haven Hospital, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Bong Francois | 900 Chapel St Apt 901, New Haven, CT 06510 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Pelli Clarke Pelli Architects Inc. | 1056 Chapel St, New Haven, CT 06510 | Architecture Corporation | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06510 | |||
| City | NEW HAVEN |
| Zip Code | 06510 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gin Yi Lee | 24 Hospital Ave, Danbury, CT 06810-6099 | Resident Physician | 2019-06-20 ~ 2022-06-30 |
| Yan Zhu | 27 Brainerd Rd # B, Branford, CT 06405-6302 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Jia Wei Tan | 267 Grant St, Bridgeport, CT 06610-2805 | Resident Physician | 2020-06-22 ~ 2023-06-30 |
| Tao Zuo | 20 York St., New Haven, CT 06510-3220 | Resident Physician | 2016-07-25 ~ 2020-06-30 |
| Victoria Parker | CT | Resident Physician | 2015-06-23 ~ 2021-06-30 |
| Jennifer A Guy | 6 Early Dr Apt K, Watervliet, NY 12189-2517 | Resident Physician | ~ |
| Jin Woo Yoo | 44 Orange St Apt 317, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Gal Yaniv | 20 York St., New Haven, CT 06510-3220 | Resident Physician | 2016-07-01 ~ 2019-06-30 |
| Edward Lee | 20 York St, New Haven, CT 06510 | Resident Physician | 2020-06-24 ~ 2021-06-30 |
| Yu Mi Kang | 267 Grant St., Bridgeport, CT 06610 | Resident Physician | 2019-06-24 ~ 2022-06-30 |
Please comment or provide details below to improve the information on DORNAZSADAT ALEBRAHIM.
| 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).