SHAMS TABREZ MD (Credential# 215274) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is February 29, 2004. The license expiration date date is February 28, 2005. The license status is INACTIVE.
SHAMS TABREZ MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0028437. The credential type is controlled substance registration for practitioner. The effective date is February 29, 2004. The expiration date is February 28, 2005. The business address is 12 Berrendo Meadows, Roswell, NM 88201. The current status is inactive.
Licensee Name | SHAMS TABREZ MD |
Credential ID | 215274 |
Credential Number | CSP.0028437 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
12 Berrendo Meadows Roswell NM 88201 |
Business Type | INDIVIDUAL |
Status | INACTIVE |
Effective Date | 2004-02-29 |
Expiration Date | 2005-02-28 |
Refresh Date | 2009-01-26 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
555085 | 1.037495 | Physician/Surgeon | 1999-01-29 | 2002-09-03 - 2003-06-30 | INACTIVE |
Street Address | 12 BERRENDO MEADOWS |
City | ROSWELL |
State | NM |
Zip Code | 88201 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Pauline B Harris | 317 Ave E, Roswell, NM 88201 | Hairdresser/cosmetician | 2019-03-01 ~ 2021-02-28 |
Adil M Choudhary Md · Heather Ridge Condos | 5 Victoria Court, Roswell, NM 88201 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Reyna E Hernandez | 505 South Aspen, Roswell, NM 88201 | Engineer-in-training | ~ |
Laura S Greci M.d. | 7 Victoria Ct, Roswell, NM 88201 | Physician/surgeon | 2002-04-09 ~ 2003-04-30 |
Christi Wentland | 2800 W Bland, Roswell, NM 88201 | Occupational Therapist | 1981-01-01 ~ 1995-07-31 |
Timothy J Carroll | 407 Park Drive, Roswell, NM 88201 | Physical Therapist | ~ 1999-09-30 |
Wataru Tamura | 303 West Country, Roswell, NM 88201 | Physician/surgeon | 1998-05-04 ~ 1999-04-30 |
Roberto A Varela | 2800 Princeton Drive, Roswell, NM 88201 | Registered Nurse | 1997-01-31 ~ 1998-03-31 |
Robert J Chevett | 81 Fitzgerald Pl, Roswell, NM 88201 | Heating, Piping & Cooling Limited Contractor | ~ |
Elaine A West | 21 B Street, Roswell, NM 88201 | Registered Nurse | 1992-02-24 ~ 1993-02-28 |
Find all Licenses in zip 88201 |
City | ROSWELL |
Zip Code | 88201 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + ROSWELL |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Tabrez Adil | 73 Summer Hill Rd, Middletown, CT 06457-5646 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Mohammed Ameeruddin Shams | 38 Nottingham Blvd, Unionville, CT 06085 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Alireza Shams | 263 Farmington Avenue, Farmington, CT 06030-1921 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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 |
Huu Duc D Luu | 630 Mix Ave Apt 6p, Hamden, CT 06514-2320 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Erin K Fee | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Arundati Rao | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Hae J Kim Pa | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-31 ~ 2009-02-28 |
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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).