SHADWAN ALSAFWAH (Credential# 373152) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2005. The license expiration date date is February 28, 2006. The license status is INACTIVE.
SHADWAN ALSAFWAH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0035045. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2005. The expiration date is February 28, 2006. The business address is 9487 Dogwood Creek Cv, Germantown, TN 38139-3605. The current status is inactive.
| Licensee Name | SHADWAN ALSAFWAH |
| Credential ID | 373152 |
| Credential Number | CSP.0035045 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
9487 Dogwood Creek Cv Germantown TN 38139-3605 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2004-06-23 |
| Effective Date | 2005-03-01 |
| Expiration Date | 2006-02-28 |
| Refresh Date | 2009-01-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 559342 | 1.041759 | Physician/Surgeon | 2003-08-11 | 2004-06-15 - 2005-08-31 | INACTIVE |
| Street Address | 9487 DOGWOOD CREEK CV |
| City | GERMANTOWN |
| State | TN |
| Zip Code | 38139-3605 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lindsey W Rossen | 8220 Blair Lane, Germantown, TN 38139 | Speech and Language Pathologist | 2018-10-01 ~ 2019-09-30 |
| Vijay Shridhar Pande | 9493 Wolf River Blvd, Germantown, TN 38139 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Tristan O Merediz | 8953 Cairn Ridge Dr, Germantown, TN 38139 | Professional Engineer | 2009-02-01 ~ 2010-01-31 |
| Paige Cameron Close | 2456 Calkins, Germantown, TN 38139 | Architect | 2009-08-01 ~ 2010-07-31 |
| Monica E. Schmidt | 2080 Hawthorn Hill Cove, Germantown, TN 38139 | Certified Public Accountant License | 2001-01-01 ~ 2001-12-31 |
| Michael J Graubart | 1934 Wine Leaf Drive, Germantown, TN 38139 | Pharmacist | 2009-02-01 ~ 2010-01-31 |
| Frances K Grimes | 1959 Wine Leaf Dr, Germantown, TN 38139 | Registered Nurse | 1993-11-12 ~ 1994-10-31 |
| Margaret M Gibson | 2590 Johnson Road, Germantown, TN 38139 | Registered Nurse | 2004-09-10 ~ 2005-09-30 |
| Lynda E Brockway | 9063 Kintyre Place, Germantown, TN 38139 | Speech and Language Pathologist | 1997-09-02 ~ 1998-08-31 |
| Kimberly J Greenberg | 8359 Barncliff Court, Germantown, TN 38139 | Registered Nurse | 2002-08-20 ~ 2003-09-30 |
| Find all Licenses in zip 38139 | |||
| City | GERMANTOWN |
| Zip Code | 38139 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + GERMANTOWN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| 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 |
| Hae J Kim Pa | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-31 ~ 2009-02-28 |
| Min Jin Kim | 639 4th Ave Apt 5c, Brooklyn, NY 11232-1048 | Controlled Substance Registration for Practitioner | 2012-05-10 ~ 2013-02-28 |
| Arundati Rao | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| 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 |
| Qi Che Md | Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Ron Gaeta Dvm | Po Box 599, Brookfield, CT 06804 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ria M Lim | 111 Ledgewood Rd Apt 305, Groton, CT 06340 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Please comment or provide details below to improve the information on SHADWAN ALSAFWAH.
| 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).