GEOFFREY S NADZAM (Credential# 374921) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
GEOFFREY S NADZAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0035270. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 40 Temple Street, New Haven, CT 06510. The current status is active.
| Licensee Name | GEOFFREY S NADZAM |
| Credential ID | 374921 |
| Credential Number | CSP.0035270 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
40 Temple Street New Haven CT 06510 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2004-07-01 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-25 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 560033 | 1.042451 | Physician/Surgeon | 2004-05-19 | 2019-09-01 - 2020-08-31 | ACTIVE |
| Street Address | 40 TEMPLE STREET |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06510 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gabriela Aurora Aguilar | 40 Temple Street, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Nour Kibbi | 40 Temple Street, New Haven, CT 06510 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Wayne T Panullo | 40 Temple Street, New Haven, CT 06510 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Ji Liu | 40 Temple Street, New Haven, CT 06510 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Steven J Fleischman Md | 40 Temple Street, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Meagan S Haynes | 40 Temple Street, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Anita A Kohli | 40 Temple Street, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Shagun Bhatia | 40 Temple Street, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Joseph L Lin | 40 Temple Street, New Haven, CT 06510-2715 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Carlo R Bernardino Md | 40 Temple Street, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Find all Licenses in the same address | |||
| 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 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Geoffrey Miller Md | 333 Cedar St, New Haven, CT 06520-8064 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Geoffrey Tsaras | 267 Grant St, Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2004-10-21 ~ 2005-02-28 |
| Geoffrey Frattini Dvm | 96 Spring St, Cheshire, CT 06410 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Geoffrey P Robinson Pa | 975 Farmington Ave, Bristol, CT 06010 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Geoffrey M Coley Md | 16 Charter Oak Pl, Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Geoffrey E Ferrucci Pa | 69 Oak Leaf Dr, Waterbury, CT 06708 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Geoffrey W Robinson Dds | 56 Lafayette Place, Greenwich, CT 06830 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Geoffrey L Hayward | 99 E River Dr Fl 5, East Hartford, CT 06108-7301 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Geoffrey E Herter | 32 Ingham Hill Rd, Essex, CT 06426-1507 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| B Geoffrey Burnham Pa | 19 Greentree Drive, Waterford, CT 06385 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on GEOFFREY S NADZAM.
| 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).