MOHAMAD M SUEDE MD (Credential# 385393) 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.
MOHAMAD M SUEDE MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0036542. 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 272 Main Street, Manchester, CT 06042-3581. The current status is active.
| Licensee Name | MOHAMAD M SUEDE MD |
| Credential ID | 385393 |
| Credential Number | CSP.0036542 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
272 Main Street Manchester CT 06042-3581 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2004-10-04 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 554425 | 1.036834 | Physician/Surgeon | 1998-05-01 | 2019-09-01 - 2020-08-31 | ACTIVE |
| 160561 | CSP.0027267 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 - 2000-02-28 | INACTIVE |
| Street Address | 272 Main Street |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06042-3581 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rory Nicholson Hall | 224 Main St, Manchester, CT 06042-3581 | Perfusionist | 2020-01-07 ~ 2020-07-31 |
| Sharon P Soria Dmd | 192 Main St, Manchester, CT 06042-3581 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Melissa Aiello | 118 Tudor Lane Apt. I, Manchester, CT 06042 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Michelle Carolyn Hayes | 129 Rachel Rd, Harford, CT 06042 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Guotong Quan | 348 Kennedy Road, 348 Kennedy Road, CT 06042 | Nail Technician | 2020-06-26 ~ 2022-03-31 |
| Charity Boakye | 103 Rachel Rd,unit B, Manchester, CT 06042 | Licensed Practical Nurse | ~ |
| Jordan M Kaiser | 40 Tanner St, Manchester, CT 06042 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Tandra Gomes | 80 Alton St., Manchester, CT 06042 | Medication Administration Certification | 2020-05-08 ~ 2022-05-07 |
| James Power | 16 Lawton Rd., Manchester, CT 06042 | Medication Administration Certification | 2018-08-03 ~ 2020-08-02 |
| Tierra Amerson | 66 Phelps Rd., Manchester, CT 06042 | Medication Administration Certification | 2018-07-02 ~ 2020-07-01 |
| Lisa A Surdam | 22 Greenwood Drive, Manchester, CT 06042 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
| Sharon Morin | 15 Hartland Rd, Manchester, CT 06042 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Find all Licenses in zip 06042 | |||
| City | MANCHESTER |
| Zip Code | 06042 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MANCHESTER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mohamad H Taha | 505 Sienna Dr, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mohamad N Zanbrakji | 59 Knox Rd, Stamford, CT 06907 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mohamad Kassar Md | 16 Hubbard Pl Apt 2a, Hamden, CT 06517 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Mohamad Sharbatji | 7 Cooper Ave, Weatogue, CT 06089 | Controlled Substance Registration for Practitioner | 2019-04-08 ~ 2021-02-28 |
| Mohamad Salim Ani Md | 89 Blakeman Place Apt# 2, Stratford, CT 06497 | Controlled Substance Registration for Practitioner | 1994-05-04 ~ 1996-06-01 |
| Mohamad Jamal Halawi | 306 Colt Hwy Apt 39, Farmington, CT 06032-3076 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mohamad H Nadimi | 11 Crystal Brook Road, Wolcott, CT 06716 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Abdulrahman Mohamad Saei | 1689 Orchard Rd, Berlin, CT 06037 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mohamad Fayad | 263 Farmington Avenue, Farmington, CT 06030-1921 | Controlled Substance Registration for Practitioner | 2019-06-24 ~ 2021-02-28 |
| Graceland Cellars Elvis Blue Suede Chardonnay | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2007-07-03 ~ 2010-07-02 |
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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).