FAWAD A KAZI MD (Credential# 446828) 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.
FAWAD A KAZI MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0040183. 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 15 Riverside Avenue, Bristol, CT 06010-6951. The current status is active.
| Licensee Name | FAWAD A KAZI MD |
| Credential ID | 446828 |
| Credential Number | CSP.0040183 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
15 Riverside Avenue Bristol CT 06010-6951 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2006-08-23 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 565320 | 1.047738 | Physician/Surgeon | 2009-05-21 | 2020-02-01 - 2021-01-31 | ACTIVE |
| Street Address | 15 Riverside Avenue |
| City | BRISTOL |
| State | CT |
| Zip Code | 06010-6951 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ronald D Howell | 15 Riverside Avenue, Bristol, CT 06010 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Peter F D'addario | 15 Riverside Avenue, Bristol, CT 06010-3874 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Archana Sharma | 15 Riverside Avenue, Bristol, CT 06010 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Joseph E Marakovits | 15 Riverside Avenue, Bristol, CT 06010-6951 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joseph E Marakovits | 22 Pine St Ste 304, Bristol, CT 06010-6951 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Liran Blum | 15 Riverside Ave, Bristol, CT 06010-6951 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Deborah M Dube · Adamaitis | 33 Peck Lane, Bristol, CT 06010 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Barbara M Williams | 45 Harrison Street, Bristol, CT 06010 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Le Bao Linh Nguyen | 229 Silo Rd, Bristol, CT 06010 | Nail Technician | ~ |
| Tara M Chipman | 38 Grove St, Bristol, CT 06010 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Jaclyn J Brandolini | 424 Emmett St, Bristol, CT 06010 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Hoa Le | 63 Seminary St, Bristol, CT 06010 | Nail Technician | ~ |
| Barbara E Trench | 25 Peacedale St, Bristol, CT 06010 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Tisha A Balfour | 379 West Street, Bristol, CT 06010 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Meredith Rose Martineau | 15 Bishop Street, Bristol, CT 06010 | Master's Level Social Worker - Temporary Permit | 2020-06-26 ~ 2020-09-06 |
| Jaime L Krueger | 130 Garfield Road, Bristol, CT 06010 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
| Find all Licenses in zip 06010 | |||
| City | BRISTOL |
| Zip Code | 06010 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BRISTOL |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Fawad Hameedi | 38 Admiral Lane, Hicksville, NY 11801 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Fawad Khan Md | 357 Brittany Farms Rd, New Britain, CT 06053 | Controlled Substance Registration for Practitioner | 1997-04-11 ~ 1998-02-28 |
| Ahmed N Kazi | 56 Franklin St, Waterbury, CT 06706-1253 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kazi Yasin · Kazi's Limousine | 56 Louisiana Ave, Bridgeport, CT 06610-1540 | Fha Motor Passenger Carrier Vehicle (z Plate) | 2020-01-07 ~ 2023-01-07 |
| Tooter Kami Kazi | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2004-06-29 ~ 2007-06-28 |
| Tooters Blue- Dacious Kami-kazi | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2020-03-10 ~ 2023-03-08 |
| 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 |
| Arundati Rao | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Erin K Fee | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on FAWAD A KAZI MD.
| 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).