SHAHIDA KHAN (Credential# 451909) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.
SHAHIDA KHAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0040720. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is 21 Soundbeach Drive, Glen Cove, NY 11542. The current status is inactive.
| Licensee Name | SHAHIDA KHAN |
| Credential ID | 451909 |
| Credential Number | CSP.0040720 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
21 Soundbeach Drive Glen Cove NY 11542 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2006-10-19 |
| Effective Date | 2015-03-01 |
| Expiration Date | 2017-02-28 |
| Refresh Date | 2018-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 562423 | 1.044841 | Physician/Surgeon | 2006-10-11 | 2015-02-01 - 2016-01-31 | INACTIVE |
| Street Address | 21 Soundbeach Drive |
| City | Glen Cove |
| State | NY |
| Zip Code | 11542 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Christine Brown | 13 Club Road, Glen Cove, NY 11542 | Pharmacy Technician | 2020-04-01 ~ 2021-03-31 |
| Richard A Royce | 115 Mcloughlin St, Glen Cove, NY 11542 | Professional Engineer | 2019-03-11 ~ 2020-01-31 |
| Gloria Shkolnik | 1335 Avalon Square, Glen Cove., NY 11542 | Pharmacist | 2018-02-08 ~ 2020-01-31 |
| Katia Duque | 77 Walnut Rd, Glen Cove, NY 11542 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Karen Ann Luciano | 6 Cambridge Street, Glen Cove, NY 11542 | Notary Public Appointment | 2018-05-01 ~ 2023-04-30 |
| Philip C Gavosto | 16 Beatrice Lane, Glen Cove, NY 11542 | Architect | 2019-08-01 ~ 2020-07-31 |
| Michael Graziosi | 63 Woolsey Ave, Glen Cove, NY 11542 | Architect | 2019-08-01 ~ 2020-07-31 |
| Robert Derek Purcell | 22 Pembroke Drive, Glen Cove, NY 11542 | Architect | 2019-08-01 ~ 2020-07-31 |
| Hugh Gambino | 16 Frost Pond Rd, Glen Cove, NY 11542 | Home Improvement Contractor | 2002-09-27 ~ 2003-11-30 |
| Neal Gupta | 1 Pond View Drive, Glen Cove, NY 11542 | Physician/surgeon | ~ |
| Find all Licenses in zip 11542 | |||
| City | Glen Cove |
| Zip Code | 11542 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Glen Cove |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gul Khan | 41 Brittany Ave, Trumbull, CT 06611-1104 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mukhtar I Khan Md | Po Box 122, Chelsea, NY 12512 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Abdus S Khan | 15 Fielding Ave, Dix Hills, NY 11746-7139 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Imad Khan | 56 Franklin St, Waterbury, CT 06706-1253 | Controlled Substance Registration for Practitioner | 2011-04-18 ~ 2013-02-28 |
| Yasmine Khan | 124 Juniper Ln, Glastonbury, CT 06033-2515 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Muzammil U Khan | 47 Winding Ln, Islandia, NY 11749-6146 | Controlled Substance Registration for Practitioner | 2014-07-31 ~ 2015-02-28 |
| Habib Khan | 123 York St, New Haven, CT 06511-5655 | Controlled Substance Registration for Practitioner | 2009-10-07 ~ 2011-02-28 |
| Samreen Khan | 130 Division St, Derby, CT 06418-1326 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sarah K Khan | 761 Main Ave, 201, Norwalk, CT 06851 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Zeeshan A Khan | 6 Birchwood Ct Apt 2m, Mineola, NY 11501-4519 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
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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).