SAM S NAKAT (Credential# 488878) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is July 2, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
SAM S NAKAT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0042882. The credential type is controlled substance registration for practitioner. The effective date is July 2, 2019. The expiration date is February 28, 2021. The business address is 5456 The Peaks Dr, Roanoke, VA 24018-1104. The current status is active.
| Licensee Name | SAM S NAKAT |
| Credential ID | 488878 |
| Credential Number | CSP.0042882 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
5456 The Peaks Dr Roanoke VA 24018-1104 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2007-11-28 |
| Effective Date | 2019-07-02 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-07-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 562896 | 1.045314 | Physician/Surgeon | 2007-04-24 | 2019-07-01 - 2020-06-30 | ACTIVE IN RENEWAL |
| Street Address | 5456 THE PEAKS DR |
| City | ROANOKE |
| State | VA |
| Zip Code | 24018-1104 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Khursheed Imam | C/o Advanced Medical Imaging PC, Roanoke, VA 24018 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Katie Elizabeth Dralle | 5834 Merriman Road, Roanoke, VA 24018 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
| Melanie Swecker | 3717 Kenwick Trail, Roanoke, VA 24018 | Registered Nurse - Temporary | 2017-07-26 ~ 2017-11-22 |
| Sadaf Ahmed | 4808 Pleasant Hill Drive, Roanoke, VA 24018 | Physician/surgeon | 2016-07-01 ~ 2017-06-30 |
| Thomas B Lutz | 3163 Berry Lane, Apt. 52, Roanoke, VA 24018 | Registered Nurse - Temporary | 2015-09-04 ~ 2016-01-01 |
| Rachel Keville | 3163 Berry Lane Apt 52, Roanoke, VA 24018 | Registered Nurse - Temporary | 2015-08-28 ~ 2015-12-25 |
| Madalina Macrea | 4913 Hunting Hills Court, Roanoke, VA 24018 | Physician/surgeon | 2013-04-01 ~ 2014-03-31 |
| Richard M Wellford | 8370 Martins Creek Rd, Roanoke, VA 24018 | Real Estate Broker | ~ |
| David V Degenhardt | 5119 Elk Hill Drive, Roanoke, VA 24018 | Physician/surgeon | 2009-02-25 ~ 2009-11-30 |
| Jacques C Raymond | 3151 Berry Lane, Roanoke, VA 24018 | Physician/surgeon | 2000-04-07 ~ 2001-03-31 |
| Find all Licenses in zip 24018 | |||
| City | ROANOKE |
| Zip Code | 24018 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + ROANOKE |
| 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 |
| Min Jin Kim | 639 4th Ave Apt 5c, Brooklyn, NY 11232-1048 | Controlled Substance Registration for Practitioner | 2012-05-10 ~ 2013-02-28 |
| Erin K Fee | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| 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 |
| Hae J Kim Pa | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-31 ~ 2009-02-28 |
| Qi Che Md | Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Yat Tse Md | 174 Hillspoint Rd, Westport, CT 06880 | Controlled Substance Registration for Practitioner | 1994-11-02 ~ 1996-11-01 |
| Marvin Den | 40, Norwalk, CT 06851 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on SAM S NAKAT.
| 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).