FATIMA ANJUM MD (Credential# 511985) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.
FATIMA ANJUM MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0044455. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2009. The expiration date is February 28, 2011. The business address is 1689 Madison Ave Apt 7, Bridgeport, CT 06606-4565. The current status is inactive.
| Licensee Name | FATIMA ANJUM MD |
| Credential ID | 511985 |
| Credential Number | CSP.0044455 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
1689 Madison Ave Apt 7 Bridgeport CT 06606-4565 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2008-08-22 |
| Effective Date | 2009-03-01 |
| Expiration Date | 2011-02-28 |
| Refresh Date | 2013-03-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 564454 | 1.046872 | Physician/Surgeon | 2008-08-01 | 2008-08-01 - 2009-08-31 | INACTIVE |
| Street Address | 1689 MADISON AVE APT 7 |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06606-4565 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Latore L Williams | 1689 Madison Ave Apt 7, Bridgeport, CT 06606 | Licensed Practical Nurse | 2014-04-01 ~ 2015-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Julia Lopez | 147 Rocton Ave, Bridgeport, CT 06606 | Nail Technician | ~ |
| Sonia M Lozada | 207 Jackson Avenue, Bridgeport, CT 06606 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Angelo Preci · E&j Package Store | 4500 Main Street, Bridgeport, CT 06606 | Package Store Liquor | 2020-07-15 ~ 2021-07-14 |
| Sarah Akinosho Ogunbiyi | 438 Chopsey Hill Rd, Bridgeport, CT 06606 | Medication Administration Certification | 2020-05-04 ~ 2022-05-03 |
| Luz Aida Mora | 435 High Ridge Drive, Bridgeport, CT 06606 | Professional Counselor | ~ |
| Hortensia E Wright | 376 Funston Ave, Bridgeport, CT 06606 | Licensed Practical Nurse | 2020-06-01 ~ 2021-05-31 |
| Jacqueline Moffatt | 173 Queen Street, Bridgeport, CT 06606 | Master's Level Social Worker | ~ |
| Marisa L Drapp | 9b Patricia Road, Bridgeport, CT 06606 | Real Estate Salesperson | ~ |
| Robert D Meeker | 57 Alexander Avenue, Bridgeport, CT 06606 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| D'andria L Young | 394 Indian Ave, Bridgeport, CT 06606 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Find all Licenses in zip 06606 | |||
| City | BRIDGEPORT |
| Zip Code | 06606 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BRIDGEPORT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Anjum Kumbkarni Md | 162 Riggs Rd, Orange, CT 06477 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Anjum Khera | 945 Main Street, Manchester, CT 06040 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Anjum Khan Md | 7 Newman Place, Brookfield, CT 06804 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Fatima Zahir | 24 Hospital Ave, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2009-09-11 ~ 2011-02-28 |
| Tara J Miska | 20 Fatima Dr, Bethany, CT 06524-3214 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Constancia Fatima Macatangay | Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2013-03-18 ~ 2015-02-28 |
| Fatima B Martinez | 26 Kowal Ct, Newington, CT 06111-5323 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Aisha Fatima Siddiqi | 115 Colonial Rd, Stamford, CT 06906 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Fatima Ajaz | Uconn Health Ctr, Farmington, CT 06030-1235 | Controlled Substance Registration for Practitioner | 2012-02-24 ~ 2013-02-28 |
| Fatima Mawji | 1 Broad St Unit 28f, Stamford, CT 06901-2339 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).