MASSOUD A MARJANI (Credential# 541232) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
MASSOUD A MARJANI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.014770. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 84 Hurds Hill Rd, Woodbury, CT 06798-4017. The current status is active.
| Licensee Name | MASSOUD A MARJANI |
| Credential ID | 541232 |
| Credential Number | 1.014770 |
| Credential Type | Physician/Surgeon |
| Business Address |
84 Hurds Hill Rd Woodbury CT 06798-4017 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - PRIOR DISCIPLINE |
| Active | 1 |
| Issue Date | 1971-03-25 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-02-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 148289 | CSP.0000484 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 84 HURDS HILL RD |
| City | WOODBURY |
| State | CT |
| Zip Code | 06798-4017 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ann F Marjani | 84 Hurds Hill Rd, Woodbury, CT 06798 | Registered Nurse | 2014-02-01 ~ 2015-01-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Karen M Sirois | 48 Hurds Hill Rd, Woodbury, CT 06798-4017 | Dental Hygienist | 2019-07-01 ~ 2020-06-30 |
| William S Nicolle | 76 Hurds Hill Rd, Woodbury, CT 06798-4017 | Engineer-in-training | 2018-09-14 ~ 2028-09-14 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Russell J Hardy | 229 Bacon Pond Rd #114, Woodbury, CT 06798 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Geoffrey S Middeleer | 20 Roxbury Road, Woodbury, CT 06798 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Elaine P Templeton | 197 Carmel Hill Road, Woodbury, CT 06798 | Real Estate Salesperson | ~ |
| Ayrica L Gelinas | 65 Laurel Woods Road, Woodbury, CT 06798 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Christopher R Laux | Grey Fox Trail, Woodbury, CT 06798 | Architect | 2020-08-01 ~ 2021-07-31 |
| Diane L Robinson | P O Box 208, Woodbury, CT 06798 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Scott Freitag | 47 Woodbury Hill, Woodbury, CT 06798 | Medication Administration Certification | ~ |
| Brenda L Lupo | 31 Blueberry Lane, Woodbury, CT 06798 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jennifer L Thompson | 1280 Main St. North, Woodbury, CT 06798 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Eileen O Pflegl | 3 Hazel Plain Road, Woodbury, CT 06798 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Find all Licenses in zip 06798 | |||
| City | WOODBURY |
| Zip Code | 06798 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WOODBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Massoud Stephane | 7 Hughes Pl Apt C, New Haven, CT 06511-4968 | Physician/surgeon | 1996-12-23 ~ 1998-02-28 |
| Massoud Eghrari | 50 Karl Avenue, Smithtown, NY 11787 | Physician/surgeon | 1995-11-01 ~ 1996-10-31 |
| Massoud Ansari-leesar | 9991 Willow Brook Circle, Louisville, KY 40223 | Physician/surgeon | 1988-08-05 ~ 1989-11-30 |
| Massoud Furniture | 8351 Moberly Ln, Dallas, TX 75227-2316 | Manufacturer of Bedding & Upholstered Furniture | 2020-05-01 ~ 2021-04-30 |
| Ann F Marjani | 84 Hurds Hill Rd, Woodbury, CT 06798 | Registered Nurse | 2014-02-01 ~ 2015-01-31 |
| Adam C Massoud | 11 Maple Ave, Greenwich, CT 06830-5620 | Chiropractor | 2019-05-01 ~ 2020-04-30 |
| Sahar Z Massoud | 17 Ernest Ave, Waterbury, CT 06708 | Hairdresser/cosmetician | 2008-03-25 ~ 2010-05-31 |
| Mary E Massoud | 1 Melon Ln # 5, Ridgefield, CT 06877-3329 | Registered Nurse | 2015-10-01 ~ 2016-09-30 |
| Anne O Massoud | 71 King St, Danbury, CT 06811-2746 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Mark G Massoud | 71 King Street, Danbury, CT 06811 | Registered Sanitarian | 2020-04-01 ~ 2021-03-31 |
Please comment or provide details below to improve the information on MASSOUD A MARJANI.
| 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).