A WAZED MAHMUD MD (Credential# 542139) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2018. The license expiration date date is November 30, 2019. The license status is INACTIVE.
A WAZED MAHMUD MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.016942. The credential type is physician/surgeon. The effective date is December 1, 2018. The expiration date is November 30, 2019. The business address is 145 S Main St, Middletown, CT 06457-3724. The current status is inactive.
| Licensee Name | A WAZED MAHMUD MD |
| Credential ID | 542139 |
| Credential Number | 1.016942 |
| Credential Type | Physician/Surgeon |
| Business Address |
145 S Main St Middletown CT 06457-3724 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1974-09-18 |
| Effective Date | 2018-12-01 |
| Expiration Date | 2019-11-30 |
| Refresh Date | 2020-03-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 149162 | CSP.0000134 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-03-01 - 2017-02-28 | INACTIVE | |
| 149161 | CSP.0012963 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2011-03-01 - 2013-02-28 | INACTIVE |
| Street Address | 145 S MAIN ST |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457-3724 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joanne T Romeyn Md | 145 S Main St, Middletown, CT 06457-3724 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth M Mailhot | 177 Timber Ridge Rd, Middletown, CT 06457 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Rebecca S Fennessy | 22 Keefe Ln, Middletown, CT 06457 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Eloise M Gagnon | 538 Bow Lane, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Salvatore Dimauro | 245 Dekoven Dr, Middletown, CT 06457 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Frank L Wright | 261 Spencer Dr, Middletown, CT 06457 | Barber | 2020-08-01 ~ 2022-07-31 |
| Gino A Cardella | 50 Sonoma Lane, Middletown, CT 06457 | Real Estate Salesperson | ~ |
| Shannon Lee Mcquillan | 5 Forest Glen Circle, Middletown, CT 06457 | Registered Nurse | 2020-06-26 ~ 2020-09-30 |
| Lori Dimauro · Carta | 244 Chamberlain Hill Road, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Gail A Corrow | 85 Dora Dr, Middletown, CT 06457 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Mariter V Perez | 8 Moss Glen, Middletown, CT 06457 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06457 | |||
| City | MIDDLETOWN |
| Zip Code | 06457 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + MIDDLETOWN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Umar Mahmud | 151 Barkledge Dr, Newington, CT 06111 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Sidrah Mahmud | 15 Country View Drive, Freehold, NJ 07728 | Resident Physician | 2017-07-01 ~ 2021-06-30 |
| Mahmud Ahmad | 69 Pope St, New Haven, CT 06512-3655 | Engineer-in-training | 2018-06-29 ~ 2028-06-29 |
| Mohammed S Mahmud | 1005 Main St, Bridgeport, CT 06604 | Pharmacy Technician | 2013-06-07 ~ 2014-03-31 |
| Mohammad P Mahmud | 4323 Colden St Apt 15b, Flushing, NY 11355-5919 | Professional Engineer | 2012-08-15 ~ 2013-01-31 |
| Ahmad A Mahmud | 2715 Pennsylvania St, Allentown, PA 18104 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Mohammad A Mahmud | 14 Woodland Rd, Rocky Hill, CT 06067-2616 | Pharmacy Technician | 2018-07-03 ~ 2019-03-31 |
| Dahoud A Mahmud | 2215 Overlook Ln, Fogelsville, PA 18051-1813 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Zarina Mahmud | 14 Woodland Rd, Rocky Hill, CT 06067 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Shireen Mahmud | 1936 Main St, Stratford, CT 06615 | Real Estate Salesperson | 2010-06-18 ~ 2011-05-31 |
Please comment or provide details below to improve the information on A WAZED MAHMUD 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).