MEHRAN POURESMAIL
Physician/surgeon


Address: 19 Centerview Rd, Woodbridge, CT 06525-1842

MEHRAN POURESMAIL (Credential# 547785) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.

Business Overview

MEHRAN POURESMAIL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.029442. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 19 Centerview Rd, Woodbridge, CT 06525-1842. The current status is active.

Basic Information

Licensee Name MEHRAN POURESMAIL
Credential ID 547785
Credential Number 1.029442
Credential Type Physician/Surgeon
Business Address 19 Centerview Rd
Woodbridge
CT 06525-1842
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 1988-09-09
Effective Date 2020-07-01
Expiration Date 2021-06-30
Refresh Date 2020-04-16

Other licenses

ID Credential Code Credential Type Issue Term Status
1153455 CSP.0054359 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2013-03-14 2019-03-01 - 2021-02-28 ACTIVE
158456 CSP.0017017 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2003-03-01 - 2004-02-28 INACTIVE

Office Location

Street Address 19 CENTERVIEW RD
City WOODBRIDGE
State CT
Zip Code 06525-1842

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Linda A Starace-colabella 895 Baldwin Rd, Woodbridge, CT 06525 Physician/surgeon 2020-08-01 ~ 2021-07-31
Patricia A Kenyon · Leskow 8 Maple Terrace, Woodbridge, CT 06525 Registered Nurse 2020-09-01 ~ 2021-08-31
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Competitor

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City WOODBRIDGE
Zip Code 06525
License Type Physician/Surgeon
License Type + County Physician/Surgeon + WOODBRIDGE

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Dataset Information

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).

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