SEPEHR S MAXOOD MD (Credential# 553760) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 19, 1999. The license expiration date date is April 30, 2000. The license status is INACTIVE.
SEPEHR S MAXOOD MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.036168. The credential type is physician/surgeon. The effective date is April 19, 1999. The expiration date is April 30, 2000. The business address is 1 Mansfield Grove Road, East Haven, CT 06512. The current status is inactive.
| Licensee Name | SEPEHR S MAXOOD MD |
| Credential ID | 553760 |
| Credential Number | 1.036168 |
| Credential Type | Physician/Surgeon |
| Business Address |
1 Mansfield Grove Road East Haven CT 06512 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1997-07-03 |
| Effective Date | 1999-04-19 |
| Expiration Date | 2000-04-30 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 184492 | CSP.0025832 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1998-04-09 - 1999-02-28 | INACTIVE |
| Street Address | 1 MANSFIELD GROVE ROAD |
| City | EAST HAVEN |
| State | CT |
| Zip Code | 06512 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rita B George | 1 Mansfield Grove Road, East Haven, CT 06512 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Ellen M Donohue | 1 Mansfield Grove Road, East Haven, CT 06512 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Claudine B Hagan | 1 Mansfield Grove Road, East Haven, CT 06512 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Mary F Abbott Aprn | 1 Mansfield Grove Road, East Haven, CT 06512 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Anthony F Monaco | 1 Mansfield Grove Road, East Haven, CT 06512 | Notary Public Appointment | 1998-12-01 ~ 2003-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| East Haven Police Union Local #1662 | Po Box 120033, East Haven, CT 06512 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Danielle M Verderame | 66 Maple Street, East Haven, CT 06512 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Judith M Lyon · Sousa | 440 Townsend Ave, New Haven, CT 06512 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Toni Louise Montuori | 44 Francis St, East Haven, CT 06512 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Marcos E Zambrano | 17 Morse Place, New Haven, CT 06512 | Real Estate Salesperson | ~ |
| Nha H Lam | 274 Chidsey Ave, East Haven, CT 06512 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2021-07-31 |
| Niraliben N Patel | 44 Columbus Ave, East Haven, CT 06512 | Esthetician | ~ |
| Alyssa C Zordan | 65 Francis Street, East Haven, CT 06512 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Gomes Cleaning & Painting LLC | 296 Burr St, New Haven, CT 06512 | Home Improvement Contractor | 2020-06-18 ~ 2020-11-30 |
| Keith Bouve · Residential Restorations | 99 Prospect Rd, East Haven, CT 06512 | Home Improvement Contractor | 2020-06-24 ~ 2020-11-30 |
| Find all Licenses in zip 06512 | |||
| City | EAST HAVEN |
| Zip Code | 06512 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + EAST HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sepehr Karimi | 64 Robbins Street, Waterbury, CT 06708 | Resident Physician | 2017-06-26 ~ 2022-06-27 |
| Sepehr Sajjad Md | 84 Kelsey Pl, Madison, CT 06443-2800 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
| Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
| John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Nazanin Barzideh Md | North Shore Retina Physician, Pllc, East Hills, NY 11576 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
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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).