JARIR G NAKOUZI (Credential# 556703) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
JARIR G NAKOUZI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.039115. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 19 Bonazzo Dr, Trumbull, CT 06611-5226. The current status is active.
Licensee Name | JARIR G NAKOUZI |
Credential ID | 556703 |
Credential Number | 1.039115 |
Credential Type | Physician/Surgeon |
Business Address |
19 Bonazzo Dr Trumbull CT 06611-5226 |
Business Type | INDIVIDUAL |
Status | ACTIVE - LICENSE RESTRICTED |
Active | 1 |
Issue Date | 2000-11-16 |
Effective Date | 2020-06-01 |
Expiration Date | 2021-05-31 |
Refresh Date | 2020-03-05 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
276863 | CSP.0030808 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2001-04-27 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 19 BONAZZO DR |
City | TRUMBULL |
State | CT |
Zip Code | 06611-5226 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Ravishankar V Kalaga Md | 22 Bonazzo Dr, Trumbull, CT 06611-5226 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Taylor L Carpenter | 11 Bonazzo Dr, Trumbull, CT 06611-5226 | Radiographer | 2013-05-01 ~ 2014-04-30 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Ashley S Balestriere | 7 Sutton Place, Trumbull, CT 06611 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Filomena L Ferraro · Nicolia | 35 Skating Pond Rd, Trumbull, CT 06611 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Alexis Grace Shaub | 58 Chestnut Hill Road, Trumbull, CT 06611 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
Maria Bivona | 5302 Main Street, Trumbull, CT 06611 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
Gina M Gallo · Liquigli | 20 Red Maple Lane, Trumbull, CT 06611 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
Xuehuan Zhang | 31 Asbury Rd, Trumbull, CT 06611 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Antoinette D Senior | 38 Tanager Lane, Trumbull, CT 06611 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Solution Construction LLC | 3 Stonewall Lane, Trumbull, CT 06611 | New Home Construction Contractor | 2020-06-18 ~ 2021-09-30 |
Gary T Sorge | 63 Limerick Road, Trumbull, CT 06611 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
Melodie T Noga | 55 Moose Hill Road, Trumbull, CT 06611 | Real Estate Salesperson | 2020-06-19 ~ 2021-05-31 |
Find all Licenses in zip 06611 |
City | TRUMBULL |
Zip Code | 06611 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + TRUMBULL |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jarir K Aburabia | 22 Queen St, Meriden, CT 06451-5413 | Home Improvement Contractor | 2010-12-01 ~ 2011-11-30 |
Aline M Nakouzi | 696 Jamestown Blvd, Apt. 2294, Altamonte Springs, FL 32714 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
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).