NAGHMEH POOYA MD (Credential# 560338) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 24, 2008. The license expiration date date is May 31, 2009. The license status is INACTIVE.
NAGHMEH POOYA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.042756. The credential type is physician/surgeon. The effective date is March 24, 2008. The expiration date is May 31, 2009. The business address is 1215 Windward Ln, Capitola, CA 95010-3936. The current status is inactive.
Licensee Name | NAGHMEH POOYA MD |
Credential ID | 560338 |
Credential Number | 1.042756 |
Credential Type | Physician/Surgeon |
Business Address |
1215 Windward Ln Capitola CA 95010-3936 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2004-08-25 |
Effective Date | 2008-03-24 |
Expiration Date | 2009-05-31 |
Refresh Date | 2009-09-29 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
381698 | CSP.0036359 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-09-01 | 2008-02-13 - 2009-02-28 | INACTIVE |
Street Address | 1215 WINDWARD LN |
City | CAPITOLA |
State | CA |
Zip Code | 95010-3936 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Craig W Wallace · ****************************** | 1505 42nd Ave #36, Capitola, CA 95010 | Professional Engineer | 1800-12-27 ~ 1992-01-31 |
Epic Ventures Inc | 2160 41st Ave # B, Capitola, CA 95010-2040 | Out of State Shipper Liquor | 2015-09-20 ~ 2016-09-19 |
Robert D Rosendale | 219 San Jose Ave, Apt B, Capitola, CA 95010-3393 | Certified Public Accountant License | 2019-01-01 ~ 2019-12-31 |
Joanna G Whitcup | 408 Park Ave, Capitola, CA 95010-3711 | Marital and Family Therapist | 2020-01-01 ~ 2020-12-31 |
City | CAPITOLA |
Zip Code | 95010 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + CAPITOLA |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Naghmeh Yousefzadeh | 2162 Bonaventure Dr, Vienna, VA 22181-3241 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Manoochehr Pooya | 11021 Balantre Lane, Potomac, MD 20854 | Physician/surgeon | 2007-12-31 ~ 2008-09-03 |
Ghazal Pooya | 20969 Ventura Blvd Ste 24, Woodland Hills, CA 91364-6622 | Physician Assistant | 2015-10-01 ~ 2016-09-30 |
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 |
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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).