AZHAR IMAM (Credential# 560396) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
AZHAR IMAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.042814. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 5 Saddle Ridge Road, Southbury, CT 06488. The current status is active.
| Licensee Name | AZHAR IMAM |
| Credential ID | 560396 |
| Credential Number | 1.042814 |
| Credential Type | Physician/Surgeon |
| Business Address |
5 Saddle Ridge Road Southbury CT 06488 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2004-09-20 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-03-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 386750 | CSP.0036596 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-10-20 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 5 saddle Ridge Road |
| City | Southbury |
| State | CT |
| Zip Code | 06488 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jillian Jung | 582 Patriot Rd, Southbury, CT 06488 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Mary E Kohler | 201 Old Highway, Southbury, CT 06488 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Theresa K Bobak | 266b Heritage Village, Southbury, CT 06488 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Kelly Watson | 800 Main Street South Suite 102, Southbury, CT 06488 | Medication Administration Certification | 2018-06-27 ~ 2020-06-26 |
| Mcdonald's Rest #2104 | 44 Division St, Derby, CT 06488 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Shirley A Frager | 5 West View Rd, Southbury, CT 06488 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Maureen K Boyd | 77 Shane Drive, Southbury, CT 06488 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
| South Britain Oil LLC | 424 Old Field Rd, Southbury, CT 06488 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Won Ju Lee | 995 Old Field Rd, Southbury, CT 06488 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-01-31 |
| Mcdonald's Rest #27001 | 652 New Haven Ave, Derby, CT 06488 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06488 | |||
| City | Southbury |
| Zip Code | 06488 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Southbury |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Naiyer Imam | Po Box 20194, Roanoke, VA 24018-0020 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Arij Azhar | 566 Dekalb Ave Apt 1i, Brooklyn, NY 11205-4991 | Physician/surgeon | ~ |
| Naila Azhar | 7 Hobart St, Farmington, CT 06032-2211 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Azhar A Ali | 518 Springcreek Drive, Longwood, FL 32779 | Physician/surgeon | 2008-01-28 ~ 2009-03-31 |
| Khursheed Imam | C/o Advanced Medical Imaging PC, Roanoke, VA 24018 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Azhar M Malik | 77 Parsons Drive, West Hartford, CT 06117 | Certified Public Accountant Firm Permit | 2010-01-01 ~ 2010-12-31 |
| Sharif Imam | 29 Kenneth St Apt 4a, West Haven, CT 06516-3106 | Pharmacy Technician | 2020-04-01 ~ 2021-03-31 |
| Ali Azhar | 5 Ellsworth Ave, Danbury, CT 06810 | Dental Hygienist | 2020-01-01 ~ 2020-12-31 |
| Glenda S Imam | 4509 Waverly Crossing Ln, Chantilly, VA 20151-2211 | Registered Nurse | 2011-10-01 ~ 2012-09-30 |
| Azhar Hafeez | 5 Westcott Rd, Stamford, CT 06902 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
Please comment or provide details below to improve the information on AZHAR IMAM.
| 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).