KOUROSH PARHAM (Credential# 560776) 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.
KOUROSH PARHAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.043194. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is Division of Otolaryngology Uchc, Farmington, CT 06030-6228. The current status is active.
| Licensee Name | KOUROSH PARHAM |
| Credential ID | 560776 |
| Credential Number | 1.043194 |
| Credential Type | Physician/Surgeon |
| Business Address |
Division of Otolaryngology Uchc Farmington CT 06030-6228 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2005-03-11 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-02-14 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 400691 | CSP.0037269 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-04-11 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | DIVISION OF OTOLARYNGOLOGY UCHC |
| City | FARMINGTON |
| State | CT |
| Zip Code | 06030-6228 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Corrie Roehm | 263 Farmington Ave Mc-6228, Farmington, CT 06030-6228 | Controlled Substance Registration for Practitioner | 2011-04-11 ~ 2013-02-28 |
| Kyle Mannion | 263 Farmington Avenue Mc-6228, Farmington, CT 06030-6228 | Controlled Substance Registration for Practitioner | 2006-08-28 ~ 2007-02-28 |
| Jared B Turner | 263 Farmington Ave Mc-6228, Farmington, CT 06030-6228 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eric Anthony Brueckner | 263 Farmington Ave., Farmington, CT 06030 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Derrick B Bremang | Residency Program, Farmington, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-06-30 |
| David M Shafer | Uconn Health Center, Farmington, CT 06030 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Michael J Murphy | Dept of Dermatology, Farmington, CT 06030 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Richard F Kaplan | Univ. of Ct., Farmington, CT 06030 | Psychologist | 2020-06-01 ~ 2021-05-31 |
| Nicholas George Vitale | 22 Woods Drive, Norwich, CT 06030 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| Bruce E Gould | Univ of Conn Health Center, Farmington, CT 06030 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Vinayak M Sathe | Uconn Health Center,263 Farmington Ave, Farmington, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Shobhana Pathani | Department of Medicine, 263 Farmington Ave, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Patricia L Almeida | John Dempsey Hospital, Farmington, CT 06030 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Find all Licenses in zip 06030 | |||
| City | FARMINGTON |
| Zip Code | 06030 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + FARMINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Parham Eshtehardi | 1959 Colden Ave, Bronx, NY 10462-3126 | Physician/surgeon | 2014-08-26 ~ 2015-08-31 |
| Kourosh Keikhanzadeh | 47 Avonwood Road, Avon, CT 06001 | Dentist | 2006-06-06 ~ 2007-07-31 |
| Kourosh Marefat | 355 East Cambridge Lane, Nicholasville, KY 40356 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Valerie L Mewha | 243 Parham Rd, Springfield, PA 19064 | Registered Nurse | 1994-02-23 ~ 1994-11-30 |
| Linda K Parham | 322 Shangri La Circle, Edgewater, FL 32132 | Radiographer | 2001-07-18 ~ 2002-08-31 |
| Vicky L Parham | 323 Washington St, Norwich, CT 06368 | Registered Nurse | 1998-01-05 ~ 1998-12-31 |
| Maria Judith Parham | 20 Oakland Ave Apt 3a, Danbury, CT 06810-5652 | Dietitian/nutritionist | 2020-09-01 ~ 2021-08-31 |
| Jeffrey M Parham | 42 Gayridge Rd, Waterbury, CT 06514 | Home Improvement Salesperson | 2014-12-01 ~ 2015-11-30 |
| Raymond F Parham | 2105 Nw 36th Dr, Gainesville, FL 32605 | Professional Engineer | 2007-02-01 ~ 2008-01-31 |
| Tabitha M Parham | 10 Cardston Circle, Windsor, CT 06095 | Registered Nurse | 2006-12-26 ~ 2008-01-31 |
Please comment or provide details below to improve the information on KOUROSH PARHAM.
| 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).