SEPINOUD BAZEL (Credential# 927992) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 24, 2010. The license expiration date date is September 30, 2010. The license status is INACTIVE.
SEPINOUD BAZEL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.048746. The credential type is physician/surgeon. The effective date is May 24, 2010. The expiration date is September 30, 2010. The business address is 4717 Spear St, Charlotte, VT 05445-9023. The current status is inactive.
Licensee Name | SEPINOUD BAZEL |
Credential ID | 927992 |
Credential Number | 1.048746 |
Credential Type | Physician/Surgeon |
Business Address |
4717 Spear St Charlotte VT 05445-9023 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2010-05-24 |
Effective Date | 2010-05-24 |
Expiration Date | 2010-09-30 |
Refresh Date | 2011-01-04 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
476316 | CSP.0041772 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2007-07-20 | 2008-03-03 - 2009-02-28 | INACTIVE |
Street Address | 4717 SPEAR ST |
City | CHARLOTTE |
State | VT |
Zip Code | 05445-9023 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Patricia M O'donnell | 501 Lake Road, Charlotte, VT 05445 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
Laura K Chartrand | 3371 Mt. Philo Road, Charlotte, VT 05445 | Dietitian/nutritionist | 2020-07-01 ~ 2021-06-30 |
Thomas P Reilly | 114 Sunset Rd, Charlotte, VT 05445 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
David Andrew Pill | 1611 Roscoe Road, Charlotte, VT 05445 | Architect | 2019-08-01 ~ 2020-07-31 |
Richard H Pete | 711 Bean Rd, Charlotte, VT 05445 | Landscape Architect | 1999-08-12 ~ 2000-07-31 |
Trafton M Crandall | 343 Orchard Rd, Charlotte, VT 05445 | Professional Engineer | 2012-02-01 ~ 2013-01-31 |
David S Marshall | 1222 Church Hill Rd, Charlotte, VT 05445 | Professional Engineer | 2012-02-01 ~ 2013-01-31 |
Richard L Servidio | Rd #1 Box 1458, Charlotte, VT 05445 | Professional Engineer | 1998-02-01 ~ 1999-01-31 |
Ingrid A Stanlis | 779 Lime Kiln Road, Charlotte, VT 05445 | Certified Public Accountant License | 1997-01-01 ~ 1997-12-31 |
Deborah A Doyon | 477 Thompson Point Rd, Charlotte, VT 05445 | Registered Nurse | 2001-06-25 ~ 2002-06-30 |
Find all Licenses in zip 05445 |
City | CHARLOTTE |
Zip Code | 05445 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + CHARLOTTE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Samaneh Bazel | 8340 Greensboro Dr, Mclean, VA 22102 | Physician/surgeon | 2007-10-09 ~ 2008-08-31 |
Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
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 |
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 |
Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Nazanin Barzideh Md | North Shore Retina Physician, Pllc, East Hills, NY 11576 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
Susan J Batlan Md | Eye Physician Associates of Hartford, West Hartford, CT 06107 | Physician/surgeon | 2000-07-27 ~ 2001-07-31 |
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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).