SOUDABEH GIVRAD (Credential# 975290) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is December 9, 2010. The license expiration date date is February 28, 2013. The license status is INACTIVE.
SOUDABEH GIVRAD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0049353. The credential type is controlled substance registration for practitioner. The effective date is December 9, 2010. The expiration date is February 28, 2013. The business address is 109 Church St Unit 235, New Haven, CT 06510-3012. The current status is inactive.
| Licensee Name | SOUDABEH GIVRAD |
| Credential ID | 975290 |
| Credential Number | CSP.0049353 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
109 Church St Unit 235 New Haven CT 06510-3012 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2010-12-09 |
| Effective Date | 2010-12-09 |
| Expiration Date | 2013-02-28 |
| Refresh Date | 2014-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 997218 | 1.050091 | Physician/Surgeon | 2011-07-06 | 2011-12-01 - 2012-11-30 | INACTIVE |
| Street Address | 109 CHURCH ST UNIT 235 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06510-3012 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Arpan Mohanty | 109 Church St Unit 235, New Haven, CT 06510-3024 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Matthew A Wright | 109 Church St Unit 235, New Haven, CT 06510-3024 | Physician/surgeon | 2012-04-01 ~ 2013-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Idaira Aguilar Tejedor | 109 Church St Unit 606, New Haven, CT 06510-3012 | Resident Physician | 2019-07-01 ~ 2021-06-30 |
| Ivy Craft Beer Distributors LLC · Ivy Craft Beer Distributors | 109 Church St Unit 604, New Haven, CT 06510-3012 | Out of State Shipper Beer | ~ |
| Asima K Ahmad | 109 Church St Unit 612, New Haven, CT 06510-3012 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Joshua S Black | 109 Church St Unit 609, New Haven, CT 06510-3012 | Controlled Substance Registration for Practitioner | 2009-10-07 ~ 2011-02-28 |
| Nina Phillips Bernstein | 109 Church St Unit 606, New Haven, CT 06510-3012 | Resident Physician | 2014-06-27 ~ 2020-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gary P Bernardi Jr | Yale New Haven Hospital, New Haven, CT 06510 | Advanced Practice Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Katherine G Kennedy | 65 Trumbull St, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Molly Elizabeth Mcadow | 333 Cedar Street, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Brady Dunkle | 58 Vernon Street, New Haven, CT 06510 | Registered Nurse | ~ |
| Karin Ann Price | 20 York St, New Haven, Ct 06510, New Haven, CT 06510 | Registered Nurse - Temporary | 2020-06-25 ~ 2020-10-23 |
| G C S Constuction LLC | 142 Temple Street, New Haven, CT 06510 | Major Contractor | 2020-07-01 ~ 2021-06-30 |
| Paul L Mccarthy Md · Yale School of Medicine | Dept of Pediatrics, New Haven, CT 06510 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Lauren E Cohn Md | Yale New-haven Hospital, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Bong Francois | 900 Chapel St Apt 901, New Haven, CT 06510 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Pelli Clarke Pelli Architects Inc. | 1056 Chapel St, New Haven, CT 06510 | Architecture Corporation | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06510 | |||
| City | NEW HAVEN |
| Zip Code | 06510 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Soudabeh Sharafi Dmd | 67 Glen Rdige Court, New Milford, CT 06776 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
| Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
| Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
| Huu Duc D Luu | 630 Mix Ave Apt 6p, Hamden, CT 06514-2320 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Hae J Kim Pa | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-31 ~ 2009-02-28 |
| Arundati Rao | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Qi Che Md | Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Min Jin Kim | 639 4th Ave Apt 5c, Brooklyn, NY 11232-1048 | Controlled Substance Registration for Practitioner | 2012-05-10 ~ 2013-02-28 |
| Erin K Fee | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Amy Kappelman Md | 8 W End Ave, Old Greenwich, CT 06870-1642 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on SOUDABEH GIVRAD.
| 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).