AMGED A ABDELAZIZ
Controlled Substance Registration for Practitioner


Address: 13951 Osborne St Apt #701, Dearborn, MI 48126

AMGED A ABDELAZIZ (Credential# 1422934) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is May 19, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.

Business Overview

AMGED A ABDELAZIZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0065341. The credential type is controlled substance registration for practitioner. The effective date is May 19, 2017. The expiration date is February 28, 2019. The business address is 13951 Osborne St Apt #701, Dearborn, MI 48126. The current status is lapsed.

Basic Information

Licensee Name AMGED A ABDELAZIZ
Credential ID 1422934
Credential Number CSP.0065341
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 13951 Osborne St Apt #701
Dearborn
MI 48126
Business Type INDIVIDUAL
Status LAPSED
Active 1
Issue Date 2017-05-19
Effective Date 2017-05-19
Expiration Date 2019-02-28
Refresh Date 2019-03-06

Other licenses

ID Credential Code Credential Type Issue Term Status
1488292 1.057687-RES Resident Physician 2017-07-01 2017-07-01 - 2018-06-30 INACTIVE

Office Location

Street Address 13951 OSBORNE ST APT #701
City DEARBORN
State MI
Zip Code 48126

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Frank M Fayz 5560 Nottingham Court, Dearborn, MI 48126 Physician/surgeon 2020-06-01 ~ 2021-05-31
Wagdi Abdo Abdulla 7733 Indiana Street, Dearborn, MI 48126 Pharmacist 2020-02-01 ~ 2022-01-31
Arrow Wrecking Co 4440 Wyoming Ave, Dearborn, MI 48126 Demolition Contractor 1970-10-01 ~ 1971-09-30
Ford Motor Company 1 Parklane Blvd, Dearborn, MI 48126 Motor Vehicle Manufacturer (llm) ~
Ford Motor Company One American Rd., Dearborn, MI 48126 Motor Vehicle Manufacturer (llm) ~
Albanian Aid Society 5110 Maple, Dearborn, MI 48126 Public Charity-exempt From Financial Requirements ~
Hala A Harb 6811 Jonathon Street, Dearborn, MI 48126 Registered Nurse 2011-03-16 ~ 2011-10-31
Mark D Anasco 6614 Steadman, Dearborn, MI 48126 Registered Nurse 2007-09-10 ~ 2008-10-31
Hussein A Mazloum 5053 Williamson St, Dearborn, MI 48126 Physician/surgeon 2000-08-02 ~ 2001-03-31
Virginia M Sabo 5201 Heather Drive, Dearborn, MI 48126 Registered Nurse 1997-07-03 ~ 1998-08-31
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Competitor

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City DEARBORN
Zip Code 48126
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + DEARBORN

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Dataset Information

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).

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