FATIMA A KHAN
Controlled Substance Registration for Practitioner


Address: 1003 Easton Rd Apt C612, Willow Grove, PA 19090-2065

FATIMA A KHAN (Credential# 1430405) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

FATIMA A KHAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0065844. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 1003 Easton Rd Apt C612, Willow Grove, PA 19090-2065. The current status is active.

Basic Information

Licensee Name FATIMA A KHAN
Credential ID 1430405
Credential Number CSP.0065844
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 1003 Easton Rd Apt C612
Willow Grove
PA 19090-2065
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2017-06-12
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-01-16

Other licenses

ID Credential Code Credential Type Issue Term Status
1489088 1.058386-RES Resident Physician 2017-06-22 2017-06-22 - 2020-06-30 ACTIVE

Office Location

Street Address 1003 EASTON RD APT C612
City WILLOW GROVE
State PA
Zip Code 19090-2065

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Heidi T Hepner 2714 Carrell Lane, Willow Grove, PA 19090 Tax Preparer/facilitator Permit 2020-02-11 ~ 2022-02-28
Samantha Pronzato 2405 Maryland Road Apt 126, Willow Grove, PA 19090 Physical Therapist 2020-02-01 ~ 2021-01-31
Nicholas J Markert 614 Lakevue Drive, Willow Grove, PA 19090 Lottery Or Otb Service Provider Employee 2020-01-01 ~ 2020-12-31
Robert L Heineman 2530 Ball Rd, Willow Grove, PA 19090 Physical Therapist ~
Regina Poskus 805 Division Ave, Willow Grove, PA 19090 Registered Nurse 2008-11-14 ~ 2010-01-31
Kathleen Perry 523 E Moreland Rd, Willow Grove, PA 19090 Registered Nurse 1992-05-27 ~ 1993-04-30
Hem C Chatterjee 1703 Alba Rd, Willow Grove, PA 19090 Professional Engineer 2001-02-01 ~ 2002-01-31
Victor D Lewis Jr 1001 Easton Rd Apt #901m, Willow Grove, PA 19090 Architect 1996-08-01 ~ 1997-07-31
Schechter Insitutes Inc (the) 2300 Computer Rd Ste D18, Willow Grove, PA 19090-1736 Public Charity 2014-04-22 ~ 2015-11-30
Mom 4r Marines · America 4r Marines 30 Hideaway Dr, Willow Grove, PA 19090-1910 Public Charity 2011-03-25 ~ 2012-05-31
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Competitor

Search similar business entities

City WILLOW GROVE
Zip Code 19090
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WILLOW GROVE

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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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