MOHAMMAD MUDASSAR AHMED KHAN (Credential# 1443960) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 30, 2017. The license expiration date date is January 31, 2018. The license status is INACTIVE.
MOHAMMAD MUDASSAR AHMED KHAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.056957. The credential type is physician/surgeon. The effective date is August 30, 2017. The expiration date is January 31, 2018. The business address is 1 Nicholas Brown Yards, Providence, RI 02904. The current status is inactive.
| Licensee Name | MOHAMMAD MUDASSAR AHMED KHAN |
| Credential ID | 1443960 |
| Credential Number | 1.056957 |
| Credential Type | Physician/Surgeon |
| Business Address |
1 Nicholas Brown Yards Providence RI 02904 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2017-08-30 |
| Effective Date | 2017-08-30 |
| Expiration Date | 2018-01-31 |
| Refresh Date | 2018-05-06 |
| Street Address | 1 Nicholas Brown Yards |
| City | Providence |
| State | RI |
| Zip Code | 02904 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eric N Zuena | 2 Charles Street, Providence, RI 02904 | Architect | 2020-08-01 ~ 2021-07-31 |
| Michal Marcin Szpara | 630 Smithfield Rd Unit 316, North Providence, RI 02904 | Podiatrist | 2020-06-01 ~ 2021-05-31 |
| Peter E Cardin | 50 Thurber St., North Providence, RI 02904 | Casino Class I Employee | 2020-02-26 ~ 2020-10-31 |
| Stephen Mcgill | 45 Anderton Ave., North Providence, RI 02904 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Jabriel J Abdullah | 24 Vaughan Street, Providence, RI 02904 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Robert J De Mattio Jr. | 111a Turnessa Green, North Providence, RI 02904 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| R P Z Realty Inc | 1417 Douglas Ave, North Providence, RI 02904 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Elizabeth Marie Staley | 13 Ternay Gdns, Providence, RI 02904 | Registered Nurse | ~ |
| Tasha D Hendricks | 25 Benedict Street, North Providence, RI 02904 | Registered Nurse | ~ |
| Kenneth Conte | 9 Carriage Way, N Providence, RI 02904 | Land Surveyor | 2020-02-01 ~ 2021-01-31 |
| Find all Licenses in zip 02904 | |||
| City | Providence |
| Zip Code | 02904 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Providence |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mohammad L Ahmed | 111 Locust Street, Woburn, MA 01801 | Physician/surgeon | 1992-07-23 ~ 1993-07-31 |
| Mohammad Ali N Khan | 8020 S. 32 Way, Phoenix, AZ 85042 | Physician/surgeon | 2011-04-01 ~ 2012-03-31 |
| Mohammad R Khan Md | 20 N Main St, Norwalk, CT 06854-2656 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Mohammad A Khan | 55 Brittany Farms Rd, New Britain, CT 06053 | Physician/surgeon | ~ 1997-07-31 |
| Mohammad U Nasir Khan | 190 Nathan Dr, Morganville, NJ 07751 | Physician/surgeon | 2011-12-01 ~ 2012-11-30 |
| Mohammad K Khan | 13 South 12th Ave, Yakima, WA 98902 | Physician/surgeon | 1996-07-30 ~ 1997-08-31 |
| Mohammad A Khan | 5312 Pomfret Pt, Raleigh, NC 27612-3683 | Physician/surgeon | 2020-06-01 ~ 2021-06-30 |
| Ahmed Mohammad Khan | 209 Woodhampton Dr, White Plains, NY 10603-1912 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ahmed Y Khan Md | 285 Consaul Road, Albany, NY 12205 | Physician/surgeon | 2016-09-01 ~ 2017-08-31 |
| Safeer Ahmed Khan | 91 Beaumont Circle, Yonkers, NY 10710 | Physician/surgeon | ~ 1999-03-31 |
Please comment or provide details below to improve the information on MOHAMMAD MUDASSAR AHMED KHAN.
| 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).