MOHAMMED A HUSSAIN
Resident Physician


Address: 160 Evergreen Rd Apt 11b, Edison, NJ 08837-2476

MOHAMMED A HUSSAIN (Credential# 1487811) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2016. The license expiration date date is June 30, 2018. The license status is INACTIVE.

Business Overview

MOHAMMED A HUSSAIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.057474-RES. The credential type is resident physician. The effective date is July 1, 2016. The expiration date is June 30, 2018. The business address is 160 Evergreen Rd Apt 11b, Edison, NJ 08837-2476. The current status is inactive.

Basic Information

Licensee Name MOHAMMED A HUSSAIN
Credential ID 1487811
Credential Number 1.057474-RES
Credential Type Resident Physician
Credential SubCategory RES
Business Address 160 Evergreen Rd Apt 11b
Edison
NJ 08837-2476
Business Type INDIVIDUAL
Status INACTIVE - INACTIVE
Issue Date 2016-07-01
Effective Date 2016-07-01
Expiration Date 2018-06-30
Refresh Date 2018-07-01

Other licenses

ID Credential Code Credential Type Issue Term Status
1281711 CSP.0060010 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2015-05-12 2015-05-12 - 2017-02-28 INACTIVE

Office Location

Street Address 160 EVERGREEN RD APT 11B
City EDISON
State NJ
Zip Code 08837-2476

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Ravikumar Talluri 471 Parsonage Rd, Edison, NJ 08837 Pharmacist 2020-02-01 ~ 2022-01-31
William Grant & Sons Inc 130 Fieldcrest Ave, Edison, NJ 08837 Out of State Shipper Liquor 2019-12-16 ~ 2020-12-15
Diane P Thurman 189 Jackson Avenue, Edison, NJ 08837 Notary Public Appointment 2002-03-01 ~ 2007-02-28
Alco Industries Inc 120 Northfield Ave, Edison, NJ 08837 Manufacturer of Bedding & Upholstered Furniture 2004-05-01 ~ 2005-04-30
Zheng Zhang Usa(nj) Inc 78 Mayfield Avenue, Edison, 08837 Manufacturer of Bedding & Upholstered Furniture 2012-05-01 ~ 2013-04-30
Usha Pai 6 Daffodil Dr, Edison, NJ 08837 Physician/surgeon 2014-02-01 ~ 2015-01-31
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Competitor

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City EDISON
Zip Code 08837
License Type Resident Physician
License Type + County Resident Physician + EDISON

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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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