MOHAMMAD SULMAN ALI
Resident Physician


Address: 252 Spring St Apt 7, Naugatuck, CT 06770-2935

MOHAMMAD SULMAN ALI (Credential# 1492530) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is June 28, 2017. The license expiration date date is June 27, 2023. The license status is ACTIVE.

Business Overview

MOHAMMAD SULMAN ALI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.059965-RES. The credential type is resident physician. The effective date is June 28, 2017. The expiration date is June 27, 2023. The business address is 252 Spring St Apt 7, Naugatuck, CT 06770-2935. The current status is active.

Basic Information

Licensee Name MOHAMMAD SULMAN ALI
Credential ID 1492530
Credential Number 1.059965-RES
Credential Type Resident Physician
Credential SubCategory RES
Business Address 252 Spring St Apt 7
Naugatuck
CT 06770-2935
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2017-06-28
Effective Date 2017-06-28
Expiration Date 2023-06-27
Refresh Date 2020-04-28

Other licenses

ID Credential Code Credential Type Issue Term Status
1434485 CSP.0066087 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2017-06-30 2019-03-01 - 2021-02-28 ACTIVE

Office Location

Street Address 252 SPRING ST APT 7
City NAUGATUCK
State CT
Zip Code 06770-2935

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Tanjala M Samuels 15 Lorann Circle, Naugatuck, CT 06770 Licensed Practical Nurse 2020-07-01 ~ 2021-06-30
Andrea Lee Evans 216 Spring Street Unit 17, Naugatuck, CT 06770 Registered Nurse 2020-07-01 ~ 2021-06-30
Jay Haack 589 High Street, Naugatuck, CT 06770 Medication Administration Certification 2018-07-12 ~ 2020-07-11
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Competitor

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City NAUGATUCK
Zip Code 06770
License Type Resident Physician
License Type + County Resident Physician + NAUGATUCK

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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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