MUHAMMAD MUMTAZ MD
Controlled Substance Registration for Practitioner


Address: 4701 Preston Park Boulevard, Plano, TX 75093-5196

MUHAMMAD MUMTAZ MD (Credential# 163427) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 1998. The license expiration date date is February 28, 1999. The license status is INACTIVE.

Business Overview

MUHAMMAD MUMTAZ MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0022977. The credential type is controlled substance registration for practitioner. The effective date is March 1, 1998. The expiration date is February 28, 1999. The business address is 4701 Preston Park Boulevard, Plano, TX 75093-5196. The current status is inactive.

Basic Information

Licensee Name MUHAMMAD MUMTAZ MD
Credential ID 163427
Credential Number CSP.0022977
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 4701 Preston Park Boulevard
Plano
TX 75093-5196
Business Type INDIVIDUAL
Status INACTIVE - DOES NOT WISH TO RENEW
Effective Date 1998-03-01
Expiration Date 1999-02-28
Refresh Date 2004-04-23

Other licenses

ID Credential Code Credential Type Issue Term Status
551770 1.034171 Physician/Surgeon 1994-11-25 1997-04-08 - 1998-06-30 INACTIVE

Office Location

Street Address 4701 PRESTON PARK BOULEVARD
City PLANO
State TX
Zip Code 75093-5196

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Competitor

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City PLANO
Zip Code 75093
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + PLANO

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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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