DINA ABDELRAHMAN MOHAMED ALI IBRAHIM
Physician/surgeon


Address: 825 Pontiac Ave Apt 8104, Cranston, RI 02910-5931

DINA ABDELRAHMAN MOHAMED ALI IBRAHIM (Credential# 1684240) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.

Business Overview

DINA ABDELRAHMAN MOHAMED ALI IBRAHIM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.064265. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 825 Pontiac Ave Apt 8104, Cranston, RI 02910-5931. The current status is active.

Basic Information

Licensee Name DINA ABDELRAHMAN MOHAMED ALI IBRAHIM
Credential ID 1684240
Credential Number 1.064265
Credential Type Physician/Surgeon
Business Address 825 Pontiac Ave Apt 8104
Cranston
RI 02910-5931
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2019-09-19
Effective Date 2020-05-01
Expiration Date 2021-04-30
Refresh Date 2020-04-18

Office Location

Street Address 825 PONTIAC AVE APT 8104
City CRANSTON
State RI
Zip Code 02910-5931

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Mark Saccoccio C/o Saccoccio & Associates Inc, Cranston, RI 02910 Architect 2020-08-01 ~ 2021-07-31
Adesola R Ososanwo 149 Woodbine St, Cranston, RI 02910 Pharmacy Technician 2016-10-03 ~ 2017-03-31
Mike Xayvongsa 131 Carman St, Cranston, RI 02910 Casino Class I Employee 2019-12-11 ~ 2020-10-31
Pedro J Pena 80 Norfolk St, Cranston, RI 02910 Casino Class I Employee 2019-12-11 ~ 2020-10-31
Edward C Flori 95 Legion Way, Cranston, RI 02910 Casino Class I Employee 2019-12-11 ~ 2020-10-31
Cuimei Zhou 13 Dale Avenue, Cranston, RI 02910 Casino Class I Employee 2019-12-03 ~ 2020-10-31
David D Domenico 134 Caporal St, Cranston, RI 02910 Casino Class I Employee 2019-12-11 ~ 2020-10-31
Aphayrack Ounkeo 150 Burbank St., Cranston, RI 02910 Casino Class I Employee 2019-12-11 ~ 2020-10-31
Joseph D Hanscom 2 Toby Hanna St, Providence, RI 02910 Casino Class I Employee 2019-12-11 ~ 2020-10-31
Franklyn Jimenez 43 Crawford St., Cranston, RI 02910 Casino Class I Employee 2019-12-11 ~ 2020-10-31
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Competitor

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City CRANSTON
Zip Code 02910
License Type Physician/Surgeon
License Type + County Physician/Surgeon + CRANSTON

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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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