MUHAMMAD T KHAN MD
Controlled Substance Registration for Practitioner


Address: 5763 Tenneyson Dr, Agoura Hills, CA 91301-4409

MUHAMMAD T KHAN MD (Credential# 446863) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 3, 2008. The license expiration date date is February 28, 2009. The license status is INACTIVE.

Business Overview

MUHAMMAD T KHAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0040216. The credential type is controlled substance registration for practitioner. The effective date is March 3, 2008. The expiration date is February 28, 2009. The business address is 5763 Tenneyson Dr, Agoura Hills, CA 91301-4409. The current status is inactive.

Basic Information

Licensee Name MUHAMMAD T KHAN MD
Credential ID 446863
Credential Number CSP.0040216
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 5763 Tenneyson Dr
Agoura Hills
CA 91301-4409
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2006-08-24
Effective Date 2008-03-03
Expiration Date 2009-02-28
Refresh Date 2011-01-12

Other licenses

ID Credential Code Credential Type Issue Term Status
563855 1.046273 Physician/Surgeon 2008-03-03 2008-03-03 - 2008-09-30 INACTIVE

Office Location

Street Address 5763 TENNEYSON DR
City AGOURA HILLS
State CA
Zip Code 91301-4409

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James E Drews 29259 W Lake Vista Dr, Agoura, CA 91301 Architect 2019-08-01 ~ 2020-07-31
Jerry W Vlasak Jr 5699 Kanan Road, Agoura Hills, CA 91301 Physician/surgeon 1999-05-11 ~ 2000-05-31
Tammy A Cohen 30601 Sandtrap Drive, Agoura Hills, CA 91301 Speech and Language Pathologist 2001-02-21 ~ 2002-04-30
Prescriptions By Mail Inc 5210 Lewis Rd Suite #5, Agoura Hills, CA 91301 Nonresident Pharmacy 2000-03-01 ~ 2000-08-31
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John E Ireland 5724 Willowtree Drive, Agoura Hills, CA 91301-1574 Professional Engineer 2020-02-01 ~ 2021-01-31
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Peter J Jensen 5015 Ambridge Dr, Agoura Hills, CA 91301-2333 Physician/surgeon 1980-01-16 ~ 1983-05-30
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Competitor

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City AGOURA HILLS
Zip Code 91301
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + AGOURA HILLS

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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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