MASSOUD EGHRARI
Physician/surgeon


Address: 50 Karl Avenue, Smithtown, NY 11787

MASSOUD EGHRARI (Credential# 539991) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 1, 1995. The license expiration date date is October 31, 1996. The license status is INACTIVE.

Business Overview

MASSOUD EGHRARI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.011398. The credential type is physician/surgeon. The effective date is November 1, 1995. The expiration date is October 31, 1996. The business address is 50 Karl Avenue, Smithtown, NY 11787. The current status is inactive.

Basic Information

Licensee Name MASSOUD EGHRARI
Credential ID 539991
Credential Number 1.011398
Credential Type Physician/Surgeon
Business Address 50 Karl Avenue
Smithtown
NY 11787
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1963-09-12
Effective Date 1995-11-01
Expiration Date 1996-10-31
Refresh Date 2009-07-08

Office Location

Street Address 50 KARL AVENUE
City SMITHTOWN
State NY
Zip Code 11787

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Megan Czuba 78 Bayberry La, Smithtown, NY 11787 Pharmacist 2020-02-01 ~ 2022-01-31
Jamie A Walegir 28 Villa Ln, Smithtown, NY 11787 Professional Engineer 2020-02-01 ~ 2021-01-31
Susan Cohen-pessah 6 Carriage House Rd, Smithtown, NY 11787 Pharmacist 2018-02-01 ~ 2020-01-31
Steven G Hanuszek 24 Dogwood Dr, Smithtown, NY 11787 Professional Engineer 2020-02-01 ~ 2021-01-31
Wayne T Culver 32 Oakside Rd, Smithtown, NY 11787 Professional Engineer 2020-02-01 ~ 2021-01-31
Sean P Cunningham 60 Avalon Circle, Smithtown, NY 11787 Professional Engineer 2020-02-01 ~ 2021-01-31
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Competitor

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City SMITHTOWN
Zip Code 11787
License Type Physician/Surgeon
License Type + County Physician/Surgeon + SMITHTOWN

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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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