MOINUDDIN H MUTTAKIN (Credential# 548338) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 23, 1992. The license expiration date date is January 31, 1993. The license status is INACTIVE.
MOINUDDIN H MUTTAKIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.030261. The credential type is physician/surgeon. The effective date is January 23, 1992. The expiration date is January 31, 1993. The business address is 14350 Dallas North, Dallas, TX 75240. The current status is inactive.
Licensee Name | MOINUDDIN H MUTTAKIN |
Credential ID | 548338 |
Credential Number | 1.030261 |
Credential Type | Physician/Surgeon |
Business Address |
14350 Dallas North Dallas TX 75240 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1989-08-18 |
Effective Date | 1992-01-23 |
Expiration Date | 1993-01-31 |
Refresh Date | 2009-07-08 |
Street Address | 14350 DALLAS NORTH |
City | DALLAS |
State | TX |
Zip Code | 75240 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Mark Alan Boykin | 13737 Noel Rd Ste 1600-rays, Dallas, TX 75240 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Pharmaco Technology LLC | 13727 Noel Rd Tower II, Dallas, TX 75240 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2018-07-01 ~ 2019-06-30 |
Kevin-sean A Mcgann | 13737 Noel Rd Ste 1600, Dallas, TX 75240 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Anthony Andrew Terreri | 1337 Noel Rd, Dallas, TX 75240 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Rainier Dawson Marketplace Investorss, Lp | 13760 Noel Road, Dallas, TX 75240 | Securities - Exemptions | 2020-02-13 ~ |
Naomi Myers | M, Dallas, TX 75240 | Licensed Practical Nurse | 2018-09-01 ~ 2019-08-31 |
Dwight Anthony Townsend | 13737 Noel Rd., Ste 1600-rays, Dallas, TX 75240 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
Esther Lee | 13737 Noel Road, Ste. 1600, Dallas, TX 75240 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
Gregory J Byrne | 13737 Noel Road, Dallas, TX 75240 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
Find all Licenses in zip 75240 |
City | DALLAS |
Zip Code | 75240 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + DALLAS |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Imran Ahmed Moinuddin | 9190 Springfield Rd Apt 27a, Poland, OH 44514-4106 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Hafsa S Moinuddin | 40 Trout Brook Rd, Cheshire, CT 06410-1250 | Emergency Medical Technician | ~ |
Shareen Mustafa-moinuddin Aprn | 40 Trout Brook Road, Cheshire, CT 06410 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
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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).