KHALID B ALI
Physician/surgeon


Address: 502 West 8th Street, Julesburg, CO 80737

KHALID B ALI (Credential# 551160) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 17, 1995. The license expiration date date is February 29, 1996. The license status is INACTIVE.

Business Overview

KHALID B ALI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.033561. The credential type is physician/surgeon. The effective date is January 17, 1995. The expiration date is February 29, 1996. The business address is 502 West 8th Street, Julesburg, CO 80737. The current status is inactive.

Basic Information

Licensee Name KHALID B ALI
Credential ID 551160
Credential Number 1.033561
Credential Type Physician/Surgeon
Business Address 502 West 8th Street
Julesburg
CO 80737
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1994-03-04
Effective Date 1995-01-17
Expiration Date 1996-02-29
Refresh Date 2009-07-08

Other licenses

ID Credential Code Credential Type Issue Term Status
163137 CSP.0021975 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1994-03-31 - 1995-06-01 INACTIVE

Office Location

Street Address 502 WEST 8TH STREET
City JULESBURG
State CO
Zip Code 80737

Competitor

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City JULESBURG
Zip Code 80737
License Type Physician/Surgeon
License Type + County Physician/Surgeon + JULESBURG

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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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