MOHAMMAD A FAZIL
Physician/surgeon


Address: 1427 Hickory Way, Memphis, TN 38119

MOHAMMAD A FAZIL (Credential# 551441) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 14, 1996. The license expiration date date is June 30, 1997. The license status is INACTIVE.

Business Overview

MOHAMMAD A FAZIL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.033842. The credential type is physician/surgeon. The effective date is June 14, 1996. The expiration date is June 30, 1997. The business address is 1427 Hickory Way, Memphis, TN 38119. The current status is inactive.

Basic Information

Licensee Name MOHAMMAD A FAZIL
Credential ID 551441
Credential Number 1.033842
Credential Type Physician/Surgeon
Business Address 1427 Hickory Way
Memphis
TN 38119
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1994-07-01
Effective Date 1996-06-14
Expiration Date 1997-06-30
Refresh Date 2009-07-08

Office Location

Street Address 1427 HICKORY WAY
City MEMPHIS
State TN
Zip Code 38119

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Daniel T O'hay 1876 Poplar Pines Dr #303, Memphis, TN 38119 Architect 2019-08-01 ~ 2020-07-31
Jerry T Pilgrim 1475 Quince Cove, Memphis, TN 38119 Professional Engineer 1991-12-23 ~ 1993-01-31
Deborah L Mays 3256 Lemans Lane, Memphis, TN 38119 Registered Nurse 2001-07-03 ~ 2002-07-31
Kristen A Kammer 2570 Tigrett Cove, Memphis, TN 38119 Registered Nurse 1997-08-18 ~ 1998-09-30
Irene L Muehlberger 2695 Green Mill Dr, Memphis, TN 38119 Hairdresser/cosmetician 2001-02-27 ~ 2001-11-30
Karen H Ross 6366 Wynfrey Circle, Memphis, TN 38119 Registered Nurse 1992-01-23 ~ 1992-12-31
Sherif A Nasef 7019 Woodlake Drive, Memphis, TN 38119 Physician/surgeon 1999-12-02 ~ 2000-11-30
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City MEMPHIS
Zip Code 38119
License Type Physician/Surgeon
License Type + County Physician/Surgeon + MEMPHIS

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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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