MARY I FATEHI (Credential# 552700) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2018. The license expiration date date is September 30, 2019. The license status is INACTIVE.
MARY I FATEHI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.035106. The credential type is physician/surgeon. The effective date is October 1, 2018. The expiration date is September 30, 2019. The business address is 22 Pheasant Run, Old Westbury, NY 11568. The current status is inactive.
| Licensee Name | MARY I FATEHI |
| Credential ID | 552700 |
| Credential Number | 1.035106 |
| Credential Type | Physician/Surgeon |
| Business Address |
22 Pheasant Run Old Westbury NY 11568 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1996-03-08 |
| Effective Date | 2018-10-01 |
| Expiration Date | 2019-09-30 |
| Refresh Date | 2020-01-03 |
| Street Address | 22 PHEASANT RUN |
| City | OLD WESTBURY |
| State | NY |
| Zip Code | 11568 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ahmed Faraz Aslam | 161 Old Westbury Rd, Old Westbury, NY 11568 | Physician/surgeon | ~ |
| Rocco Louis Trotta | 66 I.u. Willets Road, Old Westbury, NY 11568 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Robert A Cervoni | 14 Sandpiper Court, Old Westbury, NY 11568 | Notary Public Appointment | 2019-08-01 ~ 2024-07-31 |
| Kevin H Small | 50 Rolling Hill Lane, Old Westbury, NY 11568 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Paniccia Contracting Inc | 82 Wheatley Rd, Old Westbury, NY 11568 | Home Improvement Contractor | 1999-12-01 ~ 2000-11-30 |
| Lloyd J Landow | Old Westbury Equestrian Center, Old Westbury, NY 11568 | Architect | 2016-08-01 ~ 2017-07-31 |
| Richard I Pezenik | 6 Terrace Ct, Old Westbury, NY 11568 | Professional Engineer | 1991-01-29 ~ 1992-01-31 |
| Wilbur F Breslin | 3 Forte Dr, Old Westbury, NY 11568 | Real Estate Broker | ~ |
| Victor Stephan Rich | 5 Red Ground Road, Old Waterbury, NY 11568 | Certified Public Accountant License | 2003-01-01 ~ 2003-12-31 |
| Tbag Enterprises LLC · Icon Cleaning | 41 Old Westbury Rd, Old Westbury, NY 11568 | Home Improvement Contractor | 2009-04-23 ~ 2009-11-30 |
| Find all Licenses in zip 11568 | |||
| City | OLD WESTBURY |
| Zip Code | 11568 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + OLD WESTBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mary Fatehi Md | 51 Flat Rock Rd, Branford, CT 06405 | Controlled Substance Registration for Practitioner | 1999-03-01 ~ 2000-02-28 |
| Mary S D Ghaly | Po Box 483, Niantic, CT 06357 | Physician/surgeon | 2019-02-01 ~ 2020-01-31 |
| Mary C. Banda | 72 Lawrence Dr, Longmeadow, MA 01106-1618 | Physician/surgeon | ~ |
| Mary C Fahrenbach | 401 Cumberland Ave, Portland, ME 04101 | Physician/surgeon | 1998-02-27 ~ 1999-04-30 |
| Jessica Mary Lee | 53 Sconset Ln, Guilford, CT 06437 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Mary A Lincoln | 503 Grasslands Rd., Valhalla, NY 10595 | Physician/surgeon | 1981-01-01 ~ 1993-10-31 |
| Mary Aldrene L Tan | 15 Crawford St Ste 100, Needham, MA 02494-2618 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Mary N Tenenbaum | 282 Perham St, Boston, MA 02132 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Mary Mulcare | 9 Cedarwood Dr, Greenwich, CT 06830-3904 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Mary E Stone | 224 St. Ronan St, New Haven, CT 06511 | Physician/surgeon | 2017-03-01 ~ 2018-02-28 |
Please comment or provide details below to improve the information on MARY I FATEHI.
| 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).