ANAN AL-FAQIH MD
Physician/surgeon


Address: 950 Walnut St #712, Philadelphia, PA 19107

ANAN AL-FAQIH MD (Credential# 552963) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 26, 1998. The license expiration date date is October 31, 1999. The license status is INACTIVE.

Business Overview

ANAN AL-FAQIH MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.035370. The credential type is physician/surgeon. The effective date is October 26, 1998. The expiration date is October 31, 1999. The business address is 950 Walnut St #712, Philadelphia, PA 19107. The current status is inactive.

Basic Information

Licensee Name ANAN AL-FAQIH MD
Credential ID 552963
Credential Number 1.035370
Credential Type Physician/Surgeon
Business Address 950 Walnut St #712
Philadelphia
PA 19107
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1996-07-05
Effective Date 1998-10-26
Expiration Date 1999-10-31
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
178151 CSP.0024510 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1998-03-01 - 1999-02-28 INACTIVE

Office Location

Street Address 950 WALNUT ST #712
City PHILADELPHIA
State PA
Zip Code 19107

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Masonic Library and Museum of Pennsylvania One North Broad Street, Philadelphia, PA 19107 Public Charity 2019-12-01 ~ 2020-11-30
Anjali Khurana 834 Chestnut St., Philadelphia, PA 19107 Controlled Substance Registration for Practitioner 2017-03-01 ~ 2019-02-28
Gabrielle Einstein Morrow 1020 Sansom Street, Philadelphia, PA 19107 Controlled Substance Registration for Practitioner 2019-02-21 ~ 2021-02-28
Susan Leib Md Society Hill Pediatrics, Philadelphia, PA 19107 Controlled Substance Registration for Practitioner 2011-03-01 ~ 2013-02-28
Henry K Siu Md 1100 Vine Street Apt 919, Philadelphia, PA 19107 Controlled Substance Registration for Practitioner 2011-03-01 ~ 2013-02-28
William K Kelly Do 834 Chestnut Street, Philadelphia, PA 19107 Controlled Substance Registration for Practitioner 2009-03-01 ~ 2011-02-28
Nicolas Kuritzky 1011 Chestnut, Philadelphia, PA 19107 Physician/surgeon 2009-04-21 ~ 2010-04-30
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City PHILADELPHIA
Zip Code 19107
License Type Physician/Surgeon
License Type + County Physician/Surgeon + PHILADELPHIA

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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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