ARIF MUMTAZ MD (Credential# 553179) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
ARIF MUMTAZ MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.035586. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 138 Devon Farms Rd, Stormville, NY 12582. The current status is active.
Licensee Name | ARIF MUMTAZ MD |
Credential ID | 553179 |
Credential Number | 1.035586 |
Credential Type | Physician/Surgeon |
Business Address |
138 Devon Farms Rd Stormville NY 12582 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1996-09-20 |
Effective Date | 2020-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2019-12-03 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
355704 | CSP.0034275 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2003-11-03 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 138 DEVON FARMS RD |
City | STORMVILLE |
State | NY |
Zip Code | 12582 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Paul S Mcnamara | 118 Moonlight Drive, Stormville, NY 12582 | Veterinarian | 2020-08-01 ~ 2021-07-31 |
Susan B Kordzikowski | 168 Overhill Rd, Stormville, NY 12582 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Ruth Alcantara-zboinski | 220 Overhill Rd, Stormville, NY 12582 | Master's Level Social Worker | 2020-04-03 ~ 2021-01-31 |
Patricia D Chapman | 11 Kelly Court, Stormville, NY 12582 | Hairdresser/cosmetician | 2020-03-01 ~ 2022-02-28 |
Joanne K Mallon | 14 Meads Lane, Stormville, NY 12582 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
Ryan R Ool | 251 Overhill Road, Stormville, NY 12582 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
John V Chiavetta | 6 Stagecoach Pass Rd, Stormville, NY 12582 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
Chin K Yoo | 118 Devon Farms Road, Stormville, NY 12582 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
Heather K Imbo | 3393 Rt52, Stormvill, NY 12582 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
Bjorn Billings · Billings Carpentry & Construction | 380 Rushmore Rd, Stormville, NY 12582 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
Find all Licenses in zip 12582 |
City | STORMVILLE |
Zip Code | 12582 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + STORMVILLE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Mubashir A Mumtaz | 205 S Front St, Harrisburg, PA 17104-1619 | Physician/surgeon | 2004-03-17 ~ 2005-05-31 |
Arif Husain | Po Box 689, Wingdale, NY 12594-0689 | Physician/surgeon | 1991-03-15 ~ 1993-10-31 |
Arif M Omar | P.o. Box 66, Clarksburg, WV 26302 | Physician/surgeon | 2017-04-01 ~ 2018-03-31 |
Khuram Arif | 408 Wrangler Way, Clous, NM 88101 | Physician/surgeon | 2004-05-24 ~ 2004-09-30 |
Arif B Abdullah Md | 11 Greenwich Way, Milford, CT 06460 | Physician/surgeon | 2006-09-22 ~ 2007-10-31 |
Arif A A Toor | 3 St. Andrews Drive, Farmington, CT 06032 | Physician/surgeon | 2016-02-01 ~ 2017-01-31 |
Mumtaz Marketing Ent Inc | 2390 State St #7h, Hamden, CT 06517 | Non Legend Drug Permit | 2002-07-26 ~ 2002-12-31 |
Osman Arif Yilmam | 40 Prospect St Bld1, Apt 2 D, Norwalk, CT 06850-3737 | Resident Physician | 2018-06-25 ~ 2021-06-30 |
Ahad Mumtaz | 84 Morning Glory Dr, Middletown, CT 06457-1777 | Pharmacy Technician | 2020-04-01 ~ 2021-03-31 |
Muhammad Mumtaz | 94 Lawlor Street Apt 2, New Britain, CT 06051 | Pharmacy Technician | 2020-04-01 ~ 2021-03-31 |
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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).