AHMAD SALLOUM (Credential# 554490) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 14, 2004. The license expiration date date is May 31, 2005. The license status is INACTIVE.
AHMAD SALLOUM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.036899. The credential type is physician/surgeon. The effective date is May 14, 2004. The expiration date is May 31, 2005. The business address is 24 Kentucky Way, Freehold, NJ 07728. The current status is inactive.
Licensee Name | AHMAD SALLOUM |
Credential ID | 554490 |
Credential Number | 1.036899 |
Credential Type | Physician/Surgeon |
Business Address |
24 Kentucky Way Freehold NJ 07728 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1998-05-29 |
Effective Date | 2004-05-14 |
Expiration Date | 2005-05-31 |
Refresh Date | 2009-07-08 |
Street Address | 24 Kentucky Way |
City | Freehold |
State | NJ |
Zip Code | 07728 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Sidrah Mahmud | 15 Country View Drive, Freehold, NJ 07728 | Resident Physician | 2017-07-01 ~ 2021-06-30 |
Chester P Dilorenzo | 82 Walnut Hill Ln, Freehold, NJ 07728 | Land Surveyor | 2020-01-15 ~ 2021-01-31 |
Alexandra M Caro | 43 Buttonwood Lane, Freehold, NJ 07728 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Shelley S Ma | 319 Fordham Place, Freehold, NJ 07728 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
Paul E Bocchino | 42 Cambridge Rd, Freehold, NJ 07728 | Engineer-in-training | 2007-10-16 ~ 2017-10-16 |
Anthony Panzarino | 380 Concord Dr, Freehold, NJ 07728 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Albert N Beninato | 124 Palisade Dr, Freehold, NJ 07728 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
George H Meinschein | 150 Brittany Dr, Freehold, NJ 07728 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Nancy E Mcilvaine | 307 Pond Road, Freehold, NJ 07728 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
Margaret J Lyons | 184 Kentucky Way, Freehold, NJ 07728 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Find all Licenses in zip 07728 |
City | Freehold |
Zip Code | 07728 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + Freehold |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Ahmad Salloum Md | 307 Shawnee Dr., Brick, NJ 08724 | Controlled Substance Registration for Practitioner | 2002-01-17 ~ 2003-02-28 |
Rafah Salloum Md | 53 Woodhollow, Colts Neck, NJ 07722 | Physician/surgeon | 2011-12-01 ~ 2012-11-30 |
Sadek Salloum Md | 175 Mill Pond Road Apt #123, Hamden, CT 06514 | Physician/surgeon | 1998-02-09 ~ 1999-02-28 |
Didi Salloum | 200 John Olds Drive, Apt 207, Manchester, CT 06040 | Physician/surgeon | 2000-12-28 ~ 2001-04-30 |
Mohammad Ahmad | 405 Boundary Ave, Bethpage, NY 11714-6427 | Physician/surgeon | ~ |
Ahmad K Aslam | Roslyn, NY 11576 | Physician/surgeon | 2014-04-01 ~ 2015-03-31 |
Ahmad Hadid | 664 E 189th Apt 32, Bronx, NY 10458 | Physician/surgeon | 1981-01-01 ~ 1993-03-31 |
Ahmad Haghighat | 115 Gay Bowers Rd, Fairfield, CT 06430 | Physician/surgeon | 2000-04-13 ~ 2001-04-30 |
Ahmad Shaker | 900 Chapel St Apt 218, New Haven, CT 06510-2828 | Physician/surgeon | 2012-05-10 ~ 2013-01-31 |
Saghir Ahmad Md | 10 Beechtree Ln, Mountville, PA 17554 | Physician/surgeon | 1997-10-06 ~ 1998-09-30 |
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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).