MOHAMMED AMIRUL ISLAM MD
Physician/surgeon


Address: 8910 107th Floor, Richmondhill, NY 11418

MOHAMMED AMIRUL ISLAM MD (Credential# 554807) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 12, 2004. The license expiration date date is September 30, 2005. The license status is INACTIVE.

Business Overview

MOHAMMED AMIRUL ISLAM MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.037217. The credential type is physician/surgeon. The effective date is August 12, 2004. The expiration date is September 30, 2005. The business address is 8910 107th Floor, Richmondhill, NY 11418. The current status is inactive.

Basic Information

Licensee Name MOHAMMED AMIRUL ISLAM MD
Credential ID 554807
Credential Number 1.037217
Credential Type Physician/Surgeon
Business Address 8910 107th Floor
Richmondhill
NY 11418
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1998-09-04
Effective Date 2004-08-12
Expiration Date 2005-09-30
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
147560 CSP.0027473 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2002-03-01 - 2003-02-28 INACTIVE

Office Location

Street Address 8910 107TH FLOOR
City RICHMONDHILL
State NY
Zip Code 11418

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Kiyoko Rachel Ogoke 8900 Van Wyck Expwy, Richmond Hill, NY 11418 Physician/surgeon 2019-08-01 ~ 2020-07-31
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Competitor

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City RICHMONDHILL
Zip Code 11418
License Type Physician/Surgeon
License Type + County Physician/Surgeon + RICHMONDHILL

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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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