RAFAT M AL-REJJAL MD
Physician/surgeon


Address: 175 Canton St Apt D12, West Haven, CT 06516

RAFAT M AL-REJJAL MD (Credential# 555069) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2004. The license expiration date date is April 30, 2005. The license status is INACTIVE.

Business Overview

RAFAT M AL-REJJAL MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.037479. The credential type is physician/surgeon. The effective date is March 1, 2004. The expiration date is April 30, 2005. The business address is 175 Canton St Apt D12, West Haven, CT 06516. The current status is inactive.

Basic Information

Licensee Name RAFAT M AL-REJJAL MD
Credential ID 555069
Credential Number 1.037479
Credential Type Physician/Surgeon
Business Address 175 Canton St Apt D12
West Haven
CT 06516
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1999-01-22
Effective Date 2004-03-01
Expiration Date 2005-04-30
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
208275 CSP.0027943 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2004-02-29 - 2005-02-28 INACTIVE

Office Location

Street Address 175 CANTON ST APT D12
City WEST HAVEN
State CT
Zip Code 06516

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Competitor

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City WEST HAVEN
Zip Code 06516
License Type Physician/Surgeon
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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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