MOUHANNAD DALAO
Physician/surgeon


Address: 40 Harvard Road, Watervliet, NY 12189

MOUHANNAD DALAO (Credential# 555861) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 14, 2001. The license expiration date date is June 30, 2002. The license status is INACTIVE.

Business Overview

MOUHANNAD DALAO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.038271. The credential type is physician/surgeon. The effective date is June 14, 2001. The expiration date is June 30, 2002. The business address is 40 Harvard Road, Watervliet, NY 12189. The current status is inactive.

Basic Information

Licensee Name MOUHANNAD DALAO
Credential ID 555861
Credential Number 1.038271
Credential Type Physician/Surgeon
Business Address 40 Harvard Road
Watervliet
NY 12189
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1999-11-18
Effective Date 2001-06-14
Expiration Date 2002-06-30
Refresh Date 2009-07-08

Office Location

Street Address 40 HARVARD ROAD
City WATERVLIET
State NY
Zip Code 12189

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Salvatore A F Bono 26 Windrose Way, Watervliet, NY 12189 Professional Engineer 2009-02-01 ~ 2010-01-31
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Raymond C Brooks IIi 1318 Vine Street, Wateruliet, NY 12189 Backflow Prevention Device Tester 2005-08-26 ~ 2008-06-30
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City WATERVLIET
Zip Code 12189
License Type Physician/Surgeon
License Type + County Physician/Surgeon + WATERVLIET

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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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