KHAJA MOINUDDEEN
Physician/surgeon


Address: 5 Warren Drive, Woodbridge, CT 06525

KHAJA MOINUDDEEN (Credential# 558914) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 30, 2004. The license expiration date date is April 30, 2005. The license status is INACTIVE.

Business Overview

KHAJA MOINUDDEEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.041331. The credential type is physician/surgeon. The effective date is March 30, 2004. The expiration date is April 30, 2005. The business address is 5 Warren Drive, Woodbridge, CT 06525. The current status is inactive.

Basic Information

Licensee Name KHAJA MOINUDDEEN
Credential ID 558914
Credential Number 1.041331
Credential Type Physician/Surgeon
Business Address 5 Warren Drive
Woodbridge
CT 06525
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2003-04-08
Effective Date 2004-03-30
Expiration Date 2005-04-30
Refresh Date 2009-07-08

Office Location

Street Address 5 WARREN DRIVE
City Woodbridge
State CT
Zip Code 06525

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City Woodbridge
Zip Code 06525
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Woodbridge

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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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