MOHAMED E SHAALAN
Physician/surgeon


Address: 1848 Rear Admiral Lane, Jacksonville, FL 32256

MOHAMED E SHAALAN (Credential# 560085) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 19, 2008. The license expiration date date is June 30, 2009. The license status is INACTIVE.

Business Overview

MOHAMED E SHAALAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.042503. The credential type is physician/surgeon. The effective date is September 19, 2008. The expiration date is June 30, 2009. The business address is 1848 Rear Admiral Lane, Jacksonville, FL 32256. The current status is inactive.

Basic Information

Licensee Name MOHAMED E SHAALAN
Credential ID 560085
Credential Number 1.042503
Credential Type Physician/Surgeon
Business Address 1848 Rear Admiral Lane
Jacksonville
FL 32256
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2004-06-01
Effective Date 2008-09-19
Expiration Date 2009-06-30
Refresh Date 2009-11-02

Other licenses

ID Credential Code Credential Type Issue Term Status
374445 CSP.0035251 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2004-06-30 2004-06-30 - 2005-02-28 INACTIVE

Office Location

Street Address 1848 Rear Admiral Lane
City Jacksonville
State FL
Zip Code 32256

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Pedram Zendehrouh 5220 Belfort Rd., Jacksonville, FL 32256 Physician/surgeon 2019-10-01 ~ 2020-10-31
Anibal Rios Jr 7820 Baymeadows Rd E, Jacksonville, FL 32256 Emergency Medical Responder ~
Toni F Montalvo 7595 Baymeaows Circle W, Jacksonville, FL 32256 Licensed Practical Nurse 2019-05-01 ~ 2020-04-30
Paul Clay Baldwin 8660 Nathans Cove Court, Jacksonville, FL 32256 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Norman S Cohen 5150 Belfort Road, Jacksonville, FL 32256 Physician/surgeon 2004-11-22 ~ 2006-01-31
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Competitor

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City Jacksonville
Zip Code 32256
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Jacksonville

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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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