MHD.KHLDOUN BAKDOUNES
Physician/surgeon


Address: 18 Surrey Dr A2, Newington, CT 06111

MHD.KHLDOUN BAKDOUNES (Credential# 561402) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2014. The license expiration date date is September 30, 2015. The license status is INACTIVE.

Business Overview

MHD.KHLDOUN BAKDOUNES is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.043820. The credential type is physician/surgeon. The effective date is October 1, 2014. The expiration date is September 30, 2015. The business address is 18 Surrey Dr A2, Newington, CT 06111. The current status is inactive.

Basic Information

Licensee Name MHD.KHLDOUN BAKDOUNES
Credential ID 561402
Credential Number 1.043820
Credential Type Physician/Surgeon
Business Address 18 Surrey Dr A2
Newington
CT 06111
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2005-09-20
Effective Date 2014-10-01
Expiration Date 2015-09-30
Refresh Date 2016-01-03

Office Location

Street Address 18 Surrey Dr A2
City Newington
State CT
Zip Code 06111

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City Newington
Zip Code 06111
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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