LAITH KASIR
Physician/surgeon


Address: 12 Goodrich Rd, Farmington, CT 06032-2601

LAITH KASIR (Credential# 561679) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2016. The license expiration date date is July 31, 2017. The license status is INACTIVE.

Business Overview

LAITH KASIR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.044097. The credential type is physician/surgeon. The effective date is August 1, 2016. The expiration date is July 31, 2017. The business address is 12 Goodrich Rd, Farmington, CT 06032-2601. The current status is inactive.

Basic Information

Licensee Name LAITH KASIR
Credential ID 561679
Credential Number 1.044097
Credential Type Physician/Surgeon
Business Address 12 Goodrich Rd
Farmington
CT 06032-2601
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2006-02-17
Effective Date 2016-08-01
Expiration Date 2017-07-31
Refresh Date 2017-11-03

Other licenses

ID Credential Code Credential Type Issue Term Status
432131 CSP.0038928 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2006-03-17 2015-03-01 - 2017-02-28 INACTIVE

Office Location

Street Address 12 GOODRICH RD
City FARMINGTON
State CT
Zip Code 06032-2601

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Competitor

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City FARMINGTON
Zip Code 06032
License Type Physician/Surgeon
License Type + County Physician/Surgeon + FARMINGTON

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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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