MALIK A AL-OMARI MD
Physician/surgeon


Address: 45 Juniper Dr, Avon, CT 06001

MALIK A AL-OMARI MD (Credential# 562013) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 9, 2007. The license expiration date date is May 31, 2008. The license status is INACTIVE.

Business Overview

MALIK A AL-OMARI MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.044431. The credential type is physician/surgeon. The effective date is April 9, 2007. The expiration date is May 31, 2008. The business address is 45 Juniper Dr, Avon, CT 06001. The current status is inactive.

Basic Information

Licensee Name MALIK A AL-OMARI MD
Credential ID 562013
Credential Number 1.044431
Credential Type Physician/Surgeon
Business Address 45 Juniper Dr
Avon
CT 06001
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2006-06-05
Effective Date 2007-04-09
Expiration Date 2008-05-31
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
445951 CSP.0039728 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2006-08-07 2007-03-01 - 2008-02-29 INACTIVE

Office Location

Street Address 45 JUNIPER DR
City AVON
State CT
Zip Code 06001

Licenses in the same zip code

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Julie R Deitch 5 Bridle Path, Avon, CT 06001 Dental Hygienist 2020-07-01 ~ 2021-06-30
Brigitte Nicole Heleniak 16 Sunset Trail, Avon, CT 06001 Registered Nurse 2020-07-01 ~ 2021-06-30
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Mollie Velma Lahaie 14 Red Mountain Lane, Avon, CT 06001 Registered Nurse 2020-06-26 ~ 2020-08-31
Meiling Chen Avon Nail 315 W Main Street, Avon, CT 06001 Nail Technician ~
Richard J Kaiser 72 Westland Road, Avon, CT 06001 Architect 2020-08-01 ~ 2021-07-31
Michele L Sweitzer 12 Bluestone Lane, Avon, CT 06001 Real Estate Salesperson 2020-06-25 ~ 2021-05-31
Caroline O Amin 5 Colby Way, Avon, CT 06001 Physician/surgeon 2020-08-01 ~ 2021-07-31
Christine Burns 102 New Road, Avon, CT 06001 Registered Nurse 2020-08-01 ~ 2021-07-31
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Competitor

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City AVON
Zip Code 06001
License Type Physician/Surgeon
License Type + County Physician/Surgeon + AVON

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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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