MUIZ A LATIF
Physician Assistant


Address: 305 Blevins Run, Yorktown, VA 23693-4187

MUIZ A LATIF (Credential# 743397) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2010. The license expiration date date is April 30, 2011. The license status is INACTIVE.

Business Overview

MUIZ A LATIF is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001648. The credential type is physician assistant. The effective date is May 1, 2010. The expiration date is April 30, 2011. The business address is 305 Blevins Run, Yorktown, VA 23693-4187. The current status is inactive.

Basic Information

Licensee Name MUIZ A LATIF
Credential ID 743397
Credential Number 23.001648
Credential Type Physician Assistant
Business Address 305 Blevins Run
Yorktown
VA 23693-4187
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2005-07-13
Effective Date 2010-05-01
Expiration Date 2011-04-30
Refresh Date 2011-08-02

Other licenses

ID Credential Code Credential Type Issue Term Status
462551 CSP.0041098 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2007-02-14 2007-02-14 - 2008-02-28 INACTIVE

Office Location

Street Address 305 BLEVINS RUN
City YORKTOWN
State VA
Zip Code 23693-4187

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Lee E Robinson Jr 104 Cattail Lane, Yorktown, VA 23693 Barber 2020-04-01 ~ 2022-03-31
Ahmed H Mohammed 120 Manhoac Run, Yorktown, VA 23693 Physician/surgeon 2020-02-01 ~ 2021-01-31
Margaret J Boughton 216 Kings Pointe Crossing, Yorktown, VA 23693 Licensed Practical Nurse 2017-10-01 ~ 2018-09-30
Carol M Shoemaker 105 Winder Road, Yorktown, VA 23693 Registered Nurse 2016-04-01 ~ 2017-03-31
Arnold J Zimmer 110 Wicomico Turn, Yorktown, VA 23693 Pharmacist 2012-08-17 ~ 2014-01-31
Robert W White · Hospitality Appraisals Inc 110 Lawson Dr, Yorktown, VA 23693 Temporary Certified General Real Estate Appraiser 2012-12-04 ~ 2013-06-04
Martha H Neale Pa 115 Stone Lake Ct, Yorktown, VA 23693 Physician Assistant 2005-04-12 ~ 2006-05-31
Mary-lou Conway 309 Blevins Run, Yorktown, VA 23693 Registered Nurse 2000-08-14 ~ 2001-10-31
Mary Kupke 104d Heather Way, Yorktown, VA 23693 Dental Hygienist 1994-10-11 ~ 1995-10-31
Linda Peck 216 Susan Newton Ln, Yorktown, VA 23693 Hairdresser/cosmetician 1995-07-12 ~ 1996-04-30
Find all Licenses in zip 23693

Competitor

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City YORKTOWN
Zip Code 23693
License Type Physician Assistant
License Type + County Physician Assistant + YORKTOWN

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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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