HUSSEIN M MAHFOUZ DVM
Veterinarian


Address: 2877 Fairfield Ave, Bridgeport, CT 06605

HUSSEIN M MAHFOUZ DVM (Credential# 771333) is licensed (Veterinarian) with Connecticut Department of Consumer Protection. The license effective date is August 9, 2004. The license expiration date date is August 31, 2005. The license status is INACTIVE.

Business Overview

HUSSEIN M MAHFOUZ DVM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #47.001068. The credential type is veterinarian. The effective date is August 9, 2004. The expiration date is August 31, 2005. The business address is 2877 Fairfield Ave, Bridgeport, CT 06605. The current status is inactive.

Basic Information

Licensee Name HUSSEIN M MAHFOUZ DVM
Credential ID 771333
Credential Number 47.001068
Credential Type Veterinarian
Business Address 2877 Fairfield Ave
Bridgeport
CT 06605
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1974-01-08
Effective Date 2004-08-09
Expiration Date 2005-08-31
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
149160 CSP.0000349 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2002-09-16 - 2003-02-28 INACTIVE

Office Location

Street Address 2877 FAIRFIELD AVE
City BRIDGEPORT
State CT
Zip Code 06605

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City BRIDGEPORT
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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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