FARAH I KHAN DDS
Dentist


Address: 15 Westminster Rd, Syosset, NY 11791-6615

FARAH I KHAN DDS (Credential# 883982) is licensed (Dentist) 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

FARAH I KHAN DDS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.010078. The credential type is dentist. The effective date is October 1, 2014. The expiration date is September 30, 2015. The business address is 15 Westminster Rd, Syosset, NY 11791-6615. The current status is inactive.

Basic Information

Licensee Name FARAH I KHAN DDS
Credential ID 883982
Credential Number 2.010078
Credential Type Dentist
Business Address 15 Westminster Rd
Syosset
NY 11791-6615
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2009-07-15
Effective Date 2014-10-01
Expiration Date 2015-09-30
Refresh Date 2016-01-06

Other licenses

ID Credential Code Credential Type Issue Term Status
889248 CSP.0046154 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2009-08-12 2013-05-01 - 2015-02-28 INACTIVE

Office Location

Street Address 15 WESTMINSTER RD
City SYOSSET
State NY
Zip Code 11791-6615

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City SYOSSET
Zip Code 11791
License Type Dentist
License Type + County Dentist + SYOSSET

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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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