OMAR A IBRAHIMI MD
Controlled Substance Registration for Practitioner


Address: 2 Hampton Rd, Darien, CT 06820-5120

OMAR A IBRAHIMI MD (Credential# 994186) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

OMAR A IBRAHIMI MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0050002. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 2 Hampton Rd, Darien, CT 06820-5120. The current status is active.

Basic Information

Licensee Name OMAR A IBRAHIMI MD
Credential ID 994186
Credential Number CSP.0050002
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 2 Hampton Rd
Darien
CT 06820-5120
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2011-04-20
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-01-10

Other licenses

ID Credential Code Credential Type Issue Term Status
984989 1.049530 Physician/Surgeon 2011-02-18 2019-09-01 - 2020-08-31 ACTIVE

Office Location

Street Address 2 HAMPTON RD
City DARIEN
State CT
Zip Code 06820-5120

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Competitor

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City DARIEN
Zip Code 06820
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + DARIEN

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Omar B Hasan 20 York Street, New Haven, CT 06510 Controlled Substance Registration for Practitioner 2013-03-01 ~ 2015-02-28
Omar I Mufti 6 Scarlet Lane, Windsor, CT 06095 Controlled Substance Registration for Practitioner 2015-03-01 ~ 2017-02-28
Omar M Young 1172 Chapel St Apt 23, New Haven, CT 06511-4821 Controlled Substance Registration for Practitioner 2011-03-01 ~ 2013-02-28
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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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