YULIA KROTOVA KHAN (Credential# 1262784) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2016. The license expiration date date is March 31, 2017. The license status is INACTIVE.
YULIA KROTOVA KHAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.053932. The credential type is physician/surgeon. The effective date is April 1, 2016. The expiration date is March 31, 2017. The business address is 3917 E Half Hitch Pl, Phoenix, AZ 85050-4933. The current status is inactive.
| Licensee Name | YULIA KROTOVA KHAN |
| Credential ID | 1262784 |
| Credential Number | 1.053932 |
| Credential Type | Physician/Surgeon |
| Business Address |
3917 E Half Hitch Pl Phoenix AZ 85050-4933 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2015-03-16 |
| Effective Date | 2016-04-01 |
| Expiration Date | 2017-03-31 |
| Refresh Date | 2017-07-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1281148 | CSP.0059931 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-04-30 | 2015-04-30 - 2017-02-28 | INACTIVE |
| Street Address | 3917 E HALF HITCH PL |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85050-4933 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Erica Elizabeth Mckenzie | 3602 E. Monona Drive, Phoenix, AZ 85050 | Pharmacist | 2018-02-01 ~ 2020-01-31 |
| Jane E Dalen | 3229 E. Marco Polo Road, Phoenix, AZ 85050 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Scott Raby | 21862 N 40th St, Phoenix, AZ 85050 | Home Improvement Salesperson | 2020-01-02 ~ 2020-11-30 |
| Olga Vallone | 4006 E Rockwood Dr, Phoenix, AZ 85050 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Urszula H Kotlow | 21001 N. Tatum Blvd, Suite 1630, #277, Phoenix, AZ 85050 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Stacey L Denmark | 20219 North 33rd Place, Phoenix, AZ 85050 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
| Maria F Meadows | 20660 N 40th St, Pheonix, AZ 85050 | Real Estate Salesperson | 2017-01-11 ~ 2017-05-31 |
| Eric D. Engstrom | 22206 N. 36th Way, Phoenix, AZ 85050 | Certified Public Accountant License | 2006-02-07 ~ 2006-12-31 |
| Da-cheng Lee | 21150 N Tatum Blvd Apt 4014, Phoenix, AZ 85050 | Engineer-in-training | 2003-09-09 ~ 2013-09-09 |
| Michael Marranca Jr | 3920 East Quail Ave, Phoenix, AZ 85050 | Physician Assistant | 2012-08-01 ~ 2013-07-31 |
| Find all Licenses in zip 85050 | |||
| City | PHOENIX |
| Zip Code | 85050 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + PHOENIX |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Siddiq A Khan | 212 138th Ave Nw, Andover, MN 55304-6761 | Physician/surgeon | ~ |
| Talal Khan | 785 Mix Ave Apt C, Hamden, CT 06514-2126 | Physician/surgeon | 2010-04-01 ~ 2011-03-31 |
| Naureen Khan Md | 35 Willard St Apt 4b, New Haven, CT 06515-2163 | Physician/surgeon | 2008-09-22 ~ 2009-10-31 |
| Muhammad Khan | 131 Bridge St, Naugatuck, CT 06770-2929 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Aziz Khan | 47 Avonwood Rd, Avon, CT 06001 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Anwar M Khan Md | 241 Braeside Dr, Hamden, CT 06514 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Mohammad R Khan Md | 20 N Main St, Norwalk, CT 06854-2656 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Mohammad Ali N Khan | 8020 S. 32 Way, Phoenix, AZ 85042 | Physician/surgeon | 2011-04-01 ~ 2012-03-31 |
| Shaukat A Khan Md | 15 Rainbow Rd, Bethany, CT 06524 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Amjad A Khan | 122 W 43rd St, Bayonne, NJ 07002-2005 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
Please comment or provide details below to improve the information on YULIA KROTOVA KHAN.
| 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).