ABUBAKR R MARZOUK
Physician/surgeon


Address: 55 Brittany Farms Rd Apt 113, New Britain, CT 06053-1203

ABUBAKR R MARZOUK (Credential# 1328885) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 15, 1984. The license expiration date date is December 31, 1984. The license status is INACTIVE.

Business Overview

ABUBAKR R MARZOUK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.025423. The credential type is physician/surgeon. The effective date is August 15, 1984. The expiration date is December 31, 1984. The business address is 55 Brittany Farms Rd Apt 113, New Britain, CT 06053-1203. The current status is inactive.

Basic Information

Licensee Name ABUBAKR R MARZOUK
Credential ID 1328885
Credential Number 1.025423
Credential Type Physician/Surgeon
Business Address 55 Brittany Farms Rd Apt 113
New Britain
CT 06053-1203
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1984-08-15
Effective Date 1984-08-15
Expiration Date 1984-12-31
Refresh Date 2016-01-14

Office Location

Street Address 55 BRITTANY FARMS RD APT 113
City NEW BRITAIN
State CT
Zip Code 06053-1203

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Severino J Mata Mata 55 Brittany Farms Rd Apt 213, New Britain, CT 06053-1203 Controlled Substance Registration for Practitioner 2015-07-27 ~ 2017-02-28

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City NEW BRITAIN
Zip Code 06053
License Type Physician/Surgeon
License Type + County Physician/Surgeon + NEW BRITAIN

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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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