SALAH ELDIN MOHAMED
Physician/surgeon


Address: 110 Belair Road, Staten Island, NY 10305

SALAH ELDIN MOHAMED (Credential# 1396937) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 15, 2017. The license expiration date date is October 31, 2017. The license status is INACTIVE.

Business Overview

SALAH ELDIN MOHAMED is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.056142. The credential type is physician/surgeon. The effective date is February 15, 2017. The expiration date is October 31, 2017. The business address is 110 Belair Road, Staten Island, NY 10305. The current status is inactive.

Basic Information

Licensee Name SALAH ELDIN MOHAMED
Credential ID 1396937
Credential Number 1.056142
Credential Type Physician/Surgeon
Business Address 110 Belair Road
Staten Island
NY 10305
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2017-02-15
Effective Date 2017-02-15
Expiration Date 2017-10-31
Refresh Date 2018-02-03

Other licenses

ID Credential Code Credential Type Issue Term Status
1374892 1 Physician/Surgeon - EXPIRED APPLICATION

Office Location

Street Address 110 belair road
City staten island
State NY
Zip Code 10305

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Competitor

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City staten island
Zip Code 10305
License Type Physician/Surgeon
License Type + County Physician/Surgeon + staten island

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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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