AHMAD SALLOUM MD
Controlled Substance Registration for Practitioner


Address: 307 Shawnee Dr., Brick, NJ 08724

AHMAD SALLOUM MD (Credential# 198199) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is January 17, 2002. The license expiration date date is February 28, 2003. The license status is INACTIVE.

Business Overview

AHMAD SALLOUM MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0027103. The credential type is controlled substance registration for practitioner. The effective date is January 17, 2002. The expiration date is February 28, 2003. The business address is 307 Shawnee Dr., Brick, NJ 08724. The current status is inactive.

Basic Information

Licensee Name AHMAD SALLOUM MD
Credential ID 198199
Credential Number CSP.0027103
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 307 Shawnee Dr.
Brick
NJ 08724
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2002-01-17
Expiration Date 2003-02-28
Refresh Date 2009-01-26

Office Location

Street Address 307 SHAWNEE DR.
City BRICK
State NJ
Zip Code 08724

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Ananias P Gloria IIi 167 Kentwood Blvd, Brick, NJ 08724 Registered Nurse 2020-06-25 ~ 2019-12-31
Donna R Ricchezza 35 Regina Drive, Brick, NJ 08724 Registered Nurse 2018-12-01 ~ 2019-11-30
Betty-ann F Struebing 137 Creek Rd, Brick, NJ 08724 Real Estate Salesperson 2002-06-03 ~ 2003-05-31
James F Kiernan 293 18th Ave, Brick, NJ 08724 Real Estate Salesperson 2004-06-01 ~ 2005-05-31
Amy A Martin 40 Walden Rd, Brick, NJ 08724 Real Estate Salesperson 2003-06-01 ~ 2004-05-31
Donna M West 471 17th Ave, Brick, NJ 08724 Real Estate Salesperson 2004-06-01 ~ 2005-05-31
Robert G Hennessey 1070 Sawmill Rd, Brick, NJ 08724 Real Estate Salesperson 2006-06-01 ~ 2007-05-31
Nicole R Indivero 1288 Elena Court, Brick, NJ 08724 Real Estate Salesperson 2006-06-01 ~ 2007-05-31
Andrew J Botticelli 780 Williamsburg Dr, Brick, NJ 08724 Real Estate Salesperson 2002-06-03 ~ 2003-05-31
Richard G Palmer 1587 Forge Pond Road, Brick, NJ 08724 Backflow Prevention Device Tester 2009-10-01 ~ 2012-06-30
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Competitor

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City BRICK
Zip Code 08724
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BRICK

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Ahmad J Akram 114 Woodland St, Hartford, CT 06105-1208 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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