OMAR G EL-TALIAWI DVM
Controlled Substance Registration for Practitioner


Address: 75-18 62 St, Glendale, NY 11385

OMAR G EL-TALIAWI DVM (Credential# 504306) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.

Business Overview

OMAR G EL-TALIAWI DVM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0043589. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2009. The expiration date is February 28, 2011. The business address is 75-18 62 St, Glendale, NY 11385. The current status is inactive.

Basic Information

Licensee Name OMAR G EL-TALIAWI DVM
Credential ID 504306
Credential Number CSP.0043589
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 75-18 62 St
Glendale
NY 11385
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2008-05-29
Effective Date 2009-03-01
Expiration Date 2011-02-28
Refresh Date 2013-03-07

Office Location

Street Address 75-18 62 ST
City GLENDALE
State NY
Zip Code 11385

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Competitor

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City GLENDALE
Zip Code 11385
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + GLENDALE

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Omar I Mufti 6 Scarlet Lane, Windsor, CT 06095 Controlled Substance Registration for Practitioner 2015-03-01 ~ 2017-02-28
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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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