MANSUR A KHAN (Credential# 549050) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 10, 1993. The license expiration date date is December 31, 1994. The license status is INACTIVE.
MANSUR A KHAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.031278. The credential type is physician/surgeon. The effective date is November 10, 1993. The expiration date is December 31, 1994. The business address is 2161 A Cloverwood, Scott Afb, IL 62225. The current status is inactive.
| Licensee Name | MANSUR A KHAN |
| Credential ID | 549050 |
| Credential Number | 1.031278 |
| Credential Type | Physician/Surgeon |
| Business Address |
2161 A Cloverwood Scott Afb IL 62225 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1990-12-21 |
| Effective Date | 1993-11-10 |
| Expiration Date | 1994-12-31 |
| Refresh Date | 2009-07-08 |
| Street Address | 2161 A CLOVERWOOD |
| City | SCOTT AFB |
| State | IL |
| Zip Code | 62225 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Julie L Airhart | 4416 Boeing Rd, Scott Afb, IL 62225 | Registered Nurse | 2018-11-01 ~ 2019-10-31 |
| City | SCOTT AFB |
| Zip Code | 62225 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + SCOTT AFB |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Muhammad A Mansur | Maamari Str., Hamra, Beirut, 20347304 | Physician/surgeon | 2013-01-01 ~ 2013-12-31 |
| Marcey C Mansur · Mansur | 87 Del Mar Dr., Brookfield, CT 06804 | Massage Therapist | 2003-01-15 ~ 2003-10-31 |
| 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 |
| Mohammad R Khan Md | 20 N Main St, Norwalk, CT 06854-2656 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Amjad A Khan | 122 W 43rd St, Bayonne, NJ 07002-2005 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Mohammad Ali N Khan | 8020 S. 32 Way, Phoenix, AZ 85042 | Physician/surgeon | 2011-04-01 ~ 2012-03-31 |
| Anwar M Khan Md | 241 Braeside Dr, Hamden, CT 06514 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Muhammad Khan | 131 Bridge St, Naugatuck, CT 06770-2929 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Aliya Aziz Khan | 35 Harrington Ave, Shrewsbury, MA 01545 | Physician/surgeon | ~ |
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| 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).