MOHAMED B JAH (Credential# 551166) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2019. The license expiration date date is August 31, 2020. The license status is ACTIVE.
MOHAMED B JAH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.033567. The credential type is physician/surgeon. The effective date is September 1, 2019. The expiration date is August 31, 2020. The business address is 5750 Lockwood Dr, Meridian, MS 39305-9021. The current status is active.
| Licensee Name | MOHAMED B JAH |
| Credential ID | 551166 |
| Credential Number | 1.033567 |
| Credential Type | Physician/Surgeon |
| Business Address |
5750 Lockwood Dr Meridian MS 39305-9021 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1994-03-04 |
| Effective Date | 2019-09-01 |
| Expiration Date | 2020-08-31 |
| Refresh Date | 2019-08-20 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 163125 | CSP.0021961 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1994-03-24 - 1995-12-01 | INACTIVE |
| Street Address | 5750 LOCKWOOD DR |
| City | MERIDIAN |
| State | MS |
| Zip Code | 39305-9021 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Aimee Nicole Carpenter | 8188 Pine Springs Road, Meridian, MS 39305 | Registered Nurse | ~ |
| Christopher Mark Gipson | 9085 Russell Topton Road, Meridian, MS 39305 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Tila Emerson | 4550-35th Ave, Meridian, MS 39305 | Licensed Practical Nurse - Temporary | 2019-04-23 ~ 2019-08-21 |
| Timothy Summers | 4513 7th Avenue, Meridian, MS 39305 | Physician/surgeon | 2018-07-02 ~ 2018-09-30 |
| Nathan D Harding | 4205 P S D, Meridian, MS 39305 | Licensed Practical Nurse | 2003-02-24 ~ 2004-03-31 |
| Daniel S Vincent | 294 Briarwood Blvd, Meridian, MS 39305 | Registered Nurse | 2003-06-03 ~ 2004-02-29 |
| Donna K Johnson | 8459 Fellowship Rd, Meridian, MS 39305 | Registered Nurse | 2002-05-08 ~ 2002-11-30 |
| Peggy S Joyner | 9557 Pine Springs Rd, Meridian, MS 39305 | Registered Nurse | 2001-04-24 ~ 2002-02-28 |
| Lora L Jenkins-lonidier | 6524 Timber Cove Drive, Meridian, MS 39305 | Registered Nurse | 2004-06-18 ~ 2005-08-31 |
| James H Hudnall | Rt 12 Box 425-h, Meridian, MS 39305 | Heating, Piping & Cooling Limited Journeyperson | ~ |
| Find all Licenses in zip 39305 | |||
| City | MERIDIAN |
| Zip Code | 39305 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + MERIDIAN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mohamed Elmousely | 14 Sunrise Ter, Lagrangeville, NY 12540-6615 | Physician/surgeon | ~ |
| Mohamed M Elrahman | Po Box 233, Croswell, MI 48422 | Physician/surgeon | 1993-02-25 ~ 1994-03-31 |
| Mohamed A Abdullahi | 527 Willoughby Ave, Brooklyn, NY 11206-6815 | Physician/surgeon | ~ |
| Mohamed Kamel | 51 Locust St, Northampton, MA 01060-2545 | Physician/surgeon | 2018-03-01 ~ 2019-02-28 |
| Nasser Mohamed | 99 Woodland St, Hartford, CT 06105-1207 | Physician/surgeon | 2015-06-01 ~ 2016-05-31 |
| Mohamed Pacha Hamdani | 25 Shirley St, Wilbraham, MA 01095-2033 | Physician/surgeon | ~ |
| Imtiaz Mohamed | 715 Duncan Avenue, Pittsburgh, PA 15237 | Physician/surgeon | ~ 1999-09-30 |
| Mohamed El-shahawy | 6230 5th Ave Apt 114f, Pittsburgh, PA 15232-2900 | Physician/surgeon | 1985-08-20 ~ 1988-08-31 |
| Mohamed Y Ahmed Md | 15 Sampson Terrace, Danbury, CT 06810 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Bethann Mohamed | 20 York Street, New Haven, CT 06510 | Physician/surgeon | 2018-03-01 ~ 2019-02-28 |
Please comment or provide details below to improve the information on MOHAMED B JAH.
| 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).