MOHAMMAD ALI N KHAN
Physician/surgeon


Address: 8020 S. 32 Way, Phoenix, AZ 85042

MOHAMMAD ALI N KHAN (Credential# 551512) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2011. The license expiration date date is March 31, 2012. The license status is INACTIVE.

Business Overview

MOHAMMAD ALI N KHAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.033913. The credential type is physician/surgeon. The effective date is April 1, 2011. The expiration date is March 31, 2012. The business address is 8020 S. 32 Way, Phoenix, AZ 85042. The current status is inactive.

Basic Information

Licensee Name MOHAMMAD ALI N KHAN
Credential ID 551512
Credential Number 1.033913
Credential Type Physician/Surgeon
Business Address 8020 S. 32 Way
Phoenix
AZ 85042
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1994-07-22
Effective Date 2011-04-01
Expiration Date 2012-03-31
Refresh Date 2012-07-03

Other licenses

ID Credential Code Credential Type Issue Term Status
161798 CSP.0022592 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1994-10-12 - 1995-12-01 INACTIVE

Office Location

Street Address 8020 S. 32 Way
City Phoenix
State AZ
Zip Code 85042

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Prakash Y Deshmukh 8826 S 12th Street, Phoenix, AZ 85042 Professional Engineer 1989-05-08 ~ 1990-01-31
Kim M Pinkstaff 1506 East Gary Way, Phoenix, AZ 85042 Registered Nurse 2010-02-01 ~ 2011-01-31
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Andrew H Paschall 2019 E Gwen St, Phoenix, AZ 85042 Professional Engineer 2006-01-17 ~ 2007-01-31
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Elizabeth C Carlon 6811 S 14th Pl, Phoenix, AZ 85042-5657 Registered Nurse 2014-02-01 ~ 2015-01-31
Benjamin D Riddle 1918 E Desert Ln, Phoenix, AZ 85042-6844 Professional Engineer 2014-02-01 ~ 2015-01-31

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Competitor

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City Phoenix
Zip Code 85042
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Phoenix

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Improve Information

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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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