MOHAMED TARIQ SAMEEN
Physician/surgeon


Address: 80-20 Broadway, Elmhurst, NY 11373

MOHAMED TARIQ SAMEEN (Credential# 555150) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license expiration date date is October 31, 1999. The license status is INACTIVE.

Business Overview

MOHAMED TARIQ SAMEEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.037560. The credential type is physician/surgeon. The expiration date is October 31, 1999. The business address is 80-20 Broadway, Elmhurst, NY 11373. The current status is inactive.

Basic Information

Licensee Name MOHAMED TARIQ SAMEEN
Credential ID 555150
Credential Number 1.037560
Credential Type Physician/Surgeon
Business Address 80-20 Broadway
Elmhurst
NY 11373
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1999-03-05
Expiration Date 1999-10-31
Refresh Date 2009-07-08

Office Location

Street Address 80-20 Broadway
City Elmhurst
State NY
Zip Code 11373

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City Elmhurst
Zip Code 11373
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Elmhurst

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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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