SHERIF IBRAHIM
Physician/surgeon


Address: 200 Watson Blvd, Stratford, CT 06615

SHERIF IBRAHIM (Credential# 556334) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2019. The license expiration date date is December 31, 2019. The license status is INACTIVE.

Business Overview

SHERIF IBRAHIM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.038746. The credential type is physician/surgeon. The effective date is January 1, 2019. The expiration date is December 31, 2019. The business address is 200 Watson Blvd, Stratford, CT 06615. The current status is inactive.

Basic Information

Licensee Name SHERIF IBRAHIM
Credential ID 556334
Credential Number 1.038746
Credential Type Physician/Surgeon
Business Address 200 Watson Blvd
Stratford
CT 06615
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2000-06-16
Effective Date 2019-01-01
Expiration Date 2019-12-31
Refresh Date 2020-06-08

Other licenses

ID Credential Code Credential Type Issue Term Status
265012 CSP.0030596 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2001-03-19 - 2002-02-28 INACTIVE

Other locations

Licensee Name Office Address Credential Effective / Expiration
Sherif Ibrahim 2324 Oak Ridge Dr., Troy, MI 48098 Physician/surgeon 2020-02-01 ~ 2021-01-31

Office Location

Street Address 200 WATSON BLVD
City STRATFORD
State CT
Zip Code 06615

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Sarath Koun 323 Bruce Ave, Stratford, CT 06615 Combination Nail Technician, Esthetician Or Eyelash Technici 2020-06-27 ~ 2022-03-31
Constance Trenske 50 Birdseye Street, #105a, Stratford, CT 06615 Registered Nurse 2020-09-01 ~ 2021-08-31
Jennifer Massey 187 Third Ave, Stratford, CT 06615 Notary Public Appointment 2020-08-01 ~ 2025-07-31
Regina M Golden 295 2nd Ave, Stratford, CT 06615 Real Estate Salesperson 2020-06-25 ~ 2021-05-31
Susan R Leventhal 265 Second Ave, Stratford, CT 06615 Registered Nurse 2020-09-01 ~ 2021-08-31
Danielle M Donfrancesco 90 Sands Pl, Stratford, CT 06615 Esthetician ~
James A Phillips 735 Broad Street, Stratford, CT 06615 Backflow Prevention Device Tester 2020-05-27 ~ 2023-03-31
Debra J Cennamo 155 Short Beach Rd, Stratford, CT 06615 Hairdresser/cosmetician 2020-09-01 ~ 2022-08-31
Melissa Andrea Escobar-avilez [email protected], Stratford, CT 06615 Licensed Practical Nurse ~
Stephanie Gabon 1168 Main Street, C6, Stratford, CT 06615 Licensed Practical Nurse ~
Find all Licenses in zip 06615

Competitor

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City STRATFORD
Zip Code 06615
License Type Physician/Surgeon
License Type + County Physician/Surgeon + STRATFORD

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Sherif A Nasef 7019 Woodlake Drive, Memphis, TN 38119 Physician/surgeon 1999-12-02 ~ 2000-11-30
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Ibrahim & Ibrahim Engrs 42 Border St, Deedham, MA 02026 Professional Engineer 1988-03-11 ~ 1989-01-31
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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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