FAYCAL TAHIRI
Physician/surgeon


Address: 44 Tern Court, Bay Shore, NY 11706-7707

FAYCAL TAHIRI (Credential# 563461) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2019. The license expiration date date is September 30, 2020. The license status is ACTIVE.

Business Overview

FAYCAL TAHIRI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.045879. The credential type is physician/surgeon. The effective date is October 1, 2019. The expiration date is September 30, 2020. The business address is 44 Tern Court, Bay Shore, NY 11706-7707. The current status is active.

Basic Information

Licensee Name FAYCAL TAHIRI
Credential ID 563461
Credential Number 1.045879
Credential Type Physician/Surgeon
Business Address 44 Tern Court
Bay Shore
NY 11706-7707
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2007-09-25
Effective Date 2019-10-01
Expiration Date 2020-09-30
Refresh Date 2019-10-02

Other licenses

ID Credential Code Credential Type Issue Term Status
483675 CSP.0042654 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2007-09-27 2013-09-30 - 2015-02-28 INACTIVE

Office Location

Street Address 44 Tern Court
City BAY SHORE
State NY
Zip Code 11706-7707

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Competitor

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City BAY SHORE
Zip Code 11706
License Type Physician/Surgeon
License Type + County Physician/Surgeon + BAY SHORE

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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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