SARAH S KHODADADEH (Credential# 1145173) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2016. The license expiration date date is January 31, 2017. The license status is INACTIVE.
SARAH S KHODADADEH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.051737. The credential type is physician/surgeon. The effective date is February 1, 2016. The expiration date is January 31, 2017. The business address is 3500 Us Highway 1, Vero Beach, FL 32960-4511. The current status is inactive.
Licensee Name | SARAH S KHODADADEH |
Credential ID | 1145173 |
Credential Number | 1.051737 |
Credential Type | Physician/Surgeon |
Business Address |
3500 Us Highway 1 Vero Beach FL 32960-4511 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2013-03-27 |
Effective Date | 2016-02-01 |
Expiration Date | 2017-01-31 |
Refresh Date | 2017-05-06 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1145540 | CSP.0054134 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-03-28 | 2013-03-28 - 2015-02-28 | INACTIVE |
Street Address | 3500 US HIGHWAY 1 |
City | VERO BEACH |
State | FL |
Zip Code | 32960-4511 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Susan Gordon | 1535 29th Ave, Vero Beach, FL 32960 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
Joelle Marie Ferreone | 1935 Cobia Drive, Vero Beach, FL 32960 | Licensed Practical Nurse | 2019-10-01 ~ 2020-09-30 |
Dijit Inc | 1507 20th St, Vero Beach, FL 32960 | Manufacturer of Bedding & Upholstered Furniture | 2005-05-01 ~ 2006-04-30 |
Norma I Einhorn | 2800 Indian River Blvd, Vero Beach, FL 32960 | Licensed Clinical Social Worker | 2016-12-01 ~ 2017-11-30 |
Ann Gordon · Real Estate Referral Inc | 23 Sailfish Road, Vero Beach, FL 32960 | Real Estate Salesperson | 1999-06-14 ~ 2000-05-31 |
William J Bahm | 50 Woodland Dr Apt 106, Vero Beach, FL 32960 | Professional Engineer | 1992-02-04 ~ 1993-01-31 |
Barry Gold | Vna of The Treasure Coast, Vero Beach, FL 32960 | Certified Public Accountant Certificate | ~ |
Christopher P Tompkins | 5785 36th Lane, Vero Beach, FL 32960 | Certified Public Accountant Certificate | ~ |
Grand Harbor | Indian River Blvd, Vero Beach, FL 32960 | Interstate Land Sales Registration | 2010-01-01 ~ 2010-12-31 |
Rayanne Argyros | 636 18th St, Vero Beach, FL 32960 | Hairdresser/cosmetician | 2001-08-20 ~ 2002-07-31 |
Find all Licenses in zip 32960 |
City | VERO BEACH |
Zip Code | 32960 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + VERO BEACH |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Sarah Ariana Albert | 12f, Bronx, NY 10457 | Physician/surgeon | ~ |
Ana C. Sanchez | 141 Sarah Cir, Laconia, NH 03246-3069 | Physician/surgeon | 2010-06-07 ~ 2011-04-30 |
Sarah M. Battistich | 202 1st Ave Apt 18, New York, NY 10009-3727 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Sarah E Buckingham | 67 5th St, Stamford, CT 06905-4704 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Sarah Calnan | 200 Retreat Ave, Hartford, CT 06106-3309 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Sarah Amalina Sabrudin | 218 E 81st St Apt 3d, New York, NY 10028-2679 | Physician/surgeon | ~ |
Eldad Rosenthal | C/o Sarah Joy, Orleans, MA 02653-3526 | Physician/surgeon | 2016-10-01 ~ 2017-09-30 |
Sarah Y Lee | 333 Cedar Street, New Haven, CT 06520-8063 | Physician/surgeon | 2010-04-01 ~ 2011-03-31 |
Sarah H Banks | 21 Margo Ct, Cromwell, CT 06416-1729 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Sarah S Mougalian | 300 George St Ste 120, New Haven, CT 06511-6624 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
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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).