FOROUGH S GHAVAMI SHIREHJINI (Credential# 1230142) 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.
FOROUGH S GHAVAMI SHIREHJINI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.053499-DO. The credential type is physician/surgeon. The effective date is October 1, 2019. The expiration date is September 30, 2020. The business address is 8 Taiga, Coto De Caza, CA 92679. The current status is active.
| Licensee Name | FOROUGH S GHAVAMI SHIREHJINI |
| Credential ID | 1230142 |
| Credential Number | 1.053499-DO |
| Credential Type | Physician/Surgeon |
| Credential SubCategory | DO |
| Business Address |
8 Taiga Coto De Caza CA 92679 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2014-09-02 |
| Effective Date | 2019-10-01 |
| Expiration Date | 2020-09-30 |
| Refresh Date | 2019-08-02 |
| Street Address | 8 Taiga |
| City | Coto de Caza |
| State | CA |
| Zip Code | 92679 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kathleen M O' Toole · Dellario | 32602 Coppercrest Dr, Trabuco Canyon, CA 92679 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Thomas O'leary | 20 Hillrise, Dove Canyon, CA 92679 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Dagmar Angela Combs | 28711 Pendleton Rd, Trabuco Canyon, CA 92679 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Christianne Lauria | 39 Fontaire, Coto De Caza, CA 92679 | Pharmacy Technician | 2005-04-01 ~ 2006-03-31 |
| Robert G. Dance | 8 Aquila Way, Coto De Caza, CA 92679 | Certified Public Accountant License | 2012-01-01 ~ 2012-12-31 |
| Mary M Fitzpatrick | 11 Augusta, Coto De Caza, CA 92679 | Registered Nurse | 2004-08-31 ~ 2005-05-31 |
| Cynthia D Ciciora | 17 Hillrise, Trabuco Canyon, CA 92679 | Registered Nurse | 2003-08-05 ~ 2004-07-31 |
| Chris A Harlow Opheim | 21771 Via Del Lago, Trabuco Canyon, CA 92679 | Dental Hygienist | 1996-09-09 ~ 1997-08-31 |
| Joanne M Cingari | 24086 Fairway Lane, Coto De Caza, CA 92679 | Registered Nurse | 1999-05-24 ~ 2000-05-31 |
| Patricia A Mcevilly | 19801 Meadow Rdge D, Trabuco Canyon, CA 92679 | Registered Nurse | 1993-09-23 ~ 1994-06-30 |
| Find all Licenses in zip 92679 | |||
| City | Coto de Caza |
| Zip Code | 92679 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Coto de Caza |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Heather A Smith | 1838 Forough Cir, Port Orange, FL 32128-6016 | Registered Nurse | 2016-11-01 ~ 2017-10-31 |
| Hossein G Ghavami | 24 Rivendell Dr, Shelton, CT 06484 | Real Estate Salesperson | ~ |
| Kamran Ghavami | 8019 Birnam Wood Dr, Mclean, VA 22102-2771 | Professional Engineer | 2020-01-14 ~ 2021-01-31 |
| Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
| Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
| Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
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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).