JALAL SHIRAZIFARD
Radiographer


Address: 15 Brightside Dr, Stamford, CT 06902-8107

JALAL SHIRAZIFARD (Credential# 1252635) is licensed (Radiographer) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2015. The license expiration date date is September 30, 2016. The license status is INACTIVE.

Business Overview

JALAL SHIRAZIFARD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #28.006811. The credential type is radiographer. The effective date is October 1, 2015. The expiration date is September 30, 2016. The business address is 15 Brightside Dr, Stamford, CT 06902-8107. The current status is inactive.

Basic Information

Licensee Name JALAL SHIRAZIFARD
Credential ID 1252635
Credential Number 28.006811
Credential Type Radiographer
Business Address 15 Brightside Dr
Stamford
CT 06902-8107
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2014-11-10
Effective Date 2015-10-01
Expiration Date 2016-09-30
Refresh Date 2017-01-03

Other licenses

ID Credential Code Credential Type Issue Term Status
1178571 PTN.0015514 PHARMACY TECHNICIAN 2013-08-07 2013-08-07 - 2014-03-31 INACTIVE

Office Location

Street Address 15 BRIGHTSIDE DR
City STAMFORD
State CT
Zip Code 06902-8107

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City STAMFORD
Zip Code 06902
License Type Radiographer
License Type + County Radiographer + STAMFORD

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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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