MOEIN JABBAR DARJANI
Dentist


Address: 20 Waterside Plz Apt 16h, New York, NY 10010-2614

MOEIN JABBAR DARJANI (Credential# 1270756) is licensed (Dentist) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2016. The license expiration date date is March 31, 2017. The license status is INACTIVE.

Business Overview

MOEIN JABBAR DARJANI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.011371. The credential type is dentist. The effective date is April 1, 2016. The expiration date is March 31, 2017. The business address is 20 Waterside Plz Apt 16h, New York, NY 10010-2614. The current status is inactive.

Basic Information

Licensee Name MOEIN JABBAR DARJANI
Credential ID 1270756
Credential Number 2.011371
Credential Type Dentist
Business Address 20 Waterside Plz Apt 16h
New York
NY 10010-2614
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2015-04-06
Effective Date 2016-04-01
Expiration Date 2017-03-31
Refresh Date 2017-07-04

Other licenses

ID Credential Code Credential Type Issue Term Status
1276768 CSP.0059814 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2015-04-08 2015-04-08 - 2017-02-28 INACTIVE

Office Location

Street Address 20 WATERSIDE PLZ APT 16H
City NEW YORK
State NY
Zip Code 10010-2614

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City NEW YORK
Zip Code 10010
License Type Dentist
License Type + County Dentist + NEW YORK

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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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