AFRASIABI RAHMATOLLAH (Credential# 1330890) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 18, 1987. The license expiration date date is March 31, 1989. The license status is INACTIVE.
AFRASIABI RAHMATOLLAH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.028746. The credential type is physician/surgeon. The effective date is December 18, 1987. The expiration date is March 31, 1989. The business address is 3581 Palmer Dr, Cameron Park, CA 95682-8236. The current status is inactive.
| Licensee Name | AFRASIABI RAHMATOLLAH |
| Credential ID | 1330890 |
| Credential Number | 1.028746 |
| Credential Type | Physician/Surgeon |
| Business Address |
3581 Palmer Dr Cameron Park CA 95682-8236 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1987-12-18 |
| Effective Date | 1987-12-18 |
| Expiration Date | 1989-03-31 |
| Refresh Date | 2016-01-28 |
| Street Address | 3581 PALMER DR |
| City | CAMERON PARK |
| State | CA |
| Zip Code | 95682-8236 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicole M Gerace | 3976 Grove Lane, Shingle Springs, CA 95682 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Paulette M Mader | 3840 Calderwood, Shingle Springs, CA 95682 | Registered Nurse | 1992-11-24 ~ 1993-11-30 |
| Maurice J Randall | 3958 Cambridge Rd #128, Cameron Park, CA 95682 | Electrical Limited Contractor | ~ |
| Dominic Onak | 3430 Virada Rd Apt 4d, Cameron Park, CA 95682-7905 | Home Improvement Salesperson | 2017-03-27 ~ 2017-11-30 |
| Mitch Jankowski | 4606 Ridge Dr, Shingle Springs, CA 95682-8464 | Home Improvement Salesperson | 2016-12-20 ~ 2017-11-30 |
| Amanda M Steiner | 3609 Blueberry Hill Dr, Shingle Springs, CA 95682-8885 | Psychologist | 2015-06-01 ~ 2016-05-31 |
| Cynthia C Macias | 2786 Holly Hills Ln, Cameron Park, CA 95682-9027 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Jeremiah Knoblock | 2640 Cambridge Rd Apt 58, Cameron Park, CA 95682-9293 | Home Improvement Salesperson | 2016-04-22 ~ 2016-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Liza Gayle Aller | 7 Salamon Rd, Cameron Park, AU 2285 | Registered Nurse | 2015-10-01 ~ 2016-09-30 |
| City | CAMERON PARK |
| Zip Code | 95682 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + CAMERON PARK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| 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 |
| 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 |
| Nazanin Barzideh Md | North Shore Retina Physician, Pllc, East Hills, NY 11576 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
| Barbara M Galko Md | Danbury Office of Physician Services PC, Danbury, CT 06810 | Physician/surgeon | 2010-06-01 ~ 2011-05-31 |
| Barbara A Brandes Md | Danbury Office of Physician Services, Danbury, CT 06810 | Physician/surgeon | 2004-07-08 ~ 2005-07-31 |
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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).