MICHELLE S ESLAMI
Physician/surgeon


Address: 200 Ucla Medical, Los Angeles, CA 90024

MICHELLE S ESLAMI (Credential# 547653) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 16, 1996. The license expiration date date is November 30, 1997. The license status is INACTIVE.

Business Overview

MICHELLE S ESLAMI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.029221. The credential type is physician/surgeon. The effective date is December 16, 1996. The expiration date is November 30, 1997. The business address is 200 Ucla Medical, Los Angeles, CA 90024. The current status is inactive.

Basic Information

Licensee Name MICHELLE S ESLAMI
Credential ID 547653
Credential Number 1.029221
Credential Type Physician/Surgeon
Business Address 200 Ucla Medical
Los Angeles
CA 90024
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1988-07-01
Effective Date 1996-12-16
Expiration Date 1997-11-30
Refresh Date 2009-07-08

Other licenses

ID Credential Code Credential Type Issue Term Status
156206 CSP.0016426 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1994-07-05 - 1996-08-01 INACTIVE

Office Location

Street Address 200 UCLA MEDICAL
City LOS ANGELES
State CA
Zip Code 90024

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City LOS ANGELES
Zip Code 90024
License Type Physician/Surgeon
License Type + County Physician/Surgeon + LOS ANGELES

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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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