FARZAD SHOKRI-TABIBZADEH
Physician/surgeon


Address: 236 Robby Lane, Manhasset Hills, NY 11040

FARZAD SHOKRI-TABIBZADEH (Credential# 550292) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 25, 1993. The license expiration date date is May 31, 1994. The license status is INACTIVE.

Business Overview

FARZAD SHOKRI-TABIBZADEH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.032690. The credential type is physician/surgeon. The effective date is May 25, 1993. The expiration date is May 31, 1994. The business address is 236 Robby Lane, Manhasset Hills, NY 11040. The current status is inactive.

Basic Information

Licensee Name FARZAD SHOKRI-TABIBZADEH
Credential ID 550292
Credential Number 1.032690
Credential Type Physician/Surgeon
Business Address 236 Robby Lane
Manhasset Hills
NY 11040
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1992-11-20
Effective Date 1993-05-25
Expiration Date 1994-05-31
Refresh Date 2009-07-08

Office Location

Street Address 236 ROBBY LANE
City MANHASSET HILLS
State NY
Zip Code 11040

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City MANHASSET HILLS
Zip Code 11040
License Type Physician/Surgeon
License Type + County Physician/Surgeon + MANHASSET HILLS

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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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