SHAHRAM S SHEIBANI
RAD


Address: 9363 Wilshire Blvd, Beverly Hills, CA 90210

SHAHRAM S SHEIBANI (Credential# 552960) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 22, 1999. The license expiration date date is November 30, 2000. The license status is INACTIVE.

Business Overview

SHAHRAM S SHEIBANI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.035367. The credential type is physician/surgeon. The effective date is November 22, 1999. The expiration date is November 30, 2000. The business address is 9363 Wilshire Blvd, Beverly Hills, CA 90210. The current status is inactive.

Basic Information

Licensee Name SHAHRAM S SHEIBANI
Doing Business As RAD
Credential ID 552960
Credential Number 1.035367
Credential Type Physician/Surgeon
Business Address 9363 Wilshire Blvd
Beverly Hills
CA 90210
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1996-06-28
Effective Date 1999-11-22
Expiration Date 2000-11-30
Refresh Date 2009-07-08

Office Location

Street Address 9363 WILSHIRE BLVD
City BEVERLY HILLS
State CA
Zip Code 90210

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Andrew P Ordon Md Facs Fics 465 N Roxbury Drive, Beverly Hills, CA 90210 Physician/surgeon 2016-01-01 ~ 2016-12-31
Sam Goldfeder 1225 Benedict Canyon Drive, Beverly Hills, CA 90210 Student Athlete Agent 2017-11-13 ~ 2017-12-31
Declaration of Independence Inc. 100 North Crescent Dr., Suite 250, Beverly Hills, CA 90210 Public Charity 2008-12-16 ~ 2009-11-30
Aids & Cancer Research Foundation 9601 Wilshire Blvd, #444, Beverly Hills, CA 90210 Public Charity ~
Sharon Messer 1020 Cove Way, Beverly Hills, CA 90210 Physical Therapist 2008-10-21 ~ 2009-12-31
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Competitor

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City BEVERLY HILLS
Zip Code 90210
License Type Physician/Surgeon
License Type + County Physician/Surgeon + BEVERLY 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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