SAIRA SHAHANI
Physician/surgeon


Address: 1249 Park Ave, New York, NY 10029

SAIRA SHAHANI (Credential# 559605) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 28, 2004. The license expiration date date is December 31, 2005. The license status is INACTIVE.

Business Overview

SAIRA SHAHANI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.042023. The credential type is physician/surgeon. The effective date is October 28, 2004. The expiration date is December 31, 2005. The business address is 1249 Park Ave, New York, NY 10029. The current status is inactive.

Basic Information

Licensee Name SAIRA SHAHANI
Credential ID 559605
Credential Number 1.042023
Credential Type Physician/Surgeon
Business Address 1249 Park Ave
New York
NY 10029
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2003-12-01
Effective Date 2004-10-28
Expiration Date 2005-12-31
Refresh Date 2009-07-08

Office Location

Street Address 1249 Park Ave
City New York
State NY
Zip Code 10029

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City New York
Zip Code 10029
License Type Physician/Surgeon
License Type + County Physician/Surgeon + 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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