PEYMAN KHADIVI-NIAJAVAN (Credential# 703157) is licensed (Dentist) with Connecticut Department of Consumer Protection. The license effective date is December 20, 1999. The license expiration date date is September 30, 2000. The license status is INACTIVE.
PEYMAN KHADIVI-NIAJAVAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.008705. The credential type is dentist. The effective date is December 20, 1999. The expiration date is September 30, 2000. The business address is 6 Kenlee Gardens, South Hadley, MA 01075. The current status is inactive.
| Licensee Name | PEYMAN KHADIVI-NIAJAVAN |
| Credential ID | 703157 |
| Credential Number | 2.008705 |
| Credential Type | Dentist |
| Business Address |
6 Kenlee Gardens South Hadley MA 01075 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1999-12-20 |
| Effective Date | 1999-12-20 |
| Expiration Date | 2000-09-30 |
| Refresh Date | 2009-07-08 |
| Street Address | 6 Kenlee Gardens |
| City | South Hadley |
| State | MA |
| Zip Code | 01075 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jason T Shattuck | 45 Hadley Village Rd, South Hadley, MA 01075 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Julie-ellen Frost | 20 Willimansett St, South Hadley, MA 01075 | Registered Nurse | ~ |
| Jeffrey D Squire | 25 Parkview Dr, South Hadley, MA 01075 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Erin Claire Zwisler | 46 Saint Kolbe Dr., Holyoke, MA 01075 | Behavior Analyst | ~ |
| Tanya L Lieser | 14 Mountainview Street, South Hadley, MA 01075 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Pamela M Proulx | 22 Wilson Street, South Hadley, MA 01075 | Physical Therapist | 2020-04-01 ~ 2021-03-31 |
| Rebecca F Quenneville | 121 The Meadows, South Hadley, MA 01075 | Registered Nurse | ~ 2018-02-28 |
| Raymond L Brousseau | 43 West Summit Street 10, South Hadley, MA 01075 | Notary Public Appointment | 2014-12-03 ~ 2019-12-31 |
| Carla D Gaouette | 103 Bardwell Street, South Hadley, MA 01075 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| James E Dougherty | 23 Bunker Hill Street, South Hadley, MA 01075 | Pharmacy Technician | 2020-04-01 ~ 2021-03-31 |
| Find all Licenses in zip 01075 | |||
| City | South Hadley |
| Zip Code | 01075 |
| License Type | Dentist |
| License Type + County | Dentist + South Hadley |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nona Khadivi Nia Javan | 310 Quarry Brook Dr, South Windsor, CT 06074-3536 | Dental Hygienist | 2014-02-01 ~ 2015-01-31 |
| Shirin Malekzadeh Khadivi | 2008 Kittiwake Lane, Cedar Park, TX 78613-4357 | Pharmacist | 2010-02-01 ~ 2011-01-31 |
| Cindy A Peyman · Pilver | 12 Meadow Lane, Willington, CT 06279 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Monica P Peyman | 427 Highland Street, Manchester, CT 06040 | Nursing Home Administrator | 2019-09-01 ~ 2021-08-31 |
| Malka Ary-peyman | 538 Preston Ave, Meriden, CT 06450 | Medication Administration Certification | 1995-05-20 ~ 1997-05-19 |
| Peyman Soltani | 263 Farmington Ave L2104 Mc-1235, Farmington, CT 06030 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Ana L Roca | 331 2nd Ave # 2, Garwood, NJ 07027-1004 | Dentist | ~ |
| Priscila M Guzman | CT | Dentist | ~ |
| Su J Lee | 480 2nd Ave Apt 10a, New York, NY 10016-9140 | Dentist | 2016-07-12 ~ 2017-03-31 |
| Narinderjit Mahal | CT | Dentist | ~ |
Please comment or provide details below to improve the information on PEYMAN KHADIVI-NIAJAVAN.
| 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).