SELENE E FARAVARDEH
Registered Nurse


Address: 17322 4s Ranch Pkwy, San Diego, CA 92127-8837

SELENE E FARAVARDEH (Credential# 1293707) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is March 9, 2016. The license expiration date date is March 31, 2017. The license status is INACTIVE.

Business Overview

SELENE E FARAVARDEH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.132829. The credential type is registered nurse. The effective date is March 9, 2016. The expiration date is March 31, 2017. The business address is 17322 4s Ranch Pkwy, San Diego, CA 92127-8837. The current status is inactive.

Basic Information

Licensee Name SELENE E FARAVARDEH
Credential ID 1293707
Credential Number 10.132829
Credential Type Registered Nurse
Business Address 17322 4s Ranch Pkwy
San Diego
CA 92127-8837
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2016-03-09
Effective Date 2016-03-09
Expiration Date 2017-03-31
Refresh Date 2017-07-04

Other licenses

ID Credential Code Credential Type Issue Term Status
1295454 10.127181-TEMP Registered Nurse - Temporary 2015-06-19 2015-06-19 - 2015-10-16 INACTIVE

Office Location

Street Address 17322 4S RANCH PKWY
City SAN DIEGO
State CA
Zip Code 92127-8837

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Companion Medical, Inc 11011 Via Frontera Suite D, San Diego, CA 92127 Out of State Manufacturer of Drugs, Cosmetics & Medical Devices 2020-03-02 ~
Eric S Eddy 16380 Pinto Ridge Ct, San Diego, CA 92127 Certified Public Accountant License 2019-01-01 ~ 2019-12-31
Ashish Patel 15612 Bernardo Center Drive # 3409, San Diego, CT 92127 Pharmacist 2020-02-01 ~ 2022-01-31
Judith L Carroll 14740 Via Fiesta, San Diego, CA 92127 Registered Nurse 2019-11-01 ~ 2020-10-31
Jeremy D Ellis 17099 N Bernardo Drive Apt # 206, San Diego, CA 92127 Home Improvement Salesperson 2014-05-12 ~ 2014-11-30
Jan Eilleen Guingab 10225 Sienna Hills Dr, San Diego, CA 92127 Occupational Therapist Assistant ~
Jennifer L Gustafson Dvm 17728 Alacran Court, Rancho Bernardo, CA 92127 Controlled Substance Registration for Practitioner 2013-03-01 ~ 2015-02-28
Rene A Vega 15580 Corte Montanoso, San Diego, CA 92127 Physician/surgeon 2009-04-07 ~ 2010-04-30
Leonardo J Gonzalez 17814 Weaving Ln, San Diego, CA 92127 Licensed Practical Nurse 2008-03-10 ~ 2009-04-30
Paula M Bruns 10818 Poblado Road, San Diego, CA 92127 Registered Nurse 1993-05-25 ~ 1994-07-31
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Competitor

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City SAN DIEGO
Zip Code 92127
License Type Registered Nurse
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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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