KIANOUSH JAVAHERI
Controlled Substance Registration for Practitioner


Address: 300 Fir St, San Diego, CA 92101-2327

KIANOUSH JAVAHERI (Credential# 1416906) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is December 26, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

KIANOUSH JAVAHERI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0065178. The credential type is controlled substance registration for practitioner. The effective date is December 26, 2019. The expiration date is February 28, 2021. The business address is 300 Fir St, San Diego, CA 92101-2327. The current status is active.

Basic Information

Licensee Name KIANOUSH JAVAHERI
Credential ID 1416906
Credential Number CSP.0065178
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 300 Fir St
San Diego
CA 92101-2327
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2017-04-08
Effective Date 2019-12-26
Expiration Date 2021-02-28
Refresh Date 2019-12-26

Other licenses

ID Credential Code Credential Type Issue Term Status
1370532 1.055984 Physician/Surgeon 2016-12-02 2019-07-01 - 2020-06-30 ACTIVE

Office Location

Street Address 300 FIR ST
City SAN DIEGO
State CA
Zip Code 92101-2327

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Kimberly S Raetz 701 Kettner Blvd Unit #15, San Diego, CA 92101 Professional Engineer 2020-02-01 ~ 2021-01-31
Xing B Chen 300 14th St. Apt 416, San Diego, CA 92101 Pharmacist 2020-02-01 ~ 2022-01-31
Nicholas Surh 1650 8th Ave Unit 202, San Diego, CA 92101 Pharmacist 2020-02-01 ~ 2022-01-31
Gina V Shah 1110 F St, San Diego, CA 92101 Pharmacist 2020-02-01 ~ 2022-01-31
Timothy W Kemper 1230 Columbia Street, San Diego, CA 92101 Professional Engineer 2018-02-01 ~ 2019-01-31
Christopher Keliimaikaii Boyd 1330 Market St, San Diego, CA 92101 Certified Public Accountant License 2020-01-01 ~ 2020-12-31
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Competitor

Search similar business entities

City SAN DIEGO
Zip Code 92101
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SAN DIEGO

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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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