MEHRAN MOUSSAVIAN
Physician/surgeon


Address: 7699 Palmilla Drive, San Diego, CA 92122

MEHRAN MOUSSAVIAN (Credential# 538186) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 5, 2004. The license expiration date date is April 30, 2005. The license status is INACTIVE.

Business Overview

MEHRAN MOUSSAVIAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.000451-DO. The credential type is physician/surgeon. The effective date is April 5, 2004. The expiration date is April 30, 2005. The business address is 7699 Palmilla Drive, San Diego, CA 92122. The current status is inactive.

Basic Information

Licensee Name MEHRAN MOUSSAVIAN
Credential ID 538186
Credential Number 1.000451-DO
Credential Type Physician/Surgeon
Credential SubCategory DO
Business Address 7699 Palmilla Drive
San Diego
CA 92122
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1996-09-06
Effective Date 2004-04-05
Expiration Date 2005-04-30
Refresh Date 2009-07-08

Office Location

Street Address 7699 PALMILLA DRIVE
City SAN DIEGO
State CA
Zip Code 92122

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Richard K Viertel · Gen Dynmcs/convair Div 3015 Briand St, San Diego, CA 92122 Professional Engineer 1989-02-06 ~ 1990-01-31
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Competitor

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City SAN DIEGO
Zip Code 92122
License Type Physician/Surgeon
License Type + County Physician/Surgeon + 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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