ALI A HOUSHYAR (Credential# 550094) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 18, 1996. The license expiration date date is December 31, 1996. The license status is INACTIVE.
ALI A HOUSHYAR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.032487. The credential type is physician/surgeon. The effective date is March 18, 1996. The expiration date is December 31, 1996. The business address is 12933 Maxwell Dr, Tustin, CA 92680. The current status is inactive.
Licensee Name | ALI A HOUSHYAR |
Credential ID | 550094 |
Credential Number | 1.032487 |
Credential Type | Physician/Surgeon |
Business Address |
12933 Maxwell Dr Tustin CA 92680 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1992-07-31 |
Effective Date | 1996-03-18 |
Expiration Date | 1996-12-31 |
Refresh Date | 2009-07-08 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
160432 | CSP.0020394 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1994-09-09 - 1996-10-01 | INACTIVE |
Street Address | 12933 MAXWELL DR |
City | TUSTIN |
State | CA |
Zip Code | 92680 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Krystal A Stobiecki | 1782 Nisson Road #73, Tustin, CA 92680 | Hairdresser/cosmetician | 1992-04-24 ~ 1993-02-28 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Richard J Rengel | 333 El Camino Real, Tustin, CA 92780-3605 | Architect | 2020-08-01 ~ 2021-07-31 |
Zion Cohen · Aaa Service | 16002 Legacy Rd Unit 312, Tustin, CA 92782-2782 | Home Improvement Contractor | 2018-08-20 ~ 2019-11-30 |
Joshua Richard Eggert | 2002 Kingsboro Cir, Tustin, CA 92780-6733 | Registered Nurse | 2019-11-14 ~ 2020-02-29 |
Sustaniable Healthcare Initatives Now Empowering Humanity · Shine Humanity | 1131 E Main St Ste 204, Tustin, CA 92780-4441 | Public Charity | 2019-12-01 ~ 2020-11-30 |
24 Hearthstone Drive LLC | 16614 Camilia Ave, Tustin, CA 92782-1908 | New Home Construction Contractor | 2014-03-04 ~ 2015-09-30 |
Judith A Northrop | 14221 Cherrywood La, Tustin, CA 92780 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
Matthew M Molsberry | 17741 Anglin Lane, Tustin, CA 92780 | Architect | 2019-08-01 ~ 2020-07-31 |
Candy Lei Speer | 14382 Livingston St, Tustin, CA 92780-2208 | Registered Nurse | 2019-03-01 ~ 2020-02-29 |
Bunge Foods California · Bunge Foods Corp | 15601 Mosher Ave, Tustin, CA 92780 | Bakery | 2004-07-13 ~ 2005-06-30 |
Annemieke Wilcox | 12332 Zig Zag Way, Tustin, CA 92780-2438 | Resident Physician | 2017-07-01 ~ 2021-06-30 |
Find all Licenses in TUSTIN |
City | TUSTIN |
Zip Code | 92680 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + TUSTIN |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Roozbeh Houshyar | 56 Franklin St, Waterbury, CT 06706 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Nazanin Barzideh Md | North Shore Retina Physician, Pllc, East Hills, NY 11576 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
Susan J Batlan Md | Eye Physician Associates of Hartford, West Hartford, CT 06107 | Physician/surgeon | 2000-07-27 ~ 2001-07-31 |
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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).