ALI A HOUSHYAR
Physician/surgeon


Address: 12933 Maxwell Dr, Tustin, CA 92680

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.

Business Overview

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.

Basic Information

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

Other licenses

ID Credential Code Credential Type Issue Term Status
160432 CSP.0020394 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1994-09-09 - 1996-10-01 INACTIVE

Office Location

Street Address 12933 MAXWELL DR
City TUSTIN
State CA
Zip Code 92680

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Krystal A Stobiecki 1782 Nisson Road #73, Tustin, CA 92680 Hairdresser/cosmetician 1992-04-24 ~ 1993-02-28

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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
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Competitor

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City TUSTIN
Zip Code 92680
License Type Physician/Surgeon
License Type + County Physician/Surgeon + TUSTIN

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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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