FATHYEH F MARVASTI
Physician/surgeon


Address: 8 Churchill Road, Winchester, MA 01890

FATHYEH F MARVASTI (Credential# 551664) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 12, 1998. The license expiration date date is March 31, 1999. The license status is INACTIVE.

Business Overview

FATHYEH F MARVASTI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.034065. The credential type is physician/surgeon. The effective date is January 12, 1998. The expiration date is March 31, 1999. The business address is 8 Churchill Road, Winchester, MA 01890. The current status is inactive.

Basic Information

Licensee Name FATHYEH F MARVASTI
Credential ID 551664
Credential Number 1.034065
Credential Type Physician/Surgeon
Business Address 8 Churchill Road
Winchester
MA 01890
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1994-09-16
Effective Date 1998-01-12
Expiration Date 1999-03-31
Refresh Date 2009-07-08

Office Location

Street Address 8 CHURCHILL ROAD
City WINCHESTER
State MA
Zip Code 01890

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Michael D Trickett 160 Pond Street, Winchester, MA 01890 Professional Engineer 2020-02-01 ~ 2021-01-31
Robin B Dill 37 Sunset Road, Winchester, MA 01890 Professional Engineer 2020-02-01 ~ 2021-01-31
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City WINCHESTER
Zip Code 01890
License Type Physician/Surgeon
License Type + County Physician/Surgeon + WINCHESTER

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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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