GUITA GHADIRI MD
Physician/surgeon


Address: 638 Avon Dr, Orange, CT 06477

GUITA GHADIRI MD (Credential# 558005) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 26, 2007. The license expiration date date is December 31, 2008. The license status is INACTIVE.

Business Overview

GUITA GHADIRI MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.040422. The credential type is physician/surgeon. The effective date is October 26, 2007. The expiration date is December 31, 2008. The business address is 638 Avon Dr, Orange, CT 06477. The current status is inactive.

Basic Information

Licensee Name GUITA GHADIRI MD
Credential ID 558005
Credential Number 1.040422
Credential Type Physician/Surgeon
Business Address 638 Avon Dr
Orange
CT 06477
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2002-05-08
Effective Date 2007-10-26
Expiration Date 2008-12-31
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
373253 CSP.0035071 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2004-07-08 2005-03-01 - 2006-02-28 INACTIVE
310819 CSP.0032271 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2004-02-29 - 2005-02-28 INACTIVE

Office Location

Street Address 638 AVON DR
City ORANGE
State CT
Zip Code 06477

Licenses in the same zip code

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Rakesh H Patel Md 596 Cedar Grove, Orange, CT 06477 Physician/surgeon 2020-07-01 ~ 2021-06-30
John D Mainwaring Dds 240 Indian River Rd, Suite A7, Orange, CT 06477 Dentist 2020-08-01 ~ 2021-07-31
Hea Sun Kwak 477 Howellton Rd, Orange, CT 06477 Combination Nail Technician, Esthetician Or Eyelash Technici 2020-06-26 ~ 2021-08-31
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Takashi Yoshikawa 151 Old Tavern Road, Orange, CT 06477 Hairdresser/cosmetician 2020-09-01 ~ 2022-08-31
Yam Wong 21 Country Club Close, Orange, CT 06477 Notary Public Appointment 2020-06-26 ~ 2025-06-30
Shitong Liu 519 Boston Post Rd Orange, Orange, CT 06477 Nail Technician ~
Robert A Lamparski Po B0x# 1183, Orange, CT 06477 Real Estate Salesperson 2019-06-01 ~ 2020-05-31
Rolando R Lopez 22 Tyler City Rd, Orange, CT 06477 Physician Assistant 2020-07-01 ~ 2021-06-30
Lisa Courtney 470 Locust Drive, Orange, CT 06477 Notary Public Appointment 2020-09-01 ~ 2025-08-31
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City ORANGE
Zip Code 06477
License Type Physician/Surgeon
License Type + County Physician/Surgeon + ORANGE

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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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