PEJMAN LAVIAN (Credential# 558919) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 9, 2003. The license expiration date date is October 31, 2003. The license status is INACTIVE.
PEJMAN LAVIAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.041336. The credential type is physician/surgeon. The effective date is April 9, 2003. The expiration date is October 31, 2003. The business address is 11 Glen Drive, Goshen, NY 10924. The current status is inactive.
| Licensee Name | PEJMAN LAVIAN |
| Credential ID | 558919 |
| Credential Number | 1.041336 |
| Credential Type | Physician/Surgeon |
| Business Address |
11 Glen Drive Goshen NY 10924 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2003-04-09 |
| Effective Date | 2003-04-09 |
| Expiration Date | 2003-10-31 |
| Refresh Date | 2009-07-08 |
| Street Address | 11 Glen Drive |
| City | Goshen |
| State | NY |
| Zip Code | 10924 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alan Osher Shanker | 1761 Rt. 17m, Goshen, NY 10924 | Veterinarian | 2019-12-02 ~ 2020-12-31 |
| Jody Lee Fortuna | 10 Autumn Trail, Goshen, NY 10924 | Notary Public Appointment | 2016-04-13 ~ 2021-04-30 |
| Christopher Edward Melley | 12 Sutton Lane, Goshen, NY 10924 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
| Maureen B Cavanagh | 17 Delta Place, Goshen, NY 10924 | Hairdresser/cosmetician | 2018-12-01 ~ 2020-11-30 |
| Linda C Unger | 8 Florican Lane, Goshen, NY 10924 | Registered Nurse | 2017-05-01 ~ 2018-04-30 |
| Jill S Gurda | 1 Horseshoe Court, Goshen, NY 10924 | Registered Nurse | 2016-03-01 ~ 2017-02-28 |
| Donna G Case-mcaleer | 16 South Street, Goshen, NY 10924 | Nursing Home Administrator | 2010-12-01 ~ 2012-11-30 |
| Kristie L Nelson | 180 Murray Avenue, Goshen, NY 10924 | Dental Hygienist | 2009-04-03 ~ 2010-05-31 |
| Peter A Tamburelli | 105 Route 17a, Goshen, NY 10924 | Heating, Piping & Cooling Limited Journeyperson | 2009-04-29 ~ 2009-08-31 |
| Joseph Marsala | Strack Road, Goshen, NY 10924 | Architect | 2006-08-01 ~ 2007-07-31 |
| Find all Licenses in zip 10924 | |||
| City | Goshen |
| Zip Code | 10924 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Goshen |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alan Lavian | 215 E 77th St Apt 1c, New York, NY 10075-2058 | Controlled Substance Registration for Practitioner | 2018-12-12 ~ 2021-02-28 |
| 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 |
| Sajot S Grewal Md | Danbury Office of Physician Services PC, Danbury, CT 06810 | Physician/surgeon | 2004-01-30 ~ 2005-03-31 |
Please comment or provide details below to improve the information on PEJMAN LAVIAN.
| 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).