SHAHSANAM GHAYEBI
Dental Hygienist


Address: 2 Grove Street, South Hadley, MA 01075

SHAHSANAM GHAYEBI (Credential# 686932) is licensed (Dental Hygienist) with Connecticut Department of Consumer Protection. The license effective date is January 5, 2007. The license expiration date date is January 31, 2008. The license status is INACTIVE.

Business Overview

SHAHSANAM GHAYEBI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #13.007005. The credential type is dental hygienist. The effective date is January 5, 2007. The expiration date is January 31, 2008. The business address is 2 Grove Street, South Hadley, MA 01075. The current status is inactive.

Basic Information

Licensee Name SHAHSANAM GHAYEBI
Credential ID 686932
Credential Number 13.007005
Credential Type Dental Hygienist
Business Address 2 Grove Street
South Hadley
MA 01075
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2005-10-18
Effective Date 2007-01-05
Expiration Date 2008-01-31
Refresh Date 2009-07-08

Office Location

Street Address 2 Grove Street
City South Hadley
State MA
Zip Code 01075

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Pamela M Proulx 22 Wilson Street, South Hadley, MA 01075 Physical Therapist 2020-04-01 ~ 2021-03-31
Rebecca F Quenneville 121 The Meadows, South Hadley, MA 01075 Registered Nurse ~ 2018-02-28
Raymond L Brousseau 43 West Summit Street 10, South Hadley, MA 01075 Notary Public Appointment 2014-12-03 ~ 2019-12-31
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Competitor

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City South Hadley
Zip Code 01075
License Type Dental Hygienist
License Type + County Dental Hygienist + South Hadley

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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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