SHOHREH SHAHABI (Credential# 903267) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is May 16, 2019. The license expiration date date is February 28, 2021. The license status is INACTIVE.
SHOHREH SHAHABI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0046970. The credential type is controlled substance registration for practitioner. The effective date is May 16, 2019. The expiration date is February 28, 2021. The business address is 950 North Michigan Ave., Chicago, IL 60611. The current status is inactive.
| Licensee Name | SHOHREH SHAHABI |
| Credential ID | 903267 |
| Credential Number | CSP.0046970 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
950 North Michigan Ave. Chicago IL 60611 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LACK OF ACTIVE MEDICAL LICENSE |
| Issue Date | 2009-11-20 |
| Effective Date | 2019-05-16 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-04-21 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 890243 | 1.048222 | Physician/Surgeon | 2009-10-30 | 2018-06-01 - 2019-05-31 | INACTIVE |
| Street Address | 950 North Michigan Ave. |
| City | Chicago |
| State | IL |
| Zip Code | 60611 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Shyamasundar Balasubramanya | 244 E Pearson Street, Chicago, IL 60611 | Resident Physician | 2013-10-01 ~ 2021-06-30 |
| Driehaus Mutual Funds | 25 East Erie Street, Chicago, IL 60611 | Investment Company - Open End | 2020-05-05 ~ 2020-12-31 |
| Ceres Sustainable Food & Agriculture Bridge Fund, L.p. | 401 N Michigan Ave, Ste 1200, Chicago, IL 60611 | Securities - Exemptions | 2020-04-01 ~ |
| American Medical Association Foundation | 330 North Wabash Avenue, Chicago, IL 60611 | Public Charity | 2020-06-01 ~ 2021-05-31 |
| Michael A Wilczynski | 800 N. Michigan Avenue, Chicago, IL 60611 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Matthew H Johnson | 505 N. Lake Shore Drive, Chicago, IL 60611 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Valor Equity Partnes V, Lp | 875 North Michigan Avenue, Chicago, IL 60611 | Securities - Exemptions | 2019-12-12 ~ |
| Fastmodel Holdings, LLC | 444 Michigan Avenue, Chicago, IL 60611 | Securities - Exemptions | ~ |
| Grosvenor Registered Multi-strategy Fund (w), LLC | 900 North Michigan Avenue, Chicago, IL 60611 | Investment Company - Other | 2019-08-30 ~ |
| Valor Siren Ventures, Lp | 875 Norh Michigan Avenue, Chicago, IL 60611 | Securities - Exemptions | 2019-10-16 ~ |
| Find all Licenses in zip 60611 | |||
| City | Chicago |
| Zip Code | 60611 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Chicago |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
| Shohreh Rafiei | 830 Middle St Apt 14, Bristol, CT 06010-7488 | Hairdresser/cosmetician | 2020-01-01 ~ 2021-12-31 |
| Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
| Arundati Rao | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Erin K Fee | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Huu Duc D Luu | 630 Mix Ave Apt 6p, Hamden, CT 06514-2320 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Qi Che Md | Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Min Jin Kim | 639 4th Ave Apt 5c, Brooklyn, NY 11232-1048 | Controlled Substance Registration for Practitioner | 2012-05-10 ~ 2013-02-28 |
| Hae J Kim Pa | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-31 ~ 2009-02-28 |
| Hyun A Kim | New Britain, CT 06053 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Please comment or provide details below to improve the information on SHOHREH SHAHABI.
| 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).