SHAHLA SHAKERIASADI
Dentist


Address: 400 W 119th St Apt 6q, New York, NY 10027-7146

SHAHLA SHAKERIASADI (Credential# 950860) is licensed (Dentist) with Connecticut Department of Consumer Protection. The license effective date is October 4, 2010. The license expiration date date is June 30, 2011. The license status is INACTIVE.

Business Overview

SHAHLA SHAKERIASADI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.010386. The credential type is dentist. The effective date is October 4, 2010. The expiration date is June 30, 2011. The business address is 400 W 119th St Apt 6q, New York, NY 10027-7146. The current status is inactive.

Basic Information

Licensee Name SHAHLA SHAKERIASADI
Credential ID 950860
Credential Number 2.010386
Credential Type Dentist
Business Address 400 W 119th St Apt 6q
New York
NY 10027-7146
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2010-10-04
Effective Date 2010-10-04
Expiration Date 2011-06-30
Refresh Date 2011-10-03

Office Location

Street Address 400 W 119TH ST APT 6Q
City NEW YORK
State NY
Zip Code 10027-7146

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City NEW YORK
Zip Code 10027
License Type Dentist
License Type + County Dentist + NEW YORK

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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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