License holder summary

Shiva Lissa Kashanipour is a Medical - Physician Assistant licensed to practice in Colorado. The address on file for Shiva Lissa Kashanipour is 596 Campbell Ave Apt 18, West Haven, CT, 06516-6516. This licensed professional license is not current. The license was granted 11/22/2005 and expired on 01/31/2008.

Colorado

Division of Professions and Occupations

Shiva Lissa Kashanipour
Medical - Physician Assistant
License number
2190
Date granted
11/22/2005
Date expires
01/31/2008
Class
Medical - Physician Assistant
Status
Expired
Address
596 Campbell Ave Apt 18, West Haven, CT, 06516-6516
coloradolicensing.org
ID 28293592
LAST UPDATED 2024-02-29 21:26:07 UTC

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