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Licensing details for: A 195284

Name: Sheikholeslami, Nicole

License Type: Physician and Surgeon A

Primary Status: License Renewed & Current Primary Status Definition

School Name: Rosalind Franklin University, The Chicago Medical School

Graduation Year: 2021

Address of Record

400 W Pueblo St
SANTA BARBARA CA 93105-4353
SANTA BARBARA county
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Issuance Date

April 5, 2024

Expiration Date

June 30, 2026

Current Date / Time

May 22, 2026
8:55:08 AM

Public Record Actions

Public Documents

License Relationships

Postgraduate Training License associated with Physician & Surgeon License

License/Registration Role: Physician & Surgeon

Related Party Role: Postgraduate Training License

Name: Sheikholeslami, Nicole

License/Registration Type: Postgraduate Training License

License Number: 7301 Primary Status: License Canceled

Address :
Family Medicine Center
235 Palisade Dr
SANTA MARIA CA 93454
SANTA BARBARA COUNTY

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Survey Information

The following information is self-reported by the licensee and has not been verified by the Board.

Current Training Status
Decline to State
Postgraduate Training Years
Decline to State
Primary Area of Practice
Decline to State
Secondary Area of Practice
Decline to State
ABMS Certifications
Other - Decline to State
Are you retired?
Decline to state
Practice Activities
Direct Patient Care (including telehealth) - Decline to State

Training - Decline to State
Research - Decline to State
Administration - Decline to State
Other - Decline to State
Primary Practice Location
Decline to State
Secondary Practice Location
Decline to State
Are you Hispanic, Latino/a, or of Spanish origin?
Decline to State
Race
Decline to State
Language Fluency
Decline to State
Gender Identity
Decline to State

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