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Licensing details for: A 204647

Name: Farsani, Amin

License Type: Physician and Surgeon A

Primary Status: License Renewed & Current Primary Status Definition

School Name: Ross University School of Medicine

Graduation Year: 2022

Address of Record

2730 Calle Quebracho
THOUSAND OAKS CA 91360
VENTURA county
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Issuance Date

August 19, 2025

Expiration Date

October 31, 2027

Current Date / Time

April 19, 2026
5:17:53 AM

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Postgraduate Training License associated with Physician & Surgeon License

License/Registration Role: Physician & Surgeon

Related Party Role: Postgraduate Training License

Name: Farsani, Amin

License/Registration Type: Postgraduate Training License

License Number: 12603 Primary Status: License Canceled

Address :
2730 Calle Quebracho Apt 63
THOUSAND OAKS CA 91360-4740
VENTURA COUNTY

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Survey Information

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

No AB 133 Survey Information Provided by Licensee

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