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Licensing details for: PTL 10933

Name: Bonabi, Siamak

License Type: Postgraduate Training License

Primary Status: License Canceled Primary Status Definition

School Name: American University of Antigua College of Medicine (Antigua Campus)

Graduation Year: 2019

Current Enrolled Postgraduate Training Program

Facility Name: HCA HEALTHCARE/LOS ROBLES REGIONAL MEDICAL CENTER PROGRAM

City: Thousand Oaks

State: California

Speciality: Neurology

Start Date: 07/01/2022

Anticipated End Date: 09/30/2024

Address of Record

4726 Club View Dr
WESTLAKE VILLAGE CA 91362-4350
VENTURA county
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Issuance Date

December 29, 2022

Expiration Date

N/A

Current Date / Time

April 4, 2026
4:01:57 PM

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License Relationships

Postgraduate Training License associated with Physician & Surgeon License

License/Registration Role: Postgraduate Training License

Related Party Role: Physician & Surgeon

Name: Bonabi, Siamak

License/Registration Type: Physician's and Surgeon's

License Number: 205973 Primary Status: License Renewed & Current

Address :
4726 Club View Dr
WESTLAKE VILLAGE CA 91362-4350
VENTURA COUNTY

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