BHASKAR SRIVASTAVA (Credential# 1002437) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2016. The license expiration date date is March 31, 2017. The license status is INACTIVE.
BHASKAR SRIVASTAVA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.050055. The credential type is physician/surgeon. The effective date is April 1, 2016. The expiration date is March 31, 2017. The business address is 12 Academy St Apt 2a, New Haven, CT 06511-6973. The current status is inactive.
Licensee Name | BHASKAR SRIVASTAVA |
Credential ID | 1002437 |
Credential Number | 1.050055 |
Credential Type | Physician/Surgeon |
Business Address |
12 Academy St Apt 2a New Haven CT 06511-6973 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2011-06-30 |
Effective Date | 2016-04-01 |
Expiration Date | 2017-03-31 |
Refresh Date | 2017-07-04 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
479502 | CSP.0042313 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2007-09-12 | 2015-03-01 - 2017-02-28 | INACTIVE |
Street Address | 12 ACADEMY ST APT 2A |
City | NEW HAVEN |
State | CT |
Zip Code | 06511-6973 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Julia Rice Treseder | 12 Academy St Apt 2a, New Haven, CT 06511-6973 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Eric B Neadel Pa | 12 Academy St # 5, New Haven, CT 06511-6973 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Eleanor A Knopp | 12 Academy St Apt 3b, New Haven, CT 06511-6973 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Montessori School On Edgewood Inc. | 230 Edgewood Avenue, New Haven, CT 06511 | Public Charity | 2019-06-01 ~ 2020-05-31 |
Therese Parks · Visel Drug Store | 264 Munson St, New Haven, CT 06511 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Dazjia Monet Green | 115 Edgewood Ave Apt 64, New Haven, CT 06511 | Registered Nurse | 2020-06-27 ~ 2021-05-31 |
Carol Yam | 343 Humphrey St, New Haven, CT 06511 | Registered Nurse | ~ |
Marwan S Haddad | 38 Lincoln Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Mary Lou Gaeta Md | 558 Chapel Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Cary M Tucker | 64 Bishop St, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
Frank J Pannenborg | 505 Ellsworth Ave, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
Crystal E Gooding | 26 Woodland Street, New Haven, CT 06511 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
Kieran Jones | 260 Crown St Unit 1f, New Haven, CT 06511 | Registered Nurse | ~ |
Find all Licenses in zip 06511 |
City | NEW HAVEN |
Zip Code | 06511 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + NEW HAVEN |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Bhaskar Roy | 900 Chapel Street, New Haven, CT 06510 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Bhaskar Arora | 80 Seymour, Hartford, CT 06106 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Bhaskar Banerjee | 6 Third Ave, Point Washington, NY 11050 | Physician/surgeon | 1986-08-18 ~ 1989-11-30 |
Mukta C Srivastava Md | 123 York St #3c, New Haven, CT 06511 | Physician/surgeon | 2008-01-28 ~ 2009-03-31 |
Bal K Srivastava | 223 Piedmont Avenue, Cincinnati, OH 45219 | Physician/surgeon | ~ 1997-07-31 |
Ajay V Srivastava Md | 597 Westport Avenue, Apt A 302, Norwalk, CT 06851 | Physician/surgeon | 2012-04-01 ~ 2013-03-31 |
Neeraj Srivastava | 6802 Ridge Blvd, Brookyln, NY 11220 | Physician/surgeon | 2008-08-01 ~ 2009-08-31 |
Sangeeta Srivastava | 6421 Clough Pike, Cincinnati, OH 45244 | Physician/surgeon | 1997-06-11 ~ 1998-05-31 |
Vijay Bhaskar R. Gaddam | 20 Pinewood Dr, Longmeadow, MA 01106 | Dentist | 2016-06-01 ~ 2017-05-31 |
Sailaja B Bhaskar | 1900 Summer Street, Stamford, CT 06905 | Pharmacist | ~ |
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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).