ASHMITHA SRINIVASAN
Physician/surgeon


Address: 27 James P Kelly Way, Middletown, NY 10940

ASHMITHA SRINIVASAN (Credential# 1039930) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2012. The license expiration date date is September 30, 2013. The license status is INACTIVE.

Business Overview

ASHMITHA SRINIVASAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.050430. The credential type is physician/surgeon. The effective date is October 1, 2012. The expiration date is September 30, 2013. The business address is 27 James P Kelly Way, Middletown, NY 10940. The current status is inactive.

Basic Information

Licensee Name ASHMITHA SRINIVASAN
Credential ID 1039930
Credential Number 1.050430
Credential Type Physician/Surgeon
Business Address 27 James P Kelly Way
Middletown
NY 10940
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2011-11-17
Effective Date 2012-10-01
Expiration Date 2013-09-30
Refresh Date 2014-01-02

Other licenses

ID Credential Code Credential Type Issue Term Status
1042667 CSP.0051752 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2011-12-06 2011-12-06 - 2013-02-28 INACTIVE

Office Location

Street Address 27 James P Kelly Way
City Middletown
State NY
Zip Code 10940

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Deirdre B Darby 15 Maplewood Drive, Middletown, NY 10940 Registered Nurse 2020-09-01 ~ 2021-08-31
Aeneas Kwame Osei 28 Horseshoe Way, Middletown, NY 10940 Registered Nurse 2020-03-01 ~ 2021-02-28
Martin S Nowak 386 Ingrassia Rd, Middletown, NY 10940 Tax Preparer/facilitator Permit 2020-02-11 ~ 2022-02-28
Azaliah Bithiah Obanyoun 58 Rose Lane, Middletown, NY 10940 Pharmacist 2020-02-01 ~ 2022-01-31
John Pisano Jr 8 Parsons Lane, Middletown, NY 10940 Repairer of Weighing & Measuring Devices 2020-01-06 ~ 2020-12-31
Francis J. Bachyrycz Jr 96 Hill Road, Middletown, NY 10940 Pharmacist 2020-02-01 ~ 2022-01-31
Gerard S Hluchan 211 Wisner Avenue, Middletown, NY 10940 Professional Engineer 2020-02-01 ~ 2021-01-31
John D Fellenzer 22 Mulberry Street, Middletown, NY 10940 Professional Engineer 2020-02-01 ~ 2021-01-31
Ashley M Williams 230 Ruth Court, Middletown, NY 10940 Emergency Medical Technician 2017-02-07 ~ 2019-12-31
Joseph L Racanelli 707 East Main St., Middletown, NY 10940 Physician/surgeon 2019-10-01 ~ 2020-09-30
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Competitor

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City Middletown
Zip Code 10940
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Middletown

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Shankar Srinivasan Md 4121 Town Walk Dr, Hamden, CT 06518 Physician/surgeon 2007-08-16 ~ 2008-06-30
Melukote K Srinivasan Salem Radiology, Salem, NH 03079 Physician/surgeon 2010-03-01 ~ 2011-02-28
Ramanatha Srinivasan 1815 Rte 313, Perkasie, PA 18944 Veterinarian 1993-01-25 ~ 1993-09-30
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Dataset Information

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).

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