JANHAVI M MODAK (Credential# 1080782) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 27, 2019. The license expiration date date is February 28, 2021. The license status is INACTIVE.
JANHAVI M MODAK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0052906. The credential type is controlled substance registration for practitioner. The effective date is March 27, 2019. The expiration date is February 28, 2021. The business address is 219 Tremont St, Newton, MA 02458. The current status is inactive.
| Licensee Name | JANHAVI M MODAK |
| Credential ID | 1080782 |
| Credential Number | CSP.0052906 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
219 Tremont St Newton MA 02458 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LACK OF ACTIVE MEDICAL LICENSE |
| Issue Date | 2012-07-19 |
| Effective Date | 2019-03-27 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-04-23 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1487792 | 1.057455-RES | Resident Physician | 2017-07-01 | 2017-07-01 - 2019-06-30 | INACTIVE |
| Street Address | 219 Tremont St |
| City | Newton |
| State | MA |
| Zip Code | 02458 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| David Erani | 55 Chapel Street Suite 003, Newton, MA 02458 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Neelima Singh | 55 Chapel Street Suite 10, Newton, MA 02458 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Heather Jane Alker | 70 Hunnewell Ave, Newton, MA 02458 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Lumicell, Inc. | 275 Washington Street, Newton, MA 02458 | Securities - Exemptions | 2020-04-15 ~ |
| E-circuit Motors, Inc. | One Gateway Center, Newton, MA 02458 | Securities - Exemptions | 2020-03-19 ~ |
| Loredana C Cuccia | 18 Rochester Rd, Newton, MA 02458 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Tranquilo Inc | 124 Vernon St, Newton, MA 02458 | Importer of Bedding & Upholstered Furniture | 2018-05-01 ~ 2019-04-30 |
| Mario D Saltarelli | 252 Franklin Street, Newton, MA 02458 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Zachary P Chrisco | 88 Grasmere Street, Newton, MA 02458 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Mary L Siefert | 151 Waverley Ave, Newton, MA 02458 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Find all Licenses in zip 02458 | |||
| City | Newton |
| Zip Code | 02458 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Newton |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mrinalini Modak | 142 Orange Street Unit 4, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
| Janhavi R Gaikwad | 15 Rocky Rd, Brookfield, CT 06804-2310 | Dental Hygienist | 2020-04-01 ~ 2021-03-31 |
| Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
| Erin K Fee | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Arundati Rao | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Min Jin Kim | 639 4th Ave Apt 5c, Brooklyn, NY 11232-1048 | Controlled Substance Registration for Practitioner | 2012-05-10 ~ 2013-02-28 |
| Qi Che Md | Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Hae J Kim Pa | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-31 ~ 2009-02-28 |
| Huu Duc D Luu | 630 Mix Ave Apt 6p, Hamden, CT 06514-2320 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Please comment or provide details below to improve the information on JANHAVI M MODAK.
| 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).