SHASHIDHARA NANJUNDASWAMY (Credential# 1126016) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2013. The license expiration date date is March 31, 2014. The license status is INACTIVE.
SHASHIDHARA NANJUNDASWAMY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.051544. The credential type is physician/surgeon. The effective date is April 1, 2013. The expiration date is March 31, 2014. The business address is 119 Belmont St, Worcester, MA 01605-2903. The current status is inactive.
Licensee Name | SHASHIDHARA NANJUNDASWAMY |
Credential ID | 1126016 |
Credential Number | 1.051544 |
Credential Type | Physician/Surgeon |
Business Address |
119 Belmont St Worcester MA 01605-2903 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2012-12-24 |
Effective Date | 2013-04-01 |
Expiration Date | 2014-03-31 |
Refresh Date | 2014-07-04 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
530867 | CSP.0045418 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | - | EXPIRED APPLICATION | |
884253 | 1 | Physician/Surgeon | - | EXPIRED APPLICATION |
Street Address | 119 BELMONT ST |
City | WORCESTER |
State | MA |
Zip Code | 01605-2903 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Beata Cieslak-skowronska Md | 119 Belmont St, Worcester, MA 01605-2903 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Joanna M Cain | 119 Belmont St, Worcester, MA 01605 | Physician/surgeon | 2013-08-01 ~ 2014-07-31 |
Edward Folland Md | 119 Belmont St, Worcester, MA 01605 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
James Rooney Md | 119 Belmont St, Worcester, MA 01605 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
Nicholas Salvatore Ranno | 119 Belmont St, Worcester, MA 01605-2903 | Physician/surgeon | 1980-03-13 ~ 1983-03-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Narendrakumar B Sodha Md | 67 Belmont St, Worcester, MA 01605-2903 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Gertrude Mensah | 3 Henry Terrace, Worcester, MA 01605 | Licensed Practical Nurse | ~ |
Azadeh Emam | 509 Plantation St Apt 412, Worcester, MA 01605 | Dentist | 2020-04-01 ~ 2021-03-31 |
Barbera Associates Real Estate LLC | 451 Grove St, Worcester, MA 01605 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
Christopher Marshall | 48 White Ave, Worcester, MA 01605 | Physical Therapist Assistant | 2020-03-01 ~ 2021-02-28 |
Jacob Robert Bledsoe | 1 Innovation Drive, Biotech 3 Bldg., Room 230, Worcester, MA 01605 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Michael R Barbera | 2 Terrance Dr, Worcester, MA 01605 | Real Estate Broker | ~ |
Mark S Distefano | 292 Lincoln Street, Worcester, MA 01605 | Physician/surgeon | 2019-06-01 ~ 2020-05-31 |
Supriya K. Atianand | 16 Cadorna Road, Worcester, MA 01605 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Pankaj A. Ksheersagar Md | 119 Belmont Street, Worcester, MA 01605 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Golden Group Construction Corp. | 20 Tattan Farm Road, Worcester, MA 01605 | Home Improvement Contractor | 2015-05-22 ~ 2015-11-30 |
Find all Licenses in zip 01605 |
City | WORCESTER |
Zip Code | 01605 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + WORCESTER |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Sharmila Shashidhara | 711 Farmington Ave Apt B5, West Hartford, CT 06119-1739 | Engineer-in-training | ~ |
Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
Nazanin Barzideh Md | North Shore Retina Physician, Pllc, East Hills, NY 11576 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
Sajot S Grewal Md | Danbury Office of Physician Services PC, Danbury, CT 06810 | Physician/surgeon | 2004-01-30 ~ 2005-03-31 |
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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).