NIPAPORN PICHETSHOTE (Credential# 1159234) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2014. The license expiration date date is March 31, 2015. The license status is INACTIVE.
NIPAPORN PICHETSHOTE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.052311. The credential type is physician/surgeon. The effective date is April 1, 2014. The expiration date is March 31, 2015. The business address is 455 Thoreau Rd, Branford, CT 06405-5847. The current status is inactive.
| Licensee Name | NIPAPORN PICHETSHOTE |
| Credential ID | 1159234 |
| Credential Number | 1.052311 |
| Credential Type | Physician/Surgeon |
| Business Address |
455 Thoreau Rd Branford CT 06405-5847 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2013-08-06 |
| Effective Date | 2014-04-01 |
| Expiration Date | 2015-03-31 |
| Refresh Date | 2015-07-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 951855 | CSP.0048736 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2010-10-07 | 2013-03-01 - 2015-02-28 | INACTIVE |
| Street Address | 455 THOREAU RD |
| City | BRANFORD |
| State | CT |
| Zip Code | 06405-5847 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Casey J Fischer | 455 Thoreau Rd, Branford, CT 06405 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Susan E Parillo | 455 Thoreau Rd, Branford, CT 06405 | Real Estate Salesperson | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Antonietta D Dunn | 447 Thoreau Rd, Branford, CT 06405-5847 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Michael R Carlson | 451 Thoreau Rd, Branford, CT 06405-5847 | Public Service Technician - Telephone | 2017-10-04 ~ 2018-09-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Raymond M Johnson | 39 Bayberry Lane, Branford, CT 06405 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kirsten M Ranciato | 288 East Main Street, Branford, CT 06405 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Bimala Khadka Thapa | 726 Robert Frost Dr., Branford, CT 06405 | Nail Technician | ~ |
| Paul E Basile | 42 Valley Brook Road South, Branford, CT 06405 | Perfusionist | 2020-08-01 ~ 2021-07-31 |
| Lupe Monica Placencia-muy | 100 East Main Street 2nd Fl, Branford, CT 06405 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-02-28 |
| Bridget J Jennings | 159 Queach Road, Branford, CT 06405 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Ujeli Acharya | 21 Burban Drive, Branford, CT 06405 | Nail Technician | ~ |
| Cathleen Smith | 50 First Avenue, Branford, CT 06405 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Gita Thapa | 94 Village Lane, Branford, CT 06405 | Nail Technician | ~ |
| Cycle Venture Partners Fund I Lp - Lumeda Series 1 | 50 Limewood Avenue, Branford, CT 06405 | Securities - Exemptions | 2020-06-17 ~ |
| Find all Licenses in zip 06405 | |||
| City | BRANFORD |
| Zip Code | 06405 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + BRANFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nipaporn Klangmanee · Bangkok Imperial | 200 Boston Post Rd, Orange, CT 06477 | Restaurant Liquor | 2000-06-28 ~ 2001-06-27 |
| Nipaporn Klangmanee · Indochine Restaurant | 1180 Chapel Street, New Haven, CT 06511 | Restaurant Liquor | 2010-03-12 ~ 2011-03-11 |
| Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
| Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| 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 |
Please comment or provide details below to improve the information on NIPAPORN PICHETSHOTE.
| 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).