ISH P BHALLA (Credential# 1173598) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.
ISH P BHALLA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0055359. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 300 George St Ste 901 Rm 21, New Haven, CT 06511-6662. The current status is lapsed.
Licensee Name | ISH P BHALLA |
Credential ID | 1173598 |
Credential Number | CSP.0055359 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
300 George St Ste 901 Rm 21 New Haven CT 06511-6662 |
Business Type | INDIVIDUAL |
Status | LAPSED |
Active | 1 |
Issue Date | 2013-07-12 |
Effective Date | 2017-03-01 |
Expiration Date | 2019-02-28 |
Refresh Date | 2019-03-06 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1267451 | 1.054324 | Physician/Surgeon | 2015-06-26 | 2018-01-01 - 2018-12-31 | INACTIVE |
Street Address | 300 GEORGE ST STE 901 RM 21 |
City | NEW HAVEN |
State | CT |
Zip Code | 06511-6662 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Rachel L Wurmser | 300 George St Ste 901 Rm 21, New Haven, CT 06511-6662 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Sarah Abdallah | 300 George St Ste 901, New Haven, CT 06511-6662 | Resident Physician | 2020-06-15 ~ 2025-06-30 |
Samuel Sondalle | 300 George St Ste 901, New Haven, CT 06511-6662 | Resident Physician | 2020-06-15 ~ 2025-06-30 |
Sandhira Wijayaratne | 300 George St Ste 901, New Haven, CT 06511-6662 | Resident Physician | 2020-06-11 ~ 2024-06-30 |
Dervin Cunningham | 300 George St Ste 901, New Haven, CT 06511-6662 | Resident Physician | 2020-06-11 ~ 2024-06-30 |
Ashley Moreno | 300 George St Ste 901, New Haven, CT 06511-6662 | Resident Physician | 2020-06-11 ~ 2024-06-30 |
Eliza Decroce-movson | 300 George St Ste 901, New Haven, CT 06511-6662 | Resident Physician | 2020-06-11 ~ 2024-06-30 |
Patricia Ekwueme | 300 George St Ste 901, New Haven, CT 06511-6662 | Resident Physician | 2020-06-11 ~ 2024-06-30 |
Bradford Martins | 300 George St Ste 901, New Haven, CT 06511-6662 | Resident Physician | 2020-06-11 ~ 2024-06-30 |
Eli Neustadter | 300 George St Ste 901, New Haven, CT 06511-6662 | Resident Physician | 2020-06-11 ~ 2024-06-30 |
Stephanie Wu | 300 George St Ste 901, New Haven, CT 06511-6662 | Resident Physician | 2020-06-11 ~ 2024-06-30 |
Find all Licenses in zip 06511-6662 |
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 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW HAVEN |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Sonal Bhalla | 20 York St. Tmp 209, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Aneil Bhalla | 64 Robbins St # 3304, Waterbury, CT 06708-2613 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Rohit Bhalla | One Hospital Plaza, Stamford, CT 06904 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Kunal Bhalla Dds | 110 Cypress Street, Brookline, MA 02445 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Meeta Bhalla | 2800 Main St, Bridegeport, CT 06606 | 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 |
Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
Min Jin Kim | 639 4th Ave Apt 5c, Brooklyn, NY 11232-1048 | Controlled Substance Registration for Practitioner | 2012-05-10 ~ 2013-02-28 |
Hae J Kim Pa | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-31 ~ 2009-02-28 |
Erin K Fee | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).