MUKTA S SHARMA (Credential# 1205587) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2020. The license expiration date date is December 31, 2020. The license status is ACTIVE.
MUKTA S SHARMA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.053061. The credential type is physician/surgeon. The effective date is January 1, 2020. The expiration date is December 31, 2020. The business address is 31 Hickory Ln, Bedford, NY 10506-1533. The current status is active.
| Licensee Name | MUKTA S SHARMA |
| Credential ID | 1205587 |
| Credential Number | 1.053061 |
| Credential Type | Physician/Surgeon |
| Business Address |
31 Hickory Ln Bedford NY 10506-1533 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2014-05-23 |
| Effective Date | 2020-01-01 |
| Expiration Date | 2020-12-31 |
| Refresh Date | 2019-11-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1227610 | CSP.0057305 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-06-09 | 2015-03-01 - 2017-02-28 | INACTIVE |
| Street Address | 31 HICKORY LN |
| City | BEDFORD |
| State | NY |
| Zip Code | 10506-1533 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Benjamin E Gershman | 65 Hickory Ln, Bedford, NY 10506-1533 | Emergency Medical Technician | 2019-06-13 ~ 2022-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Suzanne L Burger | 48 Quarry Lane, Bedford, NY 10506 | Psychologist | 2000-07-26 ~ 2001-08-31 |
| Teodoro E Siguenza | 425 Old Post Road, Bedford, NY 10506 | Architect | 2020-08-01 ~ 2021-07-31 |
| Claudia M Atkinson | 15 Ambler Farm Rd, Bedford, NY 10506 | Real Estate Salesperson | 2020-06-05 ~ 2021-05-31 |
| Andrew J Paul | 168 Millertown Rd, Bedford, NY 10506 | Real Estate Salesperson | 2019-06-01 ~ 2020-05-31 |
| Margo K Lancia | 27 Jefferson Lane, Bedford, NY 10506 | Real Estate Salesperson | 2020-06-02 ~ 2021-05-31 |
| Eleanor L Sullivan | 29 Great Hills Farm Road, Bedford, NY 10506 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Anthony Giordano | 672 Old Post Road, Bedford, NY 10506 | Notary Public Appointment | 2015-06-01 ~ 2020-05-31 |
| Linda Cady | 680 Guard Hill Road, Bedford, NY 10506 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Kimberly A Blake · Phipps | 22 Jefferson Lane, Bedford, NY 10506 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Kimberley C Morris | 77 Hook Rd, Bedford, NY 10506 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Find all Licenses in zip 10506 | |||
| City | BEDFORD |
| Zip Code | 10506 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + BEDFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mukta C Srivastava Md | 123 York St #3c, New Haven, CT 06511 | Physician/surgeon | 2008-01-28 ~ 2009-03-31 |
| Mukta Dhond | 950 Campbell Avenue, West Haven, CT 06516 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Madhuri Sharma | 55 Wilkins St, Hamden, CT 06517-3342 | Physician/surgeon | ~ |
| Suash Sharma | F-75, Noida, U.p., 201301 | Physician/surgeon | 2004-12-08 ~ 2005-11-30 |
| Rama Sharma | 365 W 25th St Apt 11d, New York, NY 10001-5811 | Physician/surgeon | 2016-01-27 ~ 2016-09-30 |
| Amit K Sharma | 10 Henry Beach Ct, Montville, NJ 07045-9609 | Physician/surgeon | ~ |
| Aparna Sharma Md | Apartment #210, Manchester, CT 06040 | Physician/surgeon | 2001-03-19 ~ 2002-04-30 |
| Sarghi Sharma Md | 31 Maplewood Rd, New Haven, CT 06515 | Physician/surgeon | 2004-04-13 ~ 2005-04-30 |
| Girish L Sharma | 520 Hartford Tpk, Vernon, CT 06066-4560 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Rajesh Sharma Md | 340 Thompson Rd, Webester, MA 01570-0488 | Physician/surgeon | 2001-06-18 ~ 2002-07-31 |
Please comment or provide details below to improve the information on MUKTA S SHARMA.
| 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).