RADHIKA S DATAR (Credential# 1221145) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
RADHIKA S DATAR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.053395. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 5520 Park Ave, Trumbull, CT 06611-3466. The current status is active.
| Licensee Name | RADHIKA S DATAR |
| Credential ID | 1221145 |
| Credential Number | 1.053395 |
| Credential Type | Physician/Surgeon |
| Business Address |
5520 Park Ave Trumbull CT 06611-3466 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2014-08-01 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-01-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1229947 | CSP.0057492 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-08-02 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 5520 PARK AVE |
| City | TRUMBULL |
| State | CT |
| Zip Code | 06611-3466 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Dina Ferdman | 5520 Park Ave, Trumbull, CT 06611-3463 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Smilow Cancer Hospital Trumbull Treatment Ctr | 5520 Park Ave, Trumbull, CT 06611-3463 | Controlled Substance Registration for Hospitals | 2019-03-01 ~ 2021-02-28 |
| Danielle Marie Bertoni | 5520 Park Ave, Trumbull, CT 06611 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Germano Guadagnoli Md | 5520 Park Ave, Trumbull, CT 06611 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Rui Zhang | 5520 Park Ave, Trumbull, CT 06611 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Justin Persico | 5520 Park Ave, Trumbull, CT 06611-3463 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Pediatric Oncology Treatment Center | 5520 Park Ave, Trumbull, CT 06611-3463 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jordan Marcou | 5520 Park Ave, Trumbull, MA 06611-3463 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Roxanne C Abder Md | 5520 Park Ave, Trumbull, CT 06611-3463 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Andrew S Kenler | 5520 Park Ave, Trumbull, CT 06611-3465 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Helena T. Squicciarini | 5520 Park Ave Ste 302, Trumbull, CT 06611-3466 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Mirela Dumitrescu Md | 5520 Park Ave Suite Wp 2-1, Trumbull, CT 06611-3466 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Sound Development Group LLC | 5520 Park Ave Ste 201, Trumbull, CT 06611-3466 | New Home Construction Contractor | 2011-10-01 ~ 2013-09-30 |
| Daniel C Fombo | 5520 Park Ave., Ste 303, Trumbull, CT 06611-3466 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Geoffrey Gladstein Md | 5520 Park Ave Ste M2-100, Trumbull, CT 06611-3466 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Pardeep Sood | 5520 Park Ave Ste 303, Trumbull, CT 06611-3466 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Leslie M Goldstone-orly | 5520 Park Ave Ste 302, Trumbull, CT 06611-3466 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Patricia Kellam · Kowalchick | 5520 Park Ave Ste 302, Trumbull, CT 06611-3466 | Licensed Practical Nurse | 2014-08-01 ~ 2015-07-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ashley S Balestriere | 7 Sutton Place, Trumbull, CT 06611 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Filomena L Ferraro · Nicolia | 35 Skating Pond Rd, Trumbull, CT 06611 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Alexis Grace Shaub | 58 Chestnut Hill Road, Trumbull, CT 06611 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
| Maria Bivona | 5302 Main Street, Trumbull, CT 06611 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Gina M Gallo · Liquigli | 20 Red Maple Lane, Trumbull, CT 06611 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Xuehuan Zhang | 31 Asbury Rd, Trumbull, CT 06611 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Antoinette D Senior | 38 Tanager Lane, Trumbull, CT 06611 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Solution Construction LLC | 3 Stonewall Lane, Trumbull, CT 06611 | New Home Construction Contractor | 2020-06-18 ~ 2021-09-30 |
| Gary T Sorge | 63 Limerick Road, Trumbull, CT 06611 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Melodie T Noga | 55 Moose Hill Road, Trumbull, CT 06611 | Real Estate Salesperson | 2020-06-19 ~ 2021-05-31 |
| Find all Licenses in zip 06611 | |||
| City | TRUMBULL |
| Zip Code | 06611 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + TRUMBULL |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Datar Singh Sodhi | 55 Wildman St Apt 508, Danbury, CT 06810-6964 | Physician/surgeon | 1979-02-13 ~ 1979-09-30 |
| Radhika Mathur Md | 267 Grant St, Bridgeport, CT 06610 | Physician/surgeon | 2009-01-05 ~ 2010-02-28 |
| Radhika Siriki | 37 Carrington Dr, Greenwich, CT 06831-3119 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Radhika Malhotra | 494 Dogwood Road, Orange, CT 06477 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Radhika Vijayan | 780 Flushing Avenue, Brooklyn, NY 11206 | Physician/surgeon | 1983-12-20 ~ 1988-07-31 |
| Radhika Khwaja Md | 3314 Rolling Hill Rd, Durham, NC 27705-5544 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Radhika R Hariharan | 1082 Racebrook Road, Woodbridge, CT 06525 | Physician/surgeon | ~ 1997-07-31 |
| Radhika Koneru | 1512 N River West Ct Apt 2b, Mount Prospect, IL 60056-1781 | Physician/surgeon | 2011-06-30 ~ 2012-04-30 |
| Radhika B Kulkarni | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2019-06-28 ~ 2022-06-30 |
| Sharvari Shailesh Datar | A/2, Omkar C.h.s., Road No.2, Pandurangwadi, Mumbai, I2 400063 | Physical Therapist | 2019-01-14 ~ 2019-10-31 |
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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).