VIVEK R PATEL (Credential# 1236346) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is INACTIVE.
VIVEK R PATEL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0058303. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 457 Blue Heron Cir, Bartlett, IL 60103-2307. The current status is inactive.
| Licensee Name | VIVEK R PATEL |
| Credential ID | 1236346 |
| Credential Number | CSP.0058303 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
457 Blue Heron Cir Bartlett IL 60103-2307 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LACK OF ACTIVE MEDICAL LICENSE |
| Issue Date | 2014-07-31 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-04-20 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1491185 | 1.060499 | Physician/Surgeon | 2018-05-02 | 2018-08-01 - 2019-07-31 | INACTIVE |
| 1491971 | 1.059706-RES | Resident Physician | 2017-07-01 | 2017-07-01 - 2018-06-30 | INACTIVE |
| Street Address | 457 BLUE HERON CIR |
| City | BARTLETT |
| State | IL |
| Zip Code | 60103-2307 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jane E. Miller | C/o P Polachek, Bartlett, IL 60103 | Certified Public Accountant License | 2020-01-06 ~ 2020-12-31 |
| Water One Inc | 960 Muirfield Dr, Hanover Park, IL 60103 | Non-alcoholic Beverage & Water Bottlers | 1998-07-08 ~ 1999-06-30 |
| Redentor L Galang | 7499 Grant Circle, Hanover Park, IL 60103 | Physician/surgeon | 1999-02-22 ~ 2000-03-31 |
| Doreen V Sa | 423 Smoketree Lane, Bartlett, IL 60103 | Licensed Practical Nurse | 1999-05-05 ~ 2000-06-30 |
| Victoria Samulenas · Happy Fruits & Veggies | 450 Columbus Blvd, Hartford, CT 60103 | Fruit and Vegetable Grower | 2019-12-31 ~ 2020-05-31 |
| Gisele Sparks | 1375 Farmgate Rd, Bartlett, IL 60103-1836 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Society for Black Brown and Behavioral Scientists | 965 Longford Rd, Bartlett, IL 60103-1916 | Public Charity-exempt From Financial Requirements | 2016-07-05 ~ |
| Lynn A Schwenker | 513 East Valleyview Dr, Bartlett, IL 60103-1936 | Registered Nurse - Temporary | 2009-10-07 ~ 2010-02-04 |
| Geraldine Stutz | 5n751 Carriage Way Dr, Bartlett, IL 60103-2036 | Registered Nurse | 2011-12-01 ~ 2012-12-31 |
| Khyati V Patel | 331 Veronica Cir, Bartlett, IL 60103-2304 | Registered Nurse - Temporary | 2020-04-24 ~ 2020-08-22 |
| Find all Licenses in zip 60103 | |||
| City | BARTLETT |
| Zip Code | 60103 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BARTLETT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vivek-sagar Patel | 700 S Myrtle Ave Apt 233, Monrovia, CA 91016-8412 | Controlled Substance Registration for Practitioner | 2017-11-17 ~ 2019-02-28 |
| Vivek Kesar | 129 York St Apt 1 - O, New Haven, CT 06511-5604 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Vivek Alaigh | 133 Wellington Dr, Stamford, CT 06903-3209 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Vivek Kumar | 40 Prospect Ave Apt 3m, Norwalk, CT 06850-3737 | Controlled Substance Registration for Practitioner | 2011-02-03 ~ 2013-02-28 |
| Vivek B Kalra | 333 Cedar St, New Haven, CT 06520 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Vivek Kumar | 5 Perryridge Rd, Greenwich, CT 06830-4608 | Controlled Substance Registration for Practitioner | 2017-04-11 ~ 2019-02-28 |
| Vivek P Padha | 19410 Portsmouth Dr, Hagerstown, MD 21742-1724 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Vivek Mehta Dmd | 79 Grist Mill Rd, Littleton, MA 01460 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Vivek Gupta Md | 402 Aspen Glen Dr, Hamden, CT 06518 | Controlled Substance Registration for Practitioner | 2003-01-07 ~ 2004-02-28 |
| Vivek Agnihotri Md | 90 Victoria Court, Hamden, CT 06514 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
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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).