KETANKUMAR PATEL (Credential# 1253453) 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.
KETANKUMAR PATEL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0058964. 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 20 York Street, New Haven, CT 06510. The current status is lapsed.
| Licensee Name | KETANKUMAR PATEL |
| Credential ID | 1253453 |
| Credential Number | CSP.0058964 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
20 York Street New Haven CT 06510 |
| Business Type | INDIVIDUAL |
| Status | LAPSED |
| Active | 1 |
| Issue Date | 2014-11-17 |
| Effective Date | 2017-03-01 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2019-03-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1491970 | 1.059705-RES | Resident Physician | 2017-07-01 | 2017-07-01 - 2018-06-30 | INACTIVE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ketankumar Patel · 1st Class Wine and Spirits | 105 Waterbury Rd, Prospect, CT 06712-1233 | Package Store Liquor | 2020-08-15 ~ 2021-08-14 |
| Ketankumar Patel · Georgetown Package Store | 34 Main St, Redding, CT 06896 | Package Store Liquor | 2020-07-24 ~ 2021-07-23 |
| Street Address | 20 York Street |
| City | New Haven |
| State | CT |
| Zip Code | 06510 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tiantian Shi | 20 York Street, New Haven, CT 06510 | Resident Physician | 2018-06-25 ~ 2022-06-30 |
| Mohammad Zain-ul-abideen | 20 York Street, New Haven, CT 06510 | Resident Physician | 2019-07-05 ~ 2021-07-04 |
| Brita Roy | 20 York Street, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Christopher Morton | 20 York Street, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Sean X Gu | 20 York Street, New Haven, CT 06450 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Deepika Kumar | 20 York Street, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Colin Klenk | 20 York Street, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Rodrigo Salas Zubillago | 20 York Street, New Haven, CT 06510 | Resident Physician | 2020-06-24 ~ 2021-06-30 |
| Fernando A Pinero | 20 York Street, New Haven, CT 06510 | Resident Podiatrist | 2020-07-01 ~ 2021-06-30 |
| Jacob D. Siegel | 20 York Street, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gary P Bernardi Jr | Yale New Haven Hospital, New Haven, CT 06510 | Advanced Practice Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Katherine G Kennedy | 65 Trumbull St, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Molly Elizabeth Mcadow | 333 Cedar Street, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Brady Dunkle | 58 Vernon Street, New Haven, CT 06510 | Registered Nurse | ~ |
| Karin Ann Price | 20 York St, New Haven, Ct 06510, New Haven, CT 06510 | Registered Nurse - Temporary | 2020-06-25 ~ 2020-10-23 |
| G C S Constuction LLC | 142 Temple Street, New Haven, CT 06510 | Major Contractor | 2020-07-01 ~ 2021-06-30 |
| Paul L Mccarthy Md · Yale School of Medicine | Dept of Pediatrics, New Haven, CT 06510 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Lauren E Cohn Md | Yale New-haven Hospital, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Bong Francois | 900 Chapel St Apt 901, New Haven, CT 06510 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Pelli Clarke Pelli Architects Inc. | 1056 Chapel St, New Haven, CT 06510 | Architecture Corporation | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06510 | |||
| City | New Haven |
| Zip Code | 06510 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + New Haven |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ketankumar Shah | 5 Fairway Ct, Edison, NJ 08820-3665 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Padmavatia Patel Md · C/o Southbury Training School | 1461 South Britain Rd, Southbury, CT 06488 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Amisha J Patel | 905 Mix Ave Apt 1b, Hamden, CT 06514-5111 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Jay C Patel | 132 Mansfield Ave Ste 200, Willimantic, CT 06226-2027 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Devang N Patel Md | Apt B-3, Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 1998-03-01 ~ 1999-02-28 |
| Biraj Patel | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-03 ~ 2009-02-28 |
| Krupa B Patel | Stamford, CT 06902 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Reshma B Patel | 5 Ehret Dr, Monsey, NY 10952-5008 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Jainesh Patel | 56 Franklin St, Waterbury, CT 06706-1253 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jayen H Patel Md | 222 E 19th St, New York, NY 10003 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
Please comment or provide details below to improve the information on KETANKUMAR PATEL.
| 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).