DIVYA GUPTA (Credential# 1314144) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2019. The license expiration date date is August 31, 2020. The license status is ACTIVE.
DIVYA GUPTA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.054784. The credential type is physician/surgeon. The effective date is September 1, 2019. The expiration date is August 31, 2020. The business address is 183 Oak Street, Newton, MA 02464. The current status is active.
Licensee Name | DIVYA GUPTA |
Credential ID | 1314144 |
Credential Number | 1.054784 |
Credential Type | Physician/Surgeon |
Business Address |
183 Oak Street Newton MA 02464 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2015-11-24 |
Effective Date | 2019-09-01 |
Expiration Date | 2020-08-31 |
Refresh Date | 2019-07-14 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1326586 | CSP.0061895 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-12-29 | 2017-03-01 - 2019-02-28 | LAPSED |
Street Address | 183 Oak Street |
City | Newton |
State | MA |
Zip Code | 02464 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jennifer T Phillips | 1 Ueefe Ave, Newton, MA 02464 | Occupational Therapist | 2016-05-25 ~ 2017-07-31 |
Gary D Lowe | 1174 Boylston St, Newton, MA 02464 | Architect | 2015-08-10 ~ 2016-07-31 |
National Commercial Brokers Inc | 381 Elliot Street, Newton Upper Falls, MA 02464 | Real Estate Broker | 2012-06-12 ~ 2013-03-31 |
Jaydutt B Patel | 966 Chestnut Street, Newton, MA 02464 | Physician/surgeon | 2010-01-15 ~ 2010-07-31 |
Mark Wahlberg Youth Foundation Inc. | 233 Needham Street, Suite 300, Newton, MA 02464 | Public Charity | 2005-12-12 ~ 2006-05-31 |
Rita R Hauser | 18 Hemlock Road, Newton, MA 02464 | Registered Nurse | 2003-10-09 ~ 2004-11-30 |
William Cristo Jr | 241 Elliot Street, Newton, MA 02464 | Physician/surgeon | 1992-02-24 ~ 1992-12-31 |
Teddy D Pan | 320 Needham Street, Newton, MA 02464 | Physician/surgeon | 2005-10-31 ~ 2006-10-31 |
Brian G Campbell | 24 Williams St, Newton, MA 02464 | Electrical Unlimited Contractor | ~ |
D. Elliott Kronenfeld | 114 Thurston Rd, Newton Upper Falls, MA 02464-1200 | Licensed Clinical Social Worker | ~ |
Find all Licenses in zip 02464 |
City | Newton |
Zip Code | 02464 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + Newton |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Divya Gupta Md | 31 Southfield Rd, Edison, NJ 08820 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
Divya Motkur | 2915 Sidney Street, Pittsburgh, CT 15203 | Physician/surgeon | ~ |
Divya Chhabra | 41 Abington Avenue, Ardsley, NY 10502 | Physician/surgeon | 2008-09-22 ~ 2008-11-30 |
Roopali Gupta | Arlington, VA 22203 | Physician/surgeon | 2011-02-01 ~ 2012-01-31 |
Mala R. Gupta | 400 Washington St, Hartford, CT 06106-3351 | Physician/surgeon | ~ 1992-11-30 |
Nitin Gupta | 18 Ashford Ave, Dobbs Ferry, NY 10522-1823 | Physician/surgeon | ~ |
Naren Gupta | 165 Newton St, Brookline, MA 02445-7422 | Physician/surgeon | 2011-01-01 ~ 2011-12-31 |
Nishant Gupta | 55 Lake St, Cooperstown, NY 13326 | Physician/surgeon | 2019-01-09 ~ 2019-05-31 |
Gunjan Gupta | 31 Alwyn Ln, Weston, CT 06883-1427 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
Avinash Gupta | 114 Peachtree Ct., Orangeburg, SC 29118 | Physician/surgeon | 1999-08-03 ~ 1999-11-30 |
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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).