SUPRIYA KULKARNI (Credential# 1340136) 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.
SUPRIYA KULKARNI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.055180. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 45 Windy Hill Ln, Rocky Hill, CT 06067-2866. The current status is active.
Licensee Name | SUPRIYA KULKARNI |
Credential ID | 1340136 |
Credential Number | 1.055180 |
Credential Type | Physician/Surgeon |
Business Address |
45 Windy Hill Ln Rocky Hill CT 06067-2866 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2016-04-20 |
Effective Date | 2020-04-01 |
Expiration Date | 2021-03-31 |
Refresh Date | 2020-01-06 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1350240 | CSP.0062523 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-04-28 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 45 WINDY HILL LN |
City | ROCKY HILL |
State | CT |
Zip Code | 06067-2866 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
John J. Driscoll United Labor Agency | 56 Town Line Road, Rocky Hill, CT 06067 | Public Charity | 2019-06-01 ~ 2020-05-31 |
Rose J Dibacco | 21 Woodland Rd, Rocky Hill, CT 06067 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
Emily Noreen Kilroy Wolf | 305 Carlton Lane, Rocky Hill, CT 06067 | Art Therapist | ~ |
Veronica Andrea Pita | 100 Cold Spring Rd, Rocky Hill, CT 06067 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Kim Simeone | 21 New Britain Ave, Rocky Hill, CT 06067 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-01-31 |
Kaci Courtemanche | 1105 Harbor View Drive, Rocky Hill, CT 06067 | Master's Level Social Worker - Temporary Permit | ~ |
Hailing Colon | 35 Grimes Rd. Apt D104, Rocky Hill, CT 06067 | Nail Technician | ~ |
Diana C D'angelo | 1-d Carillon Drive, Rocky Hill, CT 06067 | Massage Therapist | 2020-07-01 ~ 2022-06-30 |
Carmelo Ferla | 54 Wright Rd, Rocky Hill, CT 06067 | Architect | 2020-08-01 ~ 2021-07-31 |
Jessica Condon | 7 Robbins Lane, Rocky Hill, CT 06067 | Registered Nurse | ~ |
Find all Licenses in zip 06067 |
City | ROCKY HILL |
Zip Code | 06067 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + ROCKY HILL |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Supriya Maruti Tigadi | 27 Roberts Ln, West Hartford, CT 06107-1627 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Supriya Jambhekar | 2116 Menahan Street, Ridgewood, NY 11385 | Physician/surgeon | 2004-08-02 ~ 2005-08-31 |
Prajakta A. Kulkarni | 170 Crossing Dr Apt 202, Cumberland, RI 02864-4373 | Physician/surgeon | 2012-05-16 ~ 2015-12-31 |
Sanjay Kulkarni | 333 Cedar Street, New Haven, CT 06520-8062 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Raghavendra G Kulkarni | 22 Miller Road, Dover, MA 02030 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Kedar Kulkarni | 209 Varsity Lane, Bear, DE 19701 | Physician/surgeon | 2004-12-02 ~ 2005-12-31 |
Lina Kulkarni Md | 5122 Avalon Walk, Hamden, CT 06518 | Physician/surgeon | 2005-09-15 ~ 2006-06-30 |
Mrinalini Kim Kulkarni-date | 1500 Red River St, Austin, TX 78701-1918 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Shashikat A Kulkarni | 123 Cusman Street, Washington Township, NJ 07675 | Physician/surgeon | 1979-01-30 ~ 1982-12-31 |
Tushar Kulkarni | 62 Shrewsbury Green Dr Unit 1, Shrewsbury, MA 01545-3683 | Physician/surgeon | 2017-10-01 ~ 2018-09-30 |
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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).