HEMANT GUPTA MD (Credential# 1383564) 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 ACTIVE.
HEMANT GUPTA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0064179. 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 65 Jeffrey Ln, West Springfield, MA 01089-4475. The current status is active.
| Licensee Name | HEMANT GUPTA MD |
| Credential ID | 1383564 |
| Credential Number | CSP.0064179 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
65 Jeffrey Ln West Springfield MA 01089-4475 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-10-12 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-15 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 562312 | 1.044730 | Physician/Surgeon | 2006-08-30 | 2019-08-01 - 2020-07-31 | ACTIVE |
| 451126 | CSP.0040687 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-09-27 | 2009-03-01 - 2011-02-28 | INACTIVE |
| Street Address | 65 JEFFREY LN |
| City | WEST SPRINGFIELD |
| State | MA |
| Zip Code | 01089-4475 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Darlene A Kurman | 158 Edgewood Rd, W Springfield, MA 01089 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Jessica Marquez | 758 Westfield St, West Springfield, MA 01089 | Licensed Clinical Social Worker | ~ |
| Jody L Russell | 121 Greenleaf Ave, West Springfield, MA 01089 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Katherine Zemanek | 81 Braintree Road, West Springfield, MA 01089 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| John Calabrese | 64 High Meadow Dr, West Springfield, MA 01089 | Dentist | ~ |
| Mary Christine Matias | 24 Appaloosa Lane, West Springfield, MA 01089 | Licensed Practical Nurse | ~ |
| Elizabeth A Favreau | 21 Hummingbird Lane, West Springfield, MA 01089 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| James M Hanifan | 90 Bayberry Ln, W Springfield, MA 01089 | Architect | 2020-08-01 ~ 2021-07-31 |
| Katie Marie Sniegowski | 22 Garden St, West Springfield, MA 01089 | Registered Nurse - Temporary | 2020-02-05 ~ 2020-06-04 |
| Surgi-care Inc | 150 Doty Cir, West Springfield, MA 01089 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 01089 | |||
| City | WEST SPRINGFIELD |
| Zip Code | 01089 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WEST SPRINGFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hemant Magoo | 100 Wason Ave Ste 200, Springfield, MA 01107 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Hemant Dhawan Dmd | 1 Aspetuck Avenue, New Milford, CT 06776 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Mayank Gupta | 24 Hospital Ave, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2009-09-01 ~ 2011-02-28 |
| Nizi Gupta Dds | 77 Park Ln, Woodbridge, CT 06525-2026 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kimberly D Gupta | 59 Liberty St, Stamford, CT 06902 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Priyanka Gupta | 399 Main Ave Apt 821, Norwalk, CT 06851-1565 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Rakesh M Gupta Md | 26 Middle Hwy, Barrington, RI 02806 | Controlled Substance Registration for Practitioner | 2001-03-01 ~ 2002-02-28 |
| Nikhil Gupta | 300 George St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sameer Gupta | 20 York St, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2019-06-20 ~ 2021-02-28 |
| Aditya Gupta | 56 Franklin St, Waterbury, CT 06706 | Controlled Substance Registration for Practitioner | 2007-04-13 ~ 2008-02-29 |
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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).