MUKTA DHOND (Credential# 1412045) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2020. The license expiration date date is July 31, 2021. The license status is ACTIVE.
MUKTA DHOND is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.056622. The credential type is physician/surgeon. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is 950 Campbell Avenue, West Haven, CT 06516. The current status is active.
| Licensee Name | MUKTA DHOND |
| Credential ID | 1412045 |
| Credential Number | 1.056622 |
| Credential Type | Physician/Surgeon |
| Business Address |
950 Campbell Avenue West Haven CT 06516 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-07-03 |
| Effective Date | 2020-08-01 |
| Expiration Date | 2021-07-31 |
| Refresh Date | 2020-06-08 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1229921 | CSP.0057482 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-06-23 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 950 Campbell Avenue |
| City | West Haven |
| State | CT |
| Zip Code | 06516 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Dianne C Duffey Md | 950 Campbell Avenue, West Haven, CT 06516 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Arben Brahaj | 950 Campbell Avenue, West Haven, CT 06516 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| David T Moore | 950 Campbell Avenue, West Haven, CT 06516 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Bachaar Arnaout Md | 950 Campbell Avenue, West Haven, CT 06516 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Jana Young | 950 Campbell Avenue, West Haven, CT 06516 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Pochu Ho Md | 950 Campbell Avenue, West Haven, CT 06516 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Melissa A Metevelis | 950 Campbell Avenue, West Haven, CT 06770 | Interior Designer | 2020-01-01 ~ 2020-12-31 |
| Edward Belk Perry Jr | 950 Campbell Avenue, West Haven, CT 06516 | Physician/surgeon | 2019-07-01 ~ 2020-06-30 |
| Nery A Diaz | 950 Campbell Avenue, West Haven, CT 06516 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-01-23 |
| Vasileios Panagopoulos | 950 Campbell Avenue, West Haven, CT 06516 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nancy Cabrera Salinas | 649 Third Ave., West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-07-31 |
| Lauralee L Gaglio | 27 Peppermill Drive, West Haven, CT 06516 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Evelyn Ruiz Conant | 309 Terrace Ave, Unit 42, West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Junqin Wang | 15 Central Ave West Haven, West Haven, CT 06516 | Nail Technician | ~ |
| Mehmet Sofuoglu Md | Va Conn Healthcare System, West Haven, CT 06516 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Monica M Skakacz | 19 Cowpen Rd, West Haven, CT 06516 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Lourdes Maribel Guzman | 26 York Street, West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Mcdonald's · Tay Mac Dba | 1129 Campbell Ave, West Haven, CT 06516 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Dyaija Soriano | 29 Ridge Court East, West Haven, CT 06516 | Esthetician | 2020-06-26 ~ 2022-05-31 |
| Katherine M Grable | 13 Perry Merrill Drive, West Haven, CT 06516 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06516 | |||
| City | West Haven |
| Zip Code | 06516 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + West Haven |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mukta C Srivastava Md | 123 York St #3c, New Haven, CT 06511 | Physician/surgeon | 2008-01-28 ~ 2009-03-31 |
| Mukta S Sharma | 31 Hickory Ln, Bedford, NY 10506-1533 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Megha Dhond | 12 Buckingham Ln, Greenwich, CT 06830-3927 | Emergency Medical Responder | 2014-02-25 ~ 2016-10-01 |
| Abhay J Dhond Md | 43 Sturbridge Rd, Easton, CT 06612 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
| Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
| Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
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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).