SHYAMASUNDAR BALASUBRAMANYA (Credential# 1490579) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2013. The license expiration date date is June 30, 2021. The license status is ACTIVE.
SHYAMASUNDAR BALASUBRAMANYA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.058681-RES. The credential type is resident physician. The effective date is October 1, 2013. The expiration date is June 30, 2021. The business address is 244 E Pearson Street, Chicago, IL 60611. The current status is active.
| Licensee Name | SHYAMASUNDAR BALASUBRAMANYA |
| Credential ID | 1490579 |
| Credential Number | 1.058681-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
244 E Pearson Street Chicago IL 60611 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2013-10-01 |
| Effective Date | 2013-10-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-05-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1187839 | 1.052652 | Physician/Surgeon | 2013-12-24 | 2017-11-01 - 2018-10-31 | INACTIVE |
| Street Address | 244 E Pearson Street |
| City | Chicago |
| State | IL |
| Zip Code | 60611 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Driehaus Mutual Funds | 25 East Erie Street, Chicago, IL 60611 | Investment Company - Open End | 2020-05-05 ~ 2020-12-31 |
| Shohreh Shahabi | 950 North Michigan Ave., Chicago, IL 60611 | Controlled Substance Registration for Practitioner | 2019-05-16 ~ 2021-02-28 |
| Ceres Sustainable Food & Agriculture Bridge Fund, L.p. | 401 N Michigan Ave, Ste 1200, Chicago, IL 60611 | Securities - Exemptions | 2020-04-01 ~ |
| American Medical Association Foundation | 330 North Wabash Avenue, Chicago, IL 60611 | Public Charity | 2020-06-01 ~ 2021-05-31 |
| Michael A Wilczynski | 800 N. Michigan Avenue, Chicago, IL 60611 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Matthew H Johnson | 505 N. Lake Shore Drive, Chicago, IL 60611 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Valor Equity Partnes V, Lp | 875 North Michigan Avenue, Chicago, IL 60611 | Securities - Exemptions | 2019-12-12 ~ |
| Fastmodel Holdings, LLC | 444 Michigan Avenue, Chicago, IL 60611 | Securities - Exemptions | ~ |
| Grosvenor Registered Multi-strategy Fund (w), LLC | 900 North Michigan Avenue, Chicago, IL 60611 | Investment Company - Other | 2019-08-30 ~ |
| Valor Siren Ventures, Lp | 875 Norh Michigan Avenue, Chicago, IL 60611 | Securities - Exemptions | 2019-10-16 ~ |
| Find all Licenses in zip 60611 | |||
| City | Chicago |
| Zip Code | 60611 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + Chicago |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gin Yi Lee | 24 Hospital Ave, Danbury, CT 06810-6099 | Resident Physician | 2019-06-20 ~ 2022-06-30 |
| Jia Wei Tan | 267 Grant St, Bridgeport, CT 06610-2805 | Resident Physician | 2020-06-22 ~ 2023-06-30 |
| Tao Zuo | 20 York St., New Haven, CT 06510-3220 | Resident Physician | 2016-07-25 ~ 2020-06-30 |
| Jennifer A Guy | 6 Early Dr Apt K, Watervliet, NY 12189-2517 | Resident Physician | ~ |
| Victoria Parker | CT | Resident Physician | 2015-06-23 ~ 2021-06-30 |
| Jin Woo Yoo | 44 Orange St Apt 317, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Yan Zhu | 27 Brainerd Rd # B, Branford, CT 06405-6302 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Andrew B Koo | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-06-09 ~ 2021-06-30 |
| Yu Mi Kang | 267 Grant St., Bridgeport, CT 06610 | Resident Physician | 2019-06-24 ~ 2022-06-30 |
| Felicia A Hui | 111 Sheldon Ter Apt 2r, New Haven, CT 06511-2032 | Resident Physician | 2014-06-26 ~ 2020-06-30 |
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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).