RANJAN PATHAK (Credential# 1490896) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 10, 2017. The license expiration date date is June 30, 2021. The license status is ACTIVE.
RANJAN PATHAK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.058998-RES. The credential type is resident physician. The effective date is July 10, 2017. The expiration date is June 30, 2021. The business address is 855 N Park Rd, Wyomissing, PA 19610. The current status is active.
| Licensee Name | RANJAN PATHAK |
| Credential ID | 1490896 |
| Credential Number | 1.058998-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
855 N Park Rd Wyomissing PA 19610 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-07-10 |
| Effective Date | 2017-07-10 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-05-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1416147 | CSP.0065152 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-05-25 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 1420645 | 1.056604 | Physician/Surgeon | 2017-06-30 | 2017-06-30 - 2018-06-30 | INACTIVE |
| Street Address | 855 N Park Rd |
| City | Wyomissing |
| State | PA |
| Zip Code | 19610 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carole J Neag | 1216 Old Mill Rd, Wyomissing, PA 19610 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Tabitha Madzura | 141 Heather Lane, Wyomissing, PA 19610 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Robert J Pellegrini | 1023 Sandstone Drive, Wyomissing, PA 19610 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Capstone Compounding Pharmacy | 220 N. Park Rd, Wyomissing, PA 19610 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
| Emily Mengle | 443 Wroxham Drive, Wyomissing, PA 19610 | Occupational Therapist | 2019-08-01 ~ 2021-07-31 |
| Abhijay P Karandikar | 100 N Park Rd, Apt 1309, Wyomissing, PA 19610 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Cott Beverages Wyomissing Inc. | 1090 Spring St, Wyomissing, PA 19610 | Non-alcoholic Beverage & Water Bottlers | 2003-07-01 ~ 2004-06-30 |
| Scot M Depue Md | 1256 Girard Ave, Wyomissing, PA 19610 | Controlled Substance Registration for Practitioner | 2015-03-16 ~ 2017-02-28 |
| Robert J Bator Jr. | 2017 Cypress Ln, Wyomissing, PA 19610 | Professional Engineer | 2016-02-01 ~ 2017-01-31 |
| Robert W Pattillo | 1631 Meadowlark Rd, Wyomissing, PA 19610 | Physician/surgeon | 2015-07-01 ~ 2016-06-30 |
| Find all Licenses in zip 19610 | |||
| City | Wyomissing |
| Zip Code | 19610 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + Wyomissing |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Saurabh Ranjan | 267 Grant St, Bridgeport, CT 06610-2805 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
| Maun Ranjan Baral | 24 Hospital Ave, Danbury, CT 06810-6099 | Resident Physician | 2020-06-22 ~ 2023-06-30 |
| Neil Pathak | 20 York St, New Haven, CT 06510 | Resident Physician | 2020-06-09 ~ 2021-06-30 |
| Soma Pathak | 333 E 38th St., New York, NY 10016 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Richa Pathak | 99-37 63rd Rd Apt 2f, Rego Park, NY 11374-1939 | Physician/surgeon | 2011-01-06 ~ 2012-01-31 |
| Kunja J Pathak | 17 Darkwood Court, Warren, NJ 07059 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
| Jitendra Pathak | 17 Darkwood Court, Warren, NJ 07059 | Physician/surgeon | 2010-04-01 ~ 2011-03-31 |
| Ashutosh Pathak | 115 Summer Ln, North Haven, CT 06473-3569 | Physician/surgeon | 2011-06-20 ~ 2011-10-31 |
| Hemang J Pathak | 617 Edisto Court, Chapel Hill, NC 27514 | Physician/surgeon | 2003-03-21 ~ 2003-12-31 |
| Ranjan K Dasgupta | 1 Theall Road, Rye, NY 10580 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).