PRABIN SHARMA
Resident Physician


Address: 170 Woodrow Ave, Southport, CT 06890

PRABIN SHARMA (Credential# 1499583) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2018. The license expiration date date is June 30, 2021. The license status is ACTIVE.

Business Overview

PRABIN SHARMA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.060161-RES. The credential type is resident physician. The effective date is July 1, 2018. The expiration date is June 30, 2021. The business address is 170 Woodrow Ave, Southport, CT 06890. The current status is active.

Basic Information

Licensee Name PRABIN SHARMA
Credential ID 1499583
Credential Number 1.060161-RES
Credential Type Resident Physician
Credential SubCategory RES
Business Address 170 Woodrow Ave
Southport
CT 06890
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2018-07-01
Effective Date 2018-07-01
Expiration Date 2021-06-30
Refresh Date 2018-03-20

Other licenses

ID Credential Code Credential Type Issue Term Status
1211287 CSP.0056838 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2014-03-12 2019-03-01 - 2021-02-28 ACTIVE
1205022 1.052810 Physician/Surgeon 2014-02-28 2020-02-01 - 2021-01-31 ACTIVE
1211599 CSP.0056844 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER - INACTIVE

Office Location

Street Address 170 Woodrow Ave
City Southport
State CT
Zip Code 06890

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Prativa Luitel 170 Woodrow Ave, Southport, CT 06890-1122 Certified Public Accountant License 2020-01-09 ~ 2020-12-31

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Alexander Esposito 312 High Meadow Rd, Southport, CT 06890 Architect 2020-08-01 ~ 2021-07-31
Christina Muller 243 Sturbridge Lane, Southport, CT 06890 Licensed Clinical Social Worker ~
Carmen R Weber 45 Split Rock Road, Southport, CT 06890 Dietitian/nutritionist 2020-09-01 ~ 2021-08-31
Cher A Anderson 10 Anvil Road, Southport, CT 06890 Hairdresser/cosmetician 2020-09-01 ~ 2022-08-31
Christal L T Rodenhiser 193 Osborne Ln, Southport, CT 06890 Registered Nurse 2020-08-01 ~ 2021-07-31
David S Parker P.o. Box 491, Southport, CT 06890 Architect 2020-08-01 ~ 2021-07-31
Peter H Ventriglia 60 Chester Pl, Southport, CT 06890 Real Estate Salesperson 2020-06-16 ~ 2021-05-31
Jennifer Adell Efstathiou 237 Woodrow Avenue, Southport, CT 06890 Esthetician ~
Brenda L Vanfleet 160 Range Rd, Southport, CT 06890 Dental Hygienist 2020-06-01 ~ 2021-05-31
John S Brice 71 Old Post Rd, Southport, CT 06890 Architect 2020-08-01 ~ 2021-07-31
Find all Licenses in zip 06890

Competitor

Search similar business entities

City Southport
Zip Code 06890
License Type Resident Physician
License Type + County Resident Physician + Southport

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Bashar Y Sharma 263 Farmington Avenue, Farmington, CT 06030-1921 Resident Physician 2020-07-01 ~ 2023-06-30
Ishna A Sharma 263 Farmington Ave, Farmington, CT 06030-0001 Resident Physician 2015-07-01 ~ 2022-06-30
Ravish Sharma 263 Farmington Ave, Farmington, CT 06030-0001 Resident Physician 2020-07-01 ~ 2021-06-30
Anjana Sharma · Sharma 6 Stonecroft Way, Monroe, CT 06468-5208 Registered Nurse 2020-02-01 ~ 2021-01-31
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Dataset Information

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).

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