KISHAN PATEL (Credential# 1519679) 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.
KISHAN PATEL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.061192-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 5441 Roanoke Rd, Rockford, IL 61107-1687. The current status is active.
Licensee Name | KISHAN PATEL |
Credential ID | 1519679 |
Credential Number | 1.061192-RES |
Credential Type | Resident Physician |
Credential SubCategory | RES |
Business Address |
5441 Roanoke Rd Rockford IL 61107-1687 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Effective Date | 2018-07-01 |
Expiration Date | 2021-06-30 |
Refresh Date | 2018-06-01 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1517332 | CSP.0068257 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-05-30 | 2019-03-01 - 2021-02-28 | ACTIVE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Kishan Patel | 9 Cathcart Drive, Jewett City, CT 06351 | Real Estate Salesperson | ~ |
Street Address | 5441 ROANOKE RD |
City | ROCKFORD |
State | IL |
Zip Code | 61107-1687 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
William J Giakas | 1639 N Alpine, Rockford, IL 61107 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
Diana Burkott | 1942 Shaw Woods Dr, Rockford, IL 61107 | Registered Nurse | 1996-03-01 ~ 1996-11-30 |
George Matsakis | 2602 Bradley Rd, Rockford, IL 61107-1106 | Heating, Piping & Cooling Limited Journeyperson | ~ |
Kathryn Star Polnow | 908 Saint Andrews Way, Rockford, IL 61107-3848 | Registered Nurse | 2020-06-03 ~ 2021-05-31 |
Kenneth J Korcek Md | 324 Roxbury Rd, Rockford, IL 61107-5090 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Gail S Haiken | 5303 Regents Park Rd., Rockford, IL 61107-5092 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
John A Hart | 5727 Strathmoor Dr, Rockford, IL 61107-5180 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Polly Knowland | 6761 Sentinel Rd, Rockford, IL 61107-5626 | Registered Nurse | 1985-03-29 ~ 1987-10-31 |
Abdul Zahurullah | 1802 Rothschild Ln, Rockford, IL 61107-6103 | Physician/surgeon | 1978-08-02 ~ 1979-12-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Swedishamerican Foundation | 1415 E State St Ste 100, Rockford, IL 61104-2300 | Public Charity | 2019-10-02 ~ 2020-05-31 |
Robert E Andrus | 11629 Northland Drive, Rockford, MI 49341 | Architect | 2020-08-01 ~ 2021-07-31 |
Emery Acquisition Group, LLC | One Airport Center, Rockford, IL 61109 | Securities - Exemptions | 2020-06-05 ~ |
Andersonbrecon Inc | 5775 Logistics Pkwy, Rockford, IL 61109-3608 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
Amy Lynn Hicks | 2911 Troon Ct, Rockford, IL 61114-6483 | Registered Nurse - Temporary | 2020-01-06 ~ 2020-05-05 |
Bonnie Lea Davis | 8948 Elstner Ave Ne, Rockford, MI 49341-7581 | Registered Nurse - Temporary | 2020-04-23 ~ 2020-08-21 |
Debra Seivert | 1298 Griggs Rd, Rockford, IL 61108 | Registered Nurse | ~ |
Renee R Walker | 142 Highview Rd, Rockford, MN 55373 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
Catherine Terhaar | 2900 N Saddle Ridge Ct Ne, Rockford, MI 49341-7591 | Genetic Counselor | 2020-03-01 ~ 2021-02-28 |
Landstar Inway Inc | 1000 Simpson Road, Rockford, IL 61104 | Transporter Liquor | 2020-01-24 ~ 2021-01-23 |
Find all Licenses in ROCKFORD |
City | ROCKFORD |
Zip Code | 61107 |
License Type | Resident Physician |
License Type + County | Resident Physician + ROCKFORD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Kishan A. Patel | 308 Myers Ave, Hasbrouck Heights, NJ 07604-2236 | Physician/surgeon | 2013-07-12 ~ 2014-02-28 |
Harish S Patel · Kishan Wines & Spirits | 51 Waterville Road, Avon, CT 06001 | Package Store Liquor | ~ |
Niral M Patel | 40 Prospect Ave Apt 1h, Norwalk, CT 06850-3737 | Resident Physician | 2018-07-01 ~ 2019-06-30 |
Neville M Patel | 64 Robbins St, Waterbury, CT 06708-2613 | Resident Physician | 2020-06-28 ~ 2025-06-27 |
Roshni Patel | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
Niral M Patel | 20 York St, New Haven, CT 06510 | Resident Physician | 2018-07-01 ~ 2020-06-30 |
Chandni H Patel | 547 Ashwood Rd, Springfield, NJ 07081-2526 | Resident Physician | 2015-07-01 ~ 2020-06-30 |
Hemani Patel | 34 Maple St, Norwalk, CT 06850-3815 | Resident Physician | 2020-06-22 ~ 2023-06-30 |
Smit D Patel | 753 Summerfield Dr, Allen, TX 75002-1821 | Resident Physician | 2017-06-28 ~ 2021-06-30 |
Krishna Patel | 80 Seymour St, Hartford, CT 06102-5037 | Resident Physician | 2019-07-01 ~ 2023-06-30 |
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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).