SHANTALA UMASHANKAR MD
Controlled Substance Registration for Practitioner


Address: 939 Jackson St Apt 201, San Francisco, CA 94133-4877

SHANTALA UMASHANKAR MD (Credential# 157056) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is INACTIVE.

Business Overview

SHANTALA UMASHANKAR MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0015704. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 939 Jackson St Apt 201, San Francisco, CA 94133-4877. The current status is inactive.

Basic Information

Licensee Name SHANTALA UMASHANKAR MD
Credential ID 157056
Credential Number CSP.0015704
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 939 Jackson St Apt 201
San Francisco
CA 94133-4877
Business Type INDIVIDUAL
Status INACTIVE - DOES NOT WISH TO RENEW
Issue Date 1999-03-01
Effective Date 2017-03-01
Expiration Date 2019-02-28
Refresh Date 2019-02-14

Other licenses

ID Credential Code Credential Type Issue Term Status
547230 1.028539 Physician/Surgeon 1987-09-14 2017-01-01 - 2017-12-31 INACTIVE

Office Location

Street Address 939 JACKSON ST APT 201
City SAN FRANCISCO
State CA
Zip Code 94133-4877

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Competitor

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City SAN FRANCISCO
Zip Code 94133
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SAN FRANCISCO

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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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