SOPAN BHARATRAY LAHEWALA (Credential# 1613994) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
SOPAN BHARATRAY LAHEWALA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.062203. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 115 Old Short Hills Rd Apt 613, West Orange, NJ 07052-1052. The current status is active.
Licensee Name | SOPAN BHARATRAY LAHEWALA |
Credential ID | 1613994 |
Credential Number | 1.062203 |
Credential Type | Physician/Surgeon |
Business Address |
115 Old Short Hills Rd Apt 613 West Orange NJ 07052-1052 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2018-12-24 |
Effective Date | 2020-04-01 |
Expiration Date | 2021-03-31 |
Refresh Date | 2020-02-04 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1645348 | CSP.0070577 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-04-04 | 2019-04-04 - 2021-02-28 | ACTIVE |
Street Address | 115 OLD SHORT HILLS RD APT 613 |
City | WEST ORANGE |
State | NJ |
Zip Code | 07052-1052 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jewish Foundation for The Righteous Inc (the) | 80 Main Street, Suite 380, West Orange, NJ 07052 | Public Charity | 2020-12-01 ~ 2021-11-30 |
Daniel Groisser | 347 Mount Pleasant Avenue, West Orange, NJ 07052 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Hylton M Wener | 6 Steven Terrace, West Orange, NJ 07052 | Youth Camp Director | 2020-03-02 ~ |
Mamta Mehra | 59 Clarken Drive, West Orange, NJ 07052 | Dentist | 2020-03-01 ~ 2021-02-28 |
Remona T King | 11 Elliott Place, West Orange, NJ 07052 | Registered Nurse | 2018-11-01 ~ 2019-10-31 |
Richard Horbacz | 84 Terrace Avenue, West Orange, NJ 07052 | Certified Public Accountant Certificate | 2019-01-01 ~ 2019-12-31 |
Richard J Adelsohn | 14 Steven Ter, W Orange, NJ 07052 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Ayoola O Aladesanmi | 5 Silver Spring Road, West Orange, NJ 07052 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
Deborah Suzanne Little | 200 Executive Drive, West Orange, NJ 07052 | Registered Nurse | 2019-12-02 ~ 2020-12-31 |
Melanie D Gass | 24 Hutton Avenue 54, West Orange, NJ 07052 | Notary Public Appointment | 2004-10-01 ~ 2009-10-31 |
Find all Licenses in zip 07052 |
City | WEST ORANGE |
Zip Code | 07052 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + WEST ORANGE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Sopan N Chaudhari | 5875 Heritage Lane, Stone Mtn, GA 30087 | Professional Engineer | 1995-01-10 ~ 1996-01-31 |
Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
Nazanin Barzideh Md | North Shore Retina Physician, Pllc, East Hills, NY 11576 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
Barbara M Galko Md | Danbury Office of Physician Services PC, Danbury, CT 06810 | Physician/surgeon | 2010-06-01 ~ 2011-05-31 |
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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).