SUNIL SHAH (Credential# 1621827) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is December 21, 2018. The license expiration date date is February 28, 2021. The license status is INACTIVE.
SUNIL SHAH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0070014. The credential type is controlled substance registration for practitioner. The effective date is December 21, 2018. The expiration date is February 28, 2021. The business address is 19 Jerome Dr, Farmingdale, NY 11735-1810. The current status is inactive.
Licensee Name | SUNIL SHAH |
Credential ID | 1621827 |
Credential Number | CSP.0070014 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
19 Jerome Dr Farmingdale NY 11735-1810 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LACK OF ACTIVE MEDICAL LICENSE |
Issue Date | 2018-12-21 |
Effective Date | 2018-12-21 |
Expiration Date | 2021-02-28 |
Refresh Date | 2020-04-24 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1531507 | 1.062186 | Physician/Surgeon | 2018-12-20 | 2018-12-20 - 2019-10-31 | INACTIVE |
Street Address | 19 JEROME DR |
City | FARMINGDALE |
State | NY |
Zip Code | 11735-1810 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Thomas D Gibbons Jr | 16 Merokee Pl, Farmingdale, NY 11735 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
Kathleen Mary Sutherland | 20 Leanore Drive, Farmingdale, NY 11735 | Professional Counselor | 2020-06-01 ~ 2021-05-31 |
East Coast Environmental Restoration, Inc. | 136 Allen Blvd, Farmingdale, NY 11735 | Demolition Contractor | 2020-06-01 ~ 2021-05-31 |
Ace Global Trading Ltd. · Chintaly Imports | 595 Broadhollow Road, Farmingdale, NY 11735 | Importer of Bedding & Upholstered Furniture | ~ |
Joshua D Zweback | 148 South Front Street, Farmingdale, NY 11735 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Amit Anil Deshmukh | 54 Clifton St, Farmingdale, NY 11735 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
Saadat Khan | 38 Puritan Lane, Farmingdale, NY 11735 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Industrial Scale Repair & Service Co Inc | 55 Park Cir S, Farmingdale, NY 11735 | Dealer of Weighing & Measuring Devices | 2020-01-01 ~ 2020-12-31 |
Kelly Window Systems Inc | 460 Smith St, Farmingdale, NY 11735 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
Marisa A Harte | 207 Lenox Ct, Farmingdale, NY 11735 | Professional Engineer | 2006-05-01 ~ 2007-01-31 |
Find all Licenses in zip 11735 |
City | FARMINGDALE |
Zip Code | 11735 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + FARMINGDALE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Sunil Rana | 49 Lake Ave, Greenwich, CT 06830-4501 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Sunil K Dhuper Md | 47 Red Ground Rd, Old Westbury, NY 11568-1143 | Controlled Substance Registration for Practitioner | 2009-01-15 ~ 2011-02-28 |
Sunil Mahesh Bhatt | 200 College St Apt 338, New Haven, CT 06510-2448 | Controlled Substance Registration for Practitioner | 2019-06-05 ~ 2021-02-28 |
Sunil G Menon | 1308 Chapel St, New Haven, CT 06511-4515 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Sunil Saxena Md | 30 Buxton Farm Road, Stamford, CT 06905 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Sunil K Yerragondu | Shafa Medical Center, East Hartford, CT 06108 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Hajra Shah | Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Abid Shah | 140 Kyles Way, Shelton, CT 06484 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Ketankumar Shah | 5 Fairway Ct, Edison, NJ 08820-3665 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Amit A Shah | 20 York St # 209, New Haven, CT 06512 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
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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).