MITHUN SIVADASAN (Credential# 1667219) is licensed (Podiatrist) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is APPROVED.
MITHUN SIVADASAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #19.001047. The credential type is podiatrist. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 10 Plymouth St, New Hyde Park, NY 11040-3143. The current status is approved.
Licensee Name | MITHUN SIVADASAN |
Credential ID | 1667219 |
Credential Number | 19.001047 |
Credential Type | Podiatrist |
Business Address |
10 Plymouth St New Hyde Park NY 11040-3143 |
Business Type | INDIVIDUAL |
Status | APPROVED - CURRENT |
Active | 1 |
Issue Date | 2019-08-14 |
Effective Date | 2020-07-01 |
Expiration Date | 2021-06-30 |
Refresh Date | 2020-06-07 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1683683 | CSP.0072259 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-08-15 | 2019-08-15 - 2021-02-28 | ACTIVE |
Street Address | 10 PLYMOUTH ST |
City | NEW HYDE PARK |
State | NY |
Zip Code | 11040-3143 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Hibah Aijaz | 54 Herbert Drive, New Hyde Park, NY 11040 | Physician/surgeon | 2018-12-03 ~ 2019-12-31 |
Anna Marie Jardine · Harvey | 39 Flag Lane, New Hyde Park, NY 11040 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Bruce H Safran | 2101 Royal Court, North Hills, NY 11040 | Dentist | 2020-07-01 ~ 2021-06-30 |
Roy B Cohen | 105 Elm La, New Hyde Park, NY 11040 | Optometrist | 2020-04-01 ~ 2021-03-31 |
Poko Management Corp | 2417 Jericho Tpke, New Hyde Park, NY 11040 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
Michael A. Bianco | 50 Rose Place, Garden City Park, NY 11040 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Ananthakumar Thillainathan | 5 Camden Place, Newhydepark, NY 11040 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Deborah J Dolan | 1106 Jericho Tpke, New Hyde Park, NY 11040 | Tax Preparer/facilitator Permit | 2020-02-11 ~ 2022-02-28 |
Gracemon Kuriakose | 1042 Hillside Blvd, New Hyde Park, NY 11040 | Tax Preparer/facilitator Permit | 2020-02-11 ~ 2022-02-28 |
Johnson D Daniel | 121 South 9th Street, New Hyde Park, NY 11040 | Tax Preparer/facilitator Permit | 2020-02-12 ~ 2022-02-28 |
Find all Licenses in zip 11040 |
City | NEW HYDE PARK |
Zip Code | 11040 |
License Type | Podiatrist |
License Type + County | Podiatrist + NEW HYDE PARK |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Mithun Inc | 1201 Alaskan Way Suite #200, Seattle, WA 98101 | Architecture Corporation | 2010-08-01 ~ 2011-07-31 |
Mithun Inc | 1201 Alaskan Way Ste 200, Seattle, WA 98101-2913 | Architecture Corporation | 2020-05-20 ~ 2021-07-31 |
Travon Owens | CT | Podiatrist | ~ |
Won H Chang | 200 Old Palisade Rd Apt 16a, Fort Lee, NJ 07024-7060 | Podiatrist | ~ |
Guy C Callahan | 139 Simsbury Rd, Avon, CT 06001 | Podiatrist | 1995-04-17 ~ 1996-05-01 |
Eric Lui Dpm | 85 Seymour St Ste 409, Hartford, CT 06106-5523 | Podiatrist | 2020-05-01 ~ 2021-04-30 |
Jill E Stark | 25 Inness Rd, Tenafly, NJ 07670-2714 | Podiatrist | ~ |
Leonard W Schneider | Po Box 206, Branford, CT 06405 | Podiatrist | 1997-12-12 ~ 1999-02-28 |
Michael Lai | 147-35 Village Rd., Jamaica, NY 11435 | Podiatrist | 2003-03-27 ~ 2003-11-30 |
Andrew L Carver | Po Box 60116, Potomac, MD 20859-0116 | Podiatrist | ~ |
Please comment or provide details below to improve the information on MITHUN SIVADASAN.
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).