MITHUN SIVADASAN
Podiatrist


Address: 10 Plymouth St, New Hyde Park, NY 11040-3143

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.

Business Overview

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.

Basic Information

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

Other licenses

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

Office Location

Street Address 10 PLYMOUTH ST
City NEW HYDE PARK
State NY
Zip Code 11040-3143

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Competitor

Search similar business entities

City NEW HYDE PARK
Zip Code 11040
License Type Podiatrist
License Type + County Podiatrist + NEW HYDE PARK

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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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