GOPI SURTI (Credential# 2045202) is licensed (Dentist) with Connecticut Department of Consumer Protection. The license effective date is June 11, 2020. The license expiration date date is October 31, 2020. The license status is ACTIVE.
GOPI SURTI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.012780. The credential type is dentist. The effective date is June 11, 2020. The expiration date is October 31, 2020. The business address is 30 Sandra Dr, Manchester, CT 06042-8231. The current status is active.
| Licensee Name | GOPI SURTI |
| Credential ID | 2045202 |
| Credential Number | 2.012780 |
| Credential Type | Dentist |
| Business Address |
30 Sandra Dr Manchester CT 06042-8231 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-06-11 |
| Effective Date | 2020-06-11 |
| Expiration Date | 2020-10-31 |
| Refresh Date | 2020-06-13 |
| Street Address | 30 SANDRA DR |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06042-8231 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Patricia Pickett | 36 Sandra Dr, Manchester, CT 06042-8231 | Licensed Practical Nurse | 2013-01-01 ~ 2013-12-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Melissa Aiello | 118 Tudor Lane Apt. I, Manchester, CT 06042 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Michelle Carolyn Hayes | 129 Rachel Rd, Harford, CT 06042 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Guotong Quan | 348 Kennedy Road, 348 Kennedy Road, CT 06042 | Nail Technician | 2020-06-26 ~ 2022-03-31 |
| Charity Boakye | 103 Rachel Rd,unit B, Manchester, CT 06042 | Licensed Practical Nurse | ~ |
| Jordan M Kaiser | 40 Tanner St, Manchester, CT 06042 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Tandra Gomes | 80 Alton St., Manchester, CT 06042 | Medication Administration Certification | 2020-05-08 ~ 2022-05-07 |
| James Power | 16 Lawton Rd., Manchester, CT 06042 | Medication Administration Certification | 2018-08-03 ~ 2020-08-02 |
| Tierra Amerson | 66 Phelps Rd., Manchester, CT 06042 | Medication Administration Certification | 2018-07-02 ~ 2020-07-01 |
| Lisa A Surdam | 22 Greenwood Drive, Manchester, CT 06042 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
| Sharon Morin | 15 Hartland Rd, Manchester, CT 06042 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Find all Licenses in zip 06042 | |||
| City | MANCHESTER |
| Zip Code | 06042 |
| License Type | Dentist |
| License Type + County | Dentist + MANCHESTER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gopi Garala | 241 Lexington St Apt 14-2b, Woburn, MA 01801-5961 | Physical Therapist | ~ |
| Gopi Ukani | 56 Franklin Street, Waterbury, CT 06706 | Resident Physician | 2014-07-01 ~ 2020-06-30 |
| Resmy Palliyil Gopi | 2100 Eastchester Rd Apt 6a, Bronx, NY 10461-2238 | Physician/surgeon | 2012-09-17 ~ 2013-04-30 |
| Gopi S Patel | 207 Donna Drive, Plymouth Meeting, PA 19462 | Professional Engineer | 2013-03-18 ~ 2014-01-31 |
| Gopi Ukani | 162 Scenic Drive, Southington, CT 06489 | Controlled Substance Registration for Practitioner | 2019-07-17 ~ 2021-02-28 |
| Gopi S Patel | 12 Clapboard Ridge Road (unit-13), Danbury, CT 06811 | Pharmacy Technician | 2019-04-01 ~ 2020-03-31 |
| Khushboo C Surti | 24 Moss Gln, Middletown, CT 06457-8728 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Dimple K Surti | 114 Woodland St, Hartford, CT 06105-1208 | Pharmacy Technician | 2020-04-01 ~ 2021-03-31 |
| Toral S Surti Md | 23 Indian Trail, Woodbridge, CT 06525 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Jayeshkumar Surti · Mini Mart Food Store | 944 Route 12, Groton, CT 06340-2418 | Grocery Beer | 2015-03-16 ~ 2016-03-15 |
Please comment or provide details below to improve the information on GOPI SURTI.
| 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).