VITHYA THAMBIAIYAH (Credential# 2052325) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is June 11, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
VITHYA THAMBIAIYAH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.066081-RES. The credential type is resident physician. The effective date is June 11, 2020. The expiration date is June 30, 2021. The business address is 1245 Chapel St Apt 328, New Haven, CT 06511-4654. The current status is active.
| Licensee Name | VITHYA THAMBIAIYAH |
| Credential ID | 2052325 |
| Credential Number | 1.066081-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
1245 Chapel St Apt 328 New Haven CT 06511-4654 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-06-11 |
| Effective Date | 2020-06-11 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 2050137 | CSP.0074207 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2020-06-18 | 2020-06-18 - 2021-02-28 | ACTIVE |
| Street Address | 1245 CHAPEL ST APT 328 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511-4654 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Julia Davis | 1245 Chapel St Apt 409, New Haven, CT 06511-4654 | Audiologist | 2020-01-01 ~ 2020-12-31 |
| Noelle Rebecca Robinson | 1245 Chapel St Apt 404, New Haven, CT 06511-4654 | Controlled Substance Registration for Practitioner | 2019-06-13 ~ 2021-02-28 |
| Anand Brahmandam | 1245 Chapel St Apt 416, New Haven, CT 06511-4654 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Montessori School On Edgewood Inc. | 230 Edgewood Avenue, New Haven, CT 06511 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Therese Parks · Visel Drug Store | 264 Munson St, New Haven, CT 06511 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dazjia Monet Green | 115 Edgewood Ave Apt 64, New Haven, CT 06511 | Registered Nurse | 2020-06-27 ~ 2021-05-31 |
| Carol Yam | 343 Humphrey St, New Haven, CT 06511 | Registered Nurse | ~ |
| Marwan S Haddad | 38 Lincoln Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mary Lou Gaeta Md | 558 Chapel Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Cary M Tucker | 64 Bishop St, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Frank J Pannenborg | 505 Ellsworth Ave, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Crystal E Gooding | 26 Woodland Street, New Haven, CT 06511 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Kieran Jones | 260 Crown St Unit 1f, New Haven, CT 06511 | Registered Nurse | ~ |
| Find all Licenses in zip 06511 | |||
| City | NEW HAVEN |
| Zip Code | 06511 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vithya Kusolnak | 536 Emmett St B-7, Bristol, CT 06010 | Real Estate Salesperson | 1997-06-01 ~ 1998-05-31 |
| Lali Thambiaiyah Md | 235 Seymour Ave, Derby, CT 06418 | Controlled Substance Registration for Practitioner | 1998-03-01 ~ 1999-02-28 |
| Tao Zuo | 20 York St., New Haven, CT 06510-3220 | Resident Physician | 2016-07-25 ~ 2020-06-30 |
| Victoria Parker | CT | Resident Physician | 2015-06-23 ~ 2021-06-30 |
| Jia Wei Tan | 267 Grant St, Bridgeport, CT 06610-2805 | Resident Physician | 2020-06-22 ~ 2023-06-30 |
| Jin Woo Yoo | 44 Orange St Apt 317, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Jennifer A Guy | 6 Early Dr Apt K, Watervliet, NY 12189-2517 | Resident Physician | ~ |
| Yan Zhu | 27 Brainerd Rd # B, Branford, CT 06405-6302 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Gin Yi Lee | 24 Hospital Ave, Danbury, CT 06810-6099 | Resident Physician | 2019-06-20 ~ 2022-06-30 |
| Yi Guo | 20 York St Tompkins 226, New Haven, CT 06510-3220 | Resident Physician | 2016-08-01 ~ 2020-06-30 |
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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).