ANITA VASUDEVAN (Credential# 2052332) 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.
ANITA VASUDEVAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.066088-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 111 Park St, New Haven, CT 06511-5412. The current status is active.
| Licensee Name | ANITA VASUDEVAN |
| Credential ID | 2052332 |
| Credential Number | 1.066088-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
111 Park St New Haven CT 06511-5412 |
| 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 |
|---|---|---|---|---|---|
| 2050618 | CSP.0074232 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2020-06-17 | 2020-06-17 - 2021-02-28 | ACTIVE |
| Street Address | 111 PARK ST |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511-5412 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rajiv C. Raju | 111 Park St, New Haven, CT 06511-5412 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Ifeoma Ugonabo | 111 Park St, New Haven, CT 06511-5412 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
| Arpita Neogi | 111 Park St, New Haven, CT 06511 | Genetic Counselor | 2020-05-01 ~ 2021-04-30 |
| David C Mcmahon | 111 Park St, New Haven, CT 06511 | Hearing Instrument Specialist | 2019-03-01 ~ 2021-02-28 |
| Octavio L Toro | 111 Park St, New Haven, CT 06511 | Licensed Clinical Social Worker | 2020-02-01 ~ 2021-01-31 |
| Salam H Al Kassis | 111 Park St, New Haven, CT 06511-5412 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Samer O Salhab | 111 Park St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2013-07-11 ~ 2015-02-28 |
| Bernard S Salameh | 111 Park St, New Haven, CT 06511-5412 | Controlled Substance Registration for Practitioner | 2010-12-08 ~ 2013-02-28 |
| Meghan Fashjian | 111 Park St, New Haven, CT 06511 | Registered Nurse | 2008-10-21 ~ 2009-11-30 |
| Gregory Butler Md | 111 Park St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 1996-09-06 ~ 1998-02-28 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Youn Sagong | 111 Park St Apt 171, New Haven, CT 06511-5412 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Charles R Jones | 111 Park St Ste F, New Haven, CT 06511-5412 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Dhruvatej Boddupalli | 111 Park St # 6l, New Haven, CT 06511-5412 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Laura Huang | 111 Park St Apt 110, New Haven, CT 06511-5412 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Cynthia Kaiser Manos | 111 Park St Apt 4, New Haven, CT 06511-5412 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Samrawit A Goshu | 111 Park St Apt 96, New Haven, CT 06511-5412 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Garbo Oroszi | 111 Park St # 414, New Haven, CT 06511-5412 | Controlled Substance Registration for Practitioner | 2009-09-24 ~ 2011-02-28 |
| Sara Emami | 111 Park St Apt 4, New Haven, CT 06511-5412 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| 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 |
|---|---|---|---|
| Anita Christina Chandrasekaran | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
| Anita M Roberts · Hillshire House Inc | 15 Anita Dr, East Hartford, CT 06118 | Real Estate Salesperson | 1997-06-01 ~ 1998-05-31 |
| Anita Grover | Po Box 115, Bridgewater, CT 06752-0115 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Anita Nair | 12 Green St, Congers, NY 10920-2307 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Anita Karne Md | 115 Linden St, New Haven, CT 06511-2424 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Anita D Bhole | 1 Mancuso Drive, Ossining, NY 10562 | Physician/surgeon | 1985-01-03 ~ 1986-11-30 |
| Anita Bhagavath | 15 Collingwood Dr, Huntington Station, NY 11746 | Physician/surgeon | 2018-09-19 ~ 2019-05-31 |
| Anita G Beneke Md | 134 Stillson Road, Fairfield, CT 06432-3212 | Physician/surgeon | 2001-11-20 ~ 2003-01-31 |
| Anita R Vanderstelt | 6225 Wertz, Davisburg, MI 48350-3547 | Physician/surgeon | 2018-08-01 ~ 2019-07-31 |
| Anita T Tran | 256 Brush Hill Rd, Middletown, CT 06457-6106 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on ANITA VASUDEVAN.
| 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).