RENU BANSAL (Credential# 446364) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.
RENU BANSAL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0039942. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2009. The expiration date is February 28, 2011. The business address is 263 Farmington Ave Mc1235, Farmington, CT 06030. The current status is inactive.
| Licensee Name | RENU BANSAL |
| Credential ID | 446364 |
| Credential Number | CSP.0039942 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
263 Farmington Ave Mc1235 Farmington CT 06030 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2006-09-12 |
| Effective Date | 2009-03-01 |
| Expiration Date | 2011-02-28 |
| Refresh Date | 2013-03-07 |
| Street Address | 263 FARMINGTON AVE MC1235 |
| City | FARMINGTON |
| State | CT |
| Zip Code | 06030 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vedvati M Patel | 263 Farmington Ave Mc1235, Farmington, CT 06030 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Maria Aurora C Posadas | 263 Farmington Ave Mc1235, Farmington, CT 06030 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| John A Depalma | 263 Farmington Ave Mc1235, Farmington, CT 06030 | Controlled Substance Registration for Practitioner | 2009-03-12 ~ 2011-02-28 |
| Jay S.a. Capunitan | 263 Farmington Ave Mc1235, Farmington, CT 06030 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Timur T Graham | 263 Farmington Ave Mc1235, Farmington, CT 06030 | Physician/surgeon | 2009-12-01 ~ 2010-11-30 |
| Naeem Poursharif | 263 Farmington Ave Mc1235, Farmington, CT 06030 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Rebecca A Samuels | 263 Farmington Ave Mc1235, Farmington, CT 06030-1235 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Nayan S Gowda | 263 Farmington Ave Mc1235, Farmington, CT 06030 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Laura E Correa | 263 Farmington Ave Mc1235, Farmington, CT 06030 | Controlled Substance Registration for Practitioner | 2006-09-18 ~ 2007-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eric Anthony Brueckner | 263 Farmington Ave., Farmington, CT 06030 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Derrick B Bremang | Residency Program, Farmington, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-06-30 |
| David M Shafer | Uconn Health Center, Farmington, CT 06030 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Michael J Murphy | Dept of Dermatology, Farmington, CT 06030 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Richard F Kaplan | Univ. of Ct., Farmington, CT 06030 | Psychologist | 2020-06-01 ~ 2021-05-31 |
| Nicholas George Vitale | 22 Woods Drive, Norwich, CT 06030 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| Bruce E Gould | Univ of Conn Health Center, Farmington, CT 06030 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Vinayak M Sathe | Uconn Health Center,263 Farmington Ave, Farmington, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Shobhana Pathani | Department of Medicine, 263 Farmington Ave, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Patricia L Almeida | John Dempsey Hospital, Farmington, CT 06030 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Find all Licenses in zip 06030 | |||
| City | FARMINGTON |
| Zip Code | 06030 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + FARMINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Renu Chundru Liu | 24 Dairy Hill Rd, Madison, CT 06443 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Renu O Kothari | 130 Juniper Dr, East Greenwich, RI 02818-1370 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Itisha Bansal | 43 Monroe St Apt C, Milford, CT 06460-5723 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Ritika Bansal | 197 Judith Ln Apt 1, Waterbury, CT 06704-1944 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Renu Boatright | 2200 Whitney Avenue, Hamden, CT 06518 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ridhi Bansal | 2940 Trasona Drive, Melbourne, FL 32940 | Controlled Substance Registration for Practitioner | 2019-07-31 ~ 2021-02-28 |
| Aditya R Bansal Md | 6334, Town Walk Dr, Hamden, CT 06518 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Ankush Kumar Bansal | 14611 Southern Blvd Unit 1082, Loxahatchee, FL 33470-6847 | Controlled Substance Registration for Practitioner | 2020-01-31 ~ 2021-02-28 |
| Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
| Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
Please comment or provide details below to improve the information on RENU BANSAL.
| 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).