KARTIK K VISWANATHAN MD (Credential# 45143) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is INACTIVE.
KARTIK K VISWANATHAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0025155. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 7 Susan Ter, Waterford, CT 06385-3515. The current status is inactive.
| Licensee Name | KARTIK K VISWANATHAN MD |
| Credential ID | 45143 |
| Credential Number | CSP.0025155 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
7 Susan Ter Waterford CT 06385-3515 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LACK OF ACTIVE MEDICAL LICENSE |
| Issue Date | 1999-03-01 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-04-24 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 553382 | 1.035789 | Physician/Surgeon | 1997-01-17 | 2018-10-01 - 2019-09-30 | INACTIVE |
| Street Address | 7 SUSAN TER |
| City | WATERFORD |
| State | CT |
| Zip Code | 06385-3515 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Renuka Dulala | 7 Susan Ter, Waterford, CT 06385-3515 | Physician/surgeon | 2016-07-01 ~ 2017-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gabriel I Meshekow | 17 Susan Ter, Waterford, CT 06385-3515 | Pharmacy Technician | 2014-04-01 ~ 2015-03-31 |
| Laura A Danis | 23 Susan Ter, Waterford, CT 06385-3515 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Howard Christopher Rosas | 40 Ridgewood Ave, Waterford, CT 06385 | Chiropractor | 2020-07-01 ~ 2021-06-30 |
| Vincent F Donato | 26 Wild Rose Avenue, Waterford, CT 06385 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Mark A Herter | 51 Quarry Rd, Waterford, CT 06385 | Architect | 2020-08-01 ~ 2021-07-31 |
| Pamela A Manke | 54 Rope Ferry Rd., Waterford, CT 06385 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
| Carol Winslow | 18 Myrock Ave, Waterford, CT 06385 | Marital and Family Therapist | 2020-09-01 ~ 2021-08-31 |
| Donna M Rivero · Knupp | 3 Ridgewood Ave, Waterford, CT 06385 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Margaret A Goldschneider · Chapman | 3 High Ridge Drive, Waterford, CT 06385 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Frank R Dellacono Md | 201 Boston Post Road, Waterford, CT 06385 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mathew H Tellier | 25 Locust Ct., Waterford, CT 06385 | Backflow Prevention Device Tester | 2020-06-18 ~ 2023-03-31 |
| Renata Kamburi | 16 Marilyn Road, Waterford, CT 06385 | Esthetician | 2020-06-20 ~ 2021-12-31 |
| Find all Licenses in zip 06385 | |||
| City | WATERFORD |
| Zip Code | 06385 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WATERFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kartik Sehgal | 123 York St Apt 10d, New Haven, CT 06511-5624 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Anjali Viswanathan Md | 269 Purchase St, Rye, NY 10580 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Subhash R. Viswanathan | 425 East 13th St., New York, NY 10009 | Controlled Substance Registration for Practitioner | 2017-04-27 ~ 2019-02-28 |
| Anuradha Viswanathan Md | 63 Briar Hill Road, Avon, CT 06001 | Controlled Substance Registration for Practitioner | 2009-03-02 ~ 2011-02-28 |
| Viswanathan Ravishankar Md | Yale Univ Sch0ol of Med/ Dept of Obgyn, New Haven, CT 06520-8063 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
| 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 |
| Erin K Fee | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Huu Duc D Luu | 630 Mix Ave Apt 6p, Hamden, CT 06514-2320 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Qi Che Md | Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
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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).