LAKSHMI BASU
Physician/surgeon


Address: 11 Maguy Street, Quaker Hill, CT 06375

LAKSHMI BASU (Credential# 542904) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2015. The license expiration date date is November 30, 2016. The license status is INACTIVE.

Business Overview

LAKSHMI BASU is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.018867. The credential type is physician/surgeon. The effective date is December 1, 2015. The expiration date is November 30, 2016. The business address is 11 Maguy Street, Quaker Hill, CT 06375. The current status is inactive.

Basic Information

Licensee Name LAKSHMI BASU
Credential ID 542904
Credential Number 1.018867
Credential Type Physician/Surgeon
Business Address 11 Maguy Street
Quaker Hill
CT 06375
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL; PRIOR DISCIPLINE
Issue Date 1977-10-14
Effective Date 2015-12-01
Expiration Date 2016-11-30
Refresh Date 2017-03-05

Other licenses

ID Credential Code Credential Type Issue Term Status
359135 CSP.0034509 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2004-01-29 - 2005-02-28 INACTIVE

Other locations

Licensee Name Office Address Credential Effective / Expiration
Lakshmi Basu 11 Marguy St, Quaker Hill, CT 06375-1122 Controlled Substance Registration for Practitioner 2015-03-01 ~ 2017-02-28

Office Location

Street Address 11 Maguy Street
City Quaker Hill
State CT
Zip Code 06375

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Competitor

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City Quaker Hill
Zip Code 06375
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Quaker Hill

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Dataset Information

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).

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