KESHAVA H AITHAL (Credential# 544211) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
KESHAVA H AITHAL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.022621. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 420 Saybrook Rd Ste A, Middletown, CT 06457-4747. The current status is active.
| Licensee Name | KESHAVA H AITHAL |
| Credential ID | 544211 |
| Credential Number | 1.022621 |
| Credential Type | Physician/Surgeon |
| Business Address |
420 Saybrook Rd Ste A Middletown CT 06457-4747 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1981-03-03 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-05-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 143335 | CSP.0009956 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 420 SAYBROOK RD STE A |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457-4747 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joseph J Corning | 420 Saybrook Rd Ste A, Middletown, CT 06457-4747 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Stephen M Franklin Md · C/o Middlesex Cardiology | 420 Saybrook Rd Ste A, Middletown, CT 06457-4747 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Kimberly M Hudson | 420 Saybrook Rd Ste A, Middletown, CT 06457-4747 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Alex C Gonzalez | 420 Saybrook Rd Ste A, Middletown, CT 06457-4747 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| David S Gallo | 420 Saybrook Rd Ste A, Middletown, CT 06457-4747 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Joseph P Longhitano | 420 Saybrook Rd Ste A, Middletown, CT 06457-4747 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Subramanian Krishnan | 420 Saybrook Rd Ste A, Middletown, CT 06457-4747 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Eran I Shani | 420 Saybrook Rd Ste A, Middletown, CT 06457-4747 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mojca Lorbar | 420 Saybrook Rd Ste A, Middletown, CT 06457-4747 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Anitha Yarlagadda | 420 Saybrook Rd Ste A, Middletown, CT 06457-4747 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Manju M John | 420 Saybrook Rd, Middletown, CT 06457-4747 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth M Mailhot | 177 Timber Ridge Rd, Middletown, CT 06457 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Rebecca S Fennessy | 22 Keefe Ln, Middletown, CT 06457 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Eloise M Gagnon | 538 Bow Lane, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Salvatore Dimauro | 245 Dekoven Dr, Middletown, CT 06457 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Frank L Wright | 261 Spencer Dr, Middletown, CT 06457 | Barber | 2020-08-01 ~ 2022-07-31 |
| Gino A Cardella | 50 Sonoma Lane, Middletown, CT 06457 | Real Estate Salesperson | ~ |
| Shannon Lee Mcquillan | 5 Forest Glen Circle, Middletown, CT 06457 | Registered Nurse | 2020-06-26 ~ 2020-09-30 |
| Lori Dimauro · Carta | 244 Chamberlain Hill Road, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Gail A Corrow | 85 Dora Dr, Middletown, CT 06457 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Mariter V Perez | 8 Moss Glen, Middletown, CT 06457 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06457 | |||
| City | MIDDLETOWN |
| Zip Code | 06457 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + MIDDLETOWN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Keshava B Prasad | 17 Island View Ave, Branford, CT 06405 | Professional Engineer | 1998-02-01 ~ 1999-01-31 |
| Hari Keshava | 20 York St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Prem K Aithal | 108 Silver Springs Drive, Higganum, CT 06441 | Certified Public Accountant Certificate | 2020-01-01 ~ 2020-12-31 |
| Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
| Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
| Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
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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).