HIRA JAIN MD (Credential# 546896) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
HIRA JAIN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.027986. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 153 Main St #9, Manchester, CT 06042. The current status is active.
| Licensee Name | HIRA JAIN MD |
| Credential ID | 546896 |
| Credential Number | 1.027986 |
| Credential Type | Physician/Surgeon |
| Business Address |
153 Main St #9 Manchester CT 06042 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1987-03-20 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-01-23 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 154324 | CSP.0015029 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 153 MAIN ST #9 |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06042 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Melissa Aiello | 118 Tudor Lane Apt. I, Manchester, CT 06042 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Michelle Carolyn Hayes | 129 Rachel Rd, Harford, CT 06042 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Guotong Quan | 348 Kennedy Road, 348 Kennedy Road, CT 06042 | Nail Technician | 2020-06-26 ~ 2022-03-31 |
| Charity Boakye | 103 Rachel Rd,unit B, Manchester, CT 06042 | Licensed Practical Nurse | ~ |
| Jordan M Kaiser | 40 Tanner St, Manchester, CT 06042 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Tandra Gomes | 80 Alton St., Manchester, CT 06042 | Medication Administration Certification | 2020-05-08 ~ 2022-05-07 |
| James Power | 16 Lawton Rd., Manchester, CT 06042 | Medication Administration Certification | 2018-08-03 ~ 2020-08-02 |
| Tierra Amerson | 66 Phelps Rd., Manchester, CT 06042 | Medication Administration Certification | 2018-07-02 ~ 2020-07-01 |
| Lisa A Surdam | 22 Greenwood Drive, Manchester, CT 06042 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
| Sharon Morin | 15 Hartland Rd, Manchester, CT 06042 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Find all Licenses in zip 06042 | |||
| City | MANCHESTER |
| Zip Code | 06042 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + MANCHESTER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hira Qureshi | 5 Renaissance Square Apt 25f, White Plains, NY 10601 | Physician/surgeon | 2020-01-28 ~ 2020-10-31 |
| Sushil Jain | CT | Physician/surgeon | 1985-10-17 ~ 1987-12-31 |
| Sanjeev Jain | 440 Mix Ave, Hamden, CT 06514 | Physician/surgeon | 2000-08-09 ~ 2001-08-31 |
| Kiren Jain Md | 440 Mix Avenue, Hamden, CT 06514 | Physician/surgeon | 2000-06-09 ~ 2001-06-30 |
| Ashika Jain | 550 First Ave, New York City, NY 10016 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Neil Jain | 267 Grant St, Bridgeport, CT 06610-2805 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Dhanpat Jain | 22 Beechwood Rd, Woodbridge, CT 06525-1331 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
| Rashima Jain | 24 Longacre Dr, Huntington, NY 11743-3966 | Physician/surgeon | 2010-04-06 ~ 2010-08-31 |
| Akhilesh K Jain | 51 Liberty Dr, South Glastonbury, CT 06073-2946 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Anudeep Jain | 1415 N Loop W, #240, Houston, TX 77008 | Physician/surgeon | 2019-10-08 ~ 2020-05-31 |
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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).