SHAMAL S BELTANGADY MD
Physician/surgeon


Address: 2 Swanswood Ln, Old Lyme, CT 06371

SHAMAL S BELTANGADY MD (Credential# 547014) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2016. The license expiration date date is June 30, 2017. The license status is INACTIVE.

Business Overview

SHAMAL S BELTANGADY MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.028176. The credential type is physician/surgeon. The effective date is July 1, 2016. The expiration date is June 30, 2017. The business address is 2 Swanswood Ln, Old Lyme, CT 06371. The current status is inactive.

Basic Information

Licensee Name SHAMAL S BELTANGADY MD
Credential ID 547014
Credential Number 1.028176
Credential Type Physician/Surgeon
Business Address 2 Swanswood Ln
Old Lyme
CT 06371
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1987-06-19
Effective Date 2016-07-01
Expiration Date 2017-06-30
Refresh Date 2017-10-03

Other licenses

ID Credential Code Credential Type Issue Term Status
311652 CSP.0032197 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2011-03-01 - 2013-02-28 INACTIVE
155892 CSP.0015393 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1999-03-01 - 2000-02-28 INACTIVE

Office Location

Street Address 2 SWANSWOOD LN
City OLD LYME
State CT
Zip Code 06371

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
E Russell Learned 82 Norwich-salem Rd, Lyme, CT 06371 Architect 2020-08-01 ~ 2021-07-31
Joann M Reis 75 Swan Ave, Old Lyme, CT 06371 Registered Nurse 2020-09-01 ~ 2021-08-31
Michele K Griswold 7 Osprey Road, Old Lyme, CT 06371 Registered Nurse 2020-07-01 ~ 2021-06-30
Brenda A Moriarty 53 Brown's Lane, Old Lyme, CT 06371 Registered Nurse 2020-07-01 ~ 2021-06-30
Olaf J Ogland 17 Jericho Drive, Old Lyme, CT 06371 Physician/surgeon 2020-08-01 ~ 2021-07-31
Anne Burns 60 Saltaire Drive, Old Lyme, CT 06371 Registered Nurse 2020-08-01 ~ 2021-07-31
Lori A Volles 67 Sterling Hill Rd, Lyme, CT 06371 Physician/surgeon 2020-07-01 ~ 2021-06-30
Derek J Lachance 7 Sunset Drive, Old Lyme, CT 06371 Registered Nurse 2020-07-01 ~ 2021-06-30
Vincenzo Jerome Marafito 14-1 Bailey Rd, Old Lyme, CT 06371 Master's Level Social Worker ~
All Pro Automotive 147 Boston Post Rd, Old Lyme, CT 06371 Operator of Weighing & Measuring Devices 2020-08-01 ~ 2021-07-31
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Competitor

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City OLD LYME
Zip Code 06371
License Type Physician/Surgeon
License Type + County Physician/Surgeon + OLD LYME

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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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