HEMANT K PANCHAL, MD (Credential# 550021) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
HEMANT K PANCHAL, MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.032413. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 170 Hazard Ave, Enfield, CT 06082-4520. The current status is active.
| Licensee Name | HEMANT K PANCHAL, MD |
| Credential ID | 550021 |
| Credential Number | 1.032413 |
| Credential Type | Physician/Surgeon |
| Business Address |
170 Hazard Ave Enfield CT 06082-4520 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1992-07-01 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-24 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 159551 | CSP.0020212 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 170 HAZARD AVE |
| City | ENFIELD |
| State | CT |
| Zip Code | 06082-4520 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carla Desantis Md | 170 Hazard Ave, Enfield, CT 06082-4520 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Thomas Baird Fitzgerald | 170 Hazard Ave, Enfield, CT 06082-4520 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Timothy Machon | 170 Hazard Ave, Enfield, CT 06082-4520 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| The Jug Shop | 80 Hazard Ave, Enfield, CT 06082-4520 | Lottery Sales Agent | 2020-04-01 ~ 2021-03-31 |
| Robert P Dudek | 140 Hazard Ave Ste 101, Enfield, CT 06082-4520 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Johnson Memorial Hospital Inc of Stafford Springs Ct | 142 Hazard Avenue, Enfield, CT 06082-4520 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jeffrey C Wint | 115 Elm Street Suite 208, Enfield, CT 06082-4520 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Northeast Regional Radiation Oncology Network Inc. · Community Cancercare | 142 Hazard Ave, Enfield, CT 06082-4520 | Outpatient Clinic | 2012-10-01 ~ 2016-09-30 |
| Satish Panchal · Jug Shop (the) | 80 Hazard Ave, Enfield, CT 06082-4520 | Package Store Liquor | 2019-09-29 ~ 2020-09-28 |
| Richard T Martin | 115 Elm Street, Enfield, CT 06082-4520 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Jeffrey W Wiesner Sr · Jug Shop | 80 Hazard Ave, Enfield, CT 06082-4520 | Package Store Liquor | 2011-04-14 ~ 2012-04-13 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kaitlyn A Pelligrinelli | 38 Haynes St, Enfield, CT 06082 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Sharon M Smith | 11 Eleanor Rd, Enfield, CT 06082 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Kerry A Tanguay · Lang | 11 Somers Road, Enfield, CT 06082 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Colleen E Galbraith | 12 Southview St, Enfield, CT 06082 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Paul F Misbach | 502 Taylor Road, Enfield, CT 06082 | Real Estate Salesperson | ~ |
| Catherine R Mcculloch | 84 Wynwood Drive, Enfield, CT 06082 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Phillip G Seidel | 318 North Maple St, Enfield, CT 06082 | Optician | 2020-05-01 ~ 2021-04-30 |
| Matthew Crossen | 19 Elan Street, Enfield, CT 06082 | Real Estate Salesperson | 2020-06-19 ~ 2021-05-31 |
| Baco's Pizza Inc | 410 Enfield St, Enfield, CT 06082 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Jessica G Martin | 72 Belmont Ave, Enfield, CT 06082 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Find all Licenses in zip 06082 | |||
| City | ENFIELD |
| Zip Code | 06082 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + ENFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hemant Nayak Md | 369 Mountainside West, Farmington, CT 06032 | Physician/surgeon | 2006-08-17 ~ 2007-10-31 |
| Priyanka Hemant Patel | 175 W Saint James St Unit 301, San Jose, CA 95110-2407 | Physician/surgeon | ~ |
| Bela Hemant Bhuskute | 122 Janwich Drive, Morganville, NJ 07751 | Physician/surgeon | 2000-09-28 ~ 2001-11-30 |
| Misal B Panchal Cpa LLC | 33 Danforth Ln, Rocky Hill, CT 06067 | Certified Public Accountant Firm Permit | 2020-01-01 ~ 2020-12-31 |
| Maharshi Panchal | 130 Division St, Derby, CT 06418 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Rishi Panchal | 360 State St Apt 1212, New Haven, CT 06510-3609 | Resident Physician | 2017-07-01 ~ 2019-06-30 |
| Hemant D Athavia | 93 Richards Ave Apt 507, Norwalk, CT 06854-1665 | Professional Engineer | ~ |
| Ronakben Panchal | 8 Martin Ter, Enfield, CT 06082-4529 | Pharmacy Technician | 2020-04-01 ~ 2021-03-31 |
| Komal Panchal | 243 Buena Vista Ave Apt 401, Sunnyvale, CA 94086-4867 | Physical Therapist | ~ |
| Hemant Mehta | 429 Wendover Dr, Princeton, NJ 08540-2440 | Professional Engineer | 2000-06-06 ~ 2001-01-31 |
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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).