MAKILZHAN SHANMUGAM (Credential# 550954) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 22, 2004. The license expiration date date is October 31, 2005. The license status is INACTIVE.
MAKILZHAN SHANMUGAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.033355. The credential type is physician/surgeon. The effective date is December 22, 2004. The expiration date is October 31, 2005. The business address is 2634 Glenmont Drive, Nw, Canton, OH 44708. The current status is inactive.
| Licensee Name | MAKILZHAN SHANMUGAM |
| Credential ID | 550954 |
| Credential Number | 1.033355 |
| Credential Type | Physician/Surgeon |
| Business Address |
2634 Glenmont Drive, Nw Canton OH 44708 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1993-10-01 |
| Effective Date | 2004-12-22 |
| Expiration Date | 2005-10-31 |
| Refresh Date | 2009-07-08 |
| Street Address | 2634 GLENMONT DRIVE, NW |
| City | CANTON |
| State | OH |
| Zip Code | 44708 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| James F King | 1330 Timken Mercy Drive, Canton, OH 44708 | Physician/surgeon | 1968-09-20 ~ 1981-11-30 |
| Saira Bano | 2631 Greenview Circle Nw, Canton, OH 44708 | Physician/surgeon | 2006-04-10 ~ 2007-01-31 |
| Omar Malick | 2908 20th St Nw, Canton, OH 44708-2968 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Heather M Monaghan | 5224 Trent Rd Nw, Canton, OH 44708-3243 | Registered Nurse | 2012-01-10 ~ 2012-07-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Laurie E Dunford | 483 Dowd Ave., Canton, CT 06019 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Emma Wertheim | 14 N Mountain Rd, Canton, CT 06019-2016 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Christine M Jencik | 71 Cherrybrook Road, Canton, CT 06019 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Marie B Valley | P.o. Box 284, Canton, CT 06019 | Dental Hygienist | 2020-07-01 ~ 2021-06-30 |
| Vincent Funeral Home | 120 Albany Tpke, Canton, CT 06019-2506 | Crematory | 2020-07-01 ~ 2021-06-30 |
| Robert R Celmer | 23 Queens Peak, Canton, CT 06019-2611 | Architect | 2020-08-01 ~ 2021-07-31 |
| Stephen S Burgess | 275 Barbourtown Rd, Canton, CT 06019 | Architect | 2020-08-01 ~ 2021-07-31 |
| Nicole Chiasson-lashgari | 8 Crown Pt, Canton, CT 06019-2644 | Esthetician | ~ |
| Dawn L Drauss | 312 Albany Tpke, Canton, CT 06019-2517 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Frank Skobel | 4535 Dressler Rd Nw, Canton, OH 44718-2545 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in CANTON | |||
| City | CANTON |
| Zip Code | 44708 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + CANTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Malathi Shanmugam | 356 Sequoia Ct, Howell, NJ 07731-3422 | Physician/surgeon | 2009-08-24 ~ 2010-06-30 |
| Anandhi Shanmugam Baleswaren | 481 Gold Star Highway, Groton, CT 06340-3823 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Chellappa Shanmugam | 31 Brussel Dr, New Hyde Park, NY 11040 | Professional Engineer | 2016-02-01 ~ 2017-01-31 |
| Balasubramanian Shanmugam Md | 923 Farmington Ave, Bristol, CT 06010-3927 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Satheesh K Shanmugam | 21634 Kings Pointe Blvd., Apt. #302, Brownstown Twp, 48183 | Physical Therapist | 2008-06-12 ~ 2009-06-30 |
| Jaya Prasad Shanmugam | 5801 Walnut Creek Rd Apt B112, River Ridge, LA 70123-5665 | Controlled Substance Registration for Practitioner | 2019-08-06 ~ 2021-02-28 |
| Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
| John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Please comment or provide details below to improve the information on MAKILZHAN SHANMUGAM.
| 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).