ROBERT E SELVARAJAH (Credential# 553567) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 22, 1997. The license expiration date date is December 31, 1998. The license status is INACTIVE.
ROBERT E SELVARAJAH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.035974. The credential type is physician/surgeon. The effective date is October 22, 1997. The expiration date is December 31, 1998. The business address is 14 Devonshire Drive, Wilbraham, MA 01095. The current status is inactive.
| Licensee Name | ROBERT E SELVARAJAH |
| Credential ID | 553567 |
| Credential Number | 1.035974 |
| Credential Type | Physician/Surgeon |
| Business Address |
14 Devonshire Drive Wilbraham MA 01095 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1997-04-25 |
| Effective Date | 1997-10-22 |
| Expiration Date | 1998-12-31 |
| Refresh Date | 2009-07-08 |
| Street Address | 14 DEVONSHIRE DRIVE |
| City | WILBRAHAM |
| State | MA |
| Zip Code | 01095 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kara Elizabeth Gasteyer | 6 Victoria Court, Wilbraham, MA 01095 | Emergency Medical Technician | ~ |
| Ethan Michael Gasteyer | 40 Shirley Street, Wilbraham, MA 01095 | Emergency Medical Technician | ~ |
| Anne M Grady | 692 Stony Hill Road, Wilbraham, MA 01095 | Registered Nurse | 2019-01-01 ~ 2019-12-31 |
| Bryant A Chouinard | 5 Oldwood Rd, Wilbraham, MA 01095 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Michael F Egan | 22 Fernwood Drive, Wilbraham, MA 01095 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Janice A Mitchell | P.o. Box 101, Wilbraham, MA 01095 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Paul A Huijing | P.o. Box 516, Wilbraham, MA 01095 | Professional Engineer | 2020-05-05 ~ 2021-01-31 |
| Dang Ngo | 38 Weston Street, Wilbraham, MA 01095 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Katlyn E O'brien | 416 Soule Road, Wilbraham, MA 01095 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Marie A Bienvenue | 3 Evergreen Circle, Wilbraham, MA 01095 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Find all Licenses in zip 01095 | |||
| City | WILBRAHAM |
| Zip Code | 01095 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WILBRAHAM |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Robert J Gionfriddo | CT | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Robert Mittman | 230-26 53 Ave, Bayside, NY 11364 | Physician/surgeon | 2016-03-01 ~ 2017-02-28 |
| Robert M Amick | 260 Lee St, Brookline, MA 02445-5915 | Physician/surgeon | 2012-10-01 ~ 2013-09-30 |
| Robert Nordness | 141 Elm St, Stonington, CT 06378-1163 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Robert Y Chang Md | 35 Elm St, New Haven, CT 06510 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Robert Sussman | 167 Purchase St, Rye, NY 10580 | Physician/surgeon | 2001-04-16 ~ 2002-05-31 |
| Robert Koenekoop | Westmount, QC H37 2W4 | Physician/surgeon | 2007-10-05 ~ 2008-10-31 |
| Robert H Birchenough | P.o. Box 95, Cleverdale, NY 12820 | Physician/surgeon | 2013-01-01 ~ 2013-12-31 |
| Robert F Porges | 530 First Ave, New York, NY 10016 | Physician/surgeon | 2012-10-01 ~ 2013-09-30 |
Please comment or provide details below to improve the information on ROBERT E SELVARAJAH.
| 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).