RAKSHA GAURI PRABHULAL MD (Credential# 554657) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
RAKSHA GAURI PRABHULAL MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.037067. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 44 Cobblestone Dr, Hamden, CT 06518-1749. The current status is active.
| Licensee Name | RAKSHA GAURI PRABHULAL MD |
| Credential ID | 554657 |
| Credential Number | 1.037067 |
| Credential Type | Physician/Surgeon |
| Business Address |
44 Cobblestone Dr Hamden CT 06518-1749 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1998-07-02 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-04-20 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 155979 | CSP.0027322 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 44 COBBLESTONE DR |
| City | HAMDEN |
| State | CT |
| Zip Code | 06518-1749 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kishorchandra R Gonsai Md | 44 Cobblestone Dr, Hamden, CT 06518 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Renee E Collett | 28 Cobblestone Dr, Hamden, CT 06518-1749 | Medical Marijuana Producer Employee | 2020-06-24 ~ 2021-06-24 |
| Barbara J Guthrie | 12 Cobblestone Dr, Hamden, CT 06518-1749 | Registered Nurse | 2018-06-01 ~ 2019-05-31 |
| Allison Rose Weisenbach | 36 Cobblestone Dr, Hamden, CT 06518-1749 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Barbara Esposito Aprn | 209 Todd St, Hamden, CT 06518 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Sorrentos Brick Oven Pizzeria | 244 Skiff St, Hamden, CT 06518 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Jenna Bump | 61 Cannon St, Hamden, CT 06518 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jennifer E Pohl | 70 Norwood Avenue, Hamden, CT 06518 | Speech and Language Pathologist | 2020-07-01 ~ 2021-06-30 |
| Nicole O Miller-tyson | 648 Evergreen Ave, Hamden, CT 06518 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Nancy D Anderson | 399 Hillfield Road, Hamden, CT 06518 | Speech and Language Pathologist | 2020-08-01 ~ 2021-07-31 |
| Flowers From The Farm | 1035 Shepard Avenue, Hamden, CT 06518 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Lynda Burke | 68 Linden Avenue, Hamden, CT 06518 | Notary Public Appointment | 2011-12-08 ~ 2016-12-31 |
| Kelly Lynn Huppert | 1334 Town Walk Dr, Hamden, CT 06518 | Master's Level Social Worker | ~ |
| Robert L Engengro | 365 Forest Street, Hamden, CT 06518 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Find all Licenses in zip 06518 | |||
| City | HAMDEN |
| Zip Code | 06518 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + HAMDEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gauri Khurana Md | New York, NY 10003 | Physician/surgeon | 2012-07-01 ~ 2013-06-30 |
| Gauri S Waingankar | 2 Terra La, Shawnee, OK 74804 | Physician/surgeon | 2009-01-05 ~ 2010-01-31 |
| Gauri G Panse | 869 Orange St Apt 7e, New Haven, CT 06511 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Gauri Khatkhate Md | Yale University, New Haven, CT 06511 | Physician/surgeon | 2006-05-24 ~ 2007-05-31 |
| Gauri S Tilak | 1450 Chapel St # 136, New Haven, CT 06511-4440 | Physician/surgeon | 2016-09-01 ~ 2017-08-31 |
| Raksha Madhavan | 20 York Street, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Raksha P Poojary | 56 Kensington Ave, Jersey City, NJ 07304-2010 | Dentist | 2015-08-13 ~ 2016-04-30 |
| Raksha Madhavan | 360 State St Apt 1922, New Haven, CT 06510-3618 | Controlled Substance Registration for Practitioner | 2019-06-05 ~ 2021-02-28 |
| Raksha C Patel · Wine Press | 191 Campbell Ave, West Haven, CT 06516-5911 | Package Store Liquor | 2019-11-04 ~ 2020-11-03 |
| Gauri S Prabhu | 36 Snowberry Ln, Unionville, CT 06085-1574 | Pharmacy Technician | 2020-04-01 ~ 2021-03-31 |
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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).