SAMIR MALKANI MD (Credential# 555932) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 21, 2003. The license expiration date date is August 31, 2004. The license status is INACTIVE.
SAMIR MALKANI MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.038342. The credential type is physician/surgeon. The effective date is July 21, 2003. The expiration date is August 31, 2004. The business address is 109 Town Farm Road, Sutton, MA 01590. The current status is inactive.
| Licensee Name | SAMIR MALKANI MD |
| Credential ID | 555932 |
| Credential Number | 1.038342 |
| Credential Type | Physician/Surgeon |
| Business Address |
109 Town Farm Road Sutton MA 01590 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1999-12-29 |
| Effective Date | 2003-07-21 |
| Expiration Date | 2004-08-31 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 264621 | CSP.0030588 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2003-03-01 - 2004-02-28 | INACTIVE |
| Street Address | 109 TOWN FARM ROAD |
| City | SUTTON |
| State | MA |
| Zip Code | 01590 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Scott H Paul | 309 Mendon Rd, Sutton, MA 01590 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Timothy J O'callaghan | 9 Brookside Dr, Sutton, MA 01590 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Edward Murphy | 20 Marsh Road, Sutton, MA 01590 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Russell Longendorfer | 8 Alana Drive, Sutton, MA 01590 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Mark Saviet | 409 Central Turnpike, Sutton, MA 01590 | Tax Preparer/facilitator Permit | 2020-02-17 ~ 2022-02-28 |
| Dennis Corsini | 156 Worcester Providence Turnpike, Sutton, MA 01590 | Tax Preparer/facilitator Permit | 2020-02-12 ~ 2022-02-28 |
| Michael S Stone | 5 Rebekah Lane, Sutton, MA 01590 | Veterinarian | 2020-04-01 ~ 2021-03-31 |
| William J Lynch | 63 Fairway View Drive, Sutton, MA 01590 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Andrew W Platt | 28 Carr St, Sutton, MA 01590 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Todd Lornell | 31 Douglas Rd, Sutton, MA 01590 | Real Estate Broker | 2020-01-03 ~ 2021-03-31 |
| Find all Licenses in zip 01590 | |||
| City | SUTTON |
| Zip Code | 01590 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + SUTTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Indrani Malkani | Pediatric Center, Putnam, CT 06260 | Physician/surgeon | 2003-08-22 ~ 2004-09-30 |
| Samir Gautam | 15 Barberry Ln, Woodbridge, CT 06525 | Physician/surgeon | 2019-07-01 ~ 2020-06-30 |
| Samir W Aziz | 40 Pleasant St, Ansonia, CT 06401 | Physician/surgeon | 2005-03-11 ~ 2006-03-31 |
| Samir A Fahmy | 58 Wildwood Terrace, Watchung, NJ 07069 | Physician/surgeon | 2016-01-01 ~ 2016-12-31 |
| Samir C Jethwa | 629d Lowther Rd, Lewisberry, PA 17339-9222 | Physician/surgeon | 2013-12-02 ~ 2014-12-31 |
| Shady Samir Henien | 372 Benefit St Apt 1, Providence, RI 02903-2923 | Physician/surgeon | 2020-03-11 ~ 2020-10-31 |
| Samir G Artoul | C/o Med-dent Bsns, Clive, IA 50325 | Physician/surgeon | 2002-05-02 ~ 2003-02-28 |
| Samir Patel | 40 Prospect Ave, Apt 2f, Bldg. 1, Norwalk, CT 06850 | Physician/surgeon | 2002-08-16 ~ 2003-06-30 |
| Samir A Ahmad | 15724 Sambuca Circle, Austin, TX 78728 | Physician/surgeon | 1999-11-17 ~ 2001-01-31 |
| Samir Samarany | 6112 Town Walk Dr, Hamden, CT 06518 | Physician/surgeon | 2014-04-09 ~ 2014-09-30 |
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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).