ANANDHI SHANMUGAM BALESWAREN (Credential# 556192) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
ANANDHI SHANMUGAM BALESWAREN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.038604. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 481 Gold Star Highway, Groton, CT 06340-3823. The current status is active.
| Licensee Name | ANANDHI SHANMUGAM BALESWAREN |
| Credential ID | 556192 |
| Credential Number | 1.038604 |
| Credential Type | Physician/Surgeon |
| Business Address |
481 Gold Star Highway Groton CT 06340-3823 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2000-04-28 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-01-13 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 237041 | CSP.0029576 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2000-05-18 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 481 GOLD STAR HIGHWAY |
| City | GROTON |
| State | CT |
| Zip Code | 06340-3823 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robert B Ecker | 481 Gold Star Highway, Groton, CT 06340 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Imt Realty LLC | 333 Long Hill Rd, Groton, CT 06340-3823 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Swatiben R. Patel | 81 Charlton Lane, Groton, CT 06340 | Pharmacy Technician | 2020-06-26 ~ 2021-03-31 |
| Susan E Mammone | 39 Chestnut Hill Sq, Groton, CT 06340 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Jennifer L Lundie | 302b Meridian Street, Groton, CT 06340 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Jennifer Gauthier | 55 Fieldside Drive # B, Groton, CT 06340 | Master's Level Social Worker - Temporary Permit | ~ |
| Anthony Di Lullo Md | Thameside Ob/gyn Centre, Groton, CT 06340 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Carrien Williams | 186 Mirra Dr, Groton, CT 06340 | Nail Technician | ~ |
| Mustapha Kemal Md | 61 Leeward Lane, Groton, CT 06340 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Subway #309 | 967 Poquonnock Rd, Groton, CT 06340 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Kathlene M Hunt | 75 Pleasant Street, Groton, CT 06340 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Paul A Morosky | 2 Cross Street, Groton, CT 06340 | Distribution System Operator - Class I | 2020-04-01 ~ 2023-03-31 |
| Find all Licenses in zip 06340 | |||
| City | GROTON |
| Zip Code | 06340 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + GROTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Malathi Shanmugam | 356 Sequoia Ct, Howell, NJ 07731-3422 | Physician/surgeon | 2009-08-24 ~ 2010-06-30 |
| Makilzhan Shanmugam | 2634 Glenmont Drive, Nw, Canton, OH 44708 | Physician/surgeon | 2004-12-22 ~ 2005-10-31 |
| 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 |
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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).