RANDEEP S JAWA (Credential# 557135) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2020. The license expiration date date is January 31, 2021. The license status is ACTIVE.
RANDEEP S JAWA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.039551. The credential type is physician/surgeon. The effective date is February 1, 2020. The expiration date is January 31, 2021. The business address is Stony Brook Sugical Associates, Ufpc, Stony Brook, NY 11794-8191. The current status is active.
Licensee Name | RANDEEP S JAWA |
Credential ID | 557135 |
Credential Number | 1.039551 |
Credential Type | Physician/Surgeon |
Business Address |
Stony Brook Sugical Associates, Ufpc Stony Brook NY 11794-8191 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2001-05-24 |
Effective Date | 2020-02-01 |
Expiration Date | 2021-01-31 |
Refresh Date | 2019-12-31 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
277697 | CSP.0030980 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2002-03-01 - 2003-02-28 | INACTIVE |
Street Address | Stony Brook Sugical Associates, UFPC |
City | Stony Brook |
State | NY |
Zip Code | 11794-8191 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Vinay Manohar Tak | 101 Nicolls Road, Stony Brook, NY 11794 | Physician/surgeon | 2020-03-10 ~ 2021-02-28 |
Stony Brook Foundation | 230 Administration Building, Stony Brook, NY 11794 | Public Charity-exempt From Financial Requirements | ~ |
Richard Li-cheng Xu | Uhsb, Strong Brook, NY 11794 | Physician/surgeon | 2001-11-01 ~ 2002-11-30 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Maryann Farina | 100 Patriots Road, Stony Brook, NY 11790 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
Jorgine E Aram | 4 Sussex Ln, Stony Brook, NY 11790-3315 | Physical Therapist | 2020-06-01 ~ 2021-05-31 |
Sean R Brazier | 5 Catalpa Ln, Stony Brook, NY 11790-2107 | Certified General Real Estate Appraiser | 2020-05-01 ~ 2021-04-30 |
Karen F Foda | 14 William Penn Dr, Stony Brook, NY 11790 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
Gregory D Peterman | 4 Ormont Lane, Stony Brook, NY 11790 | Land Surveyor | 2020-02-01 ~ 2021-01-31 |
James R Tauby | 5 Botany Lane, Stony Brook, NY 11790 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Tristan Liu | 19 Freshman Ln, Stony Brook, NY 11790-2727 | Emergency Medical Technician | 2016-10-20 ~ 2019-09-30 |
Robert T Brennan | 22 Annandale Rd, Stony Brook, NY 11790-2410 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
William J Lahti | 8 Brookview Ct, Stony Brook, NY 11790 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Marie S Anderson | 3 Midfield Street, Stony Brook, NY 11790 | Notary Public Appointment | 1999-08-03 ~ 2004-08-31 |
Find all Licenses in Stony Brook |
City | Stony Brook |
Zip Code | 11794 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + Stony Brook |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
John P Dziala · Jawa Builders | 78 Lincoln St, Bristol, CT 06010 | Home Improvement Contractor | 2006-02-09 ~ 2006-11-30 |
Jawa Builders LLC | 242 South St, Plymouth, CT 06782 | Home Improvement Contractor | 2009-07-21 ~ 2009-11-30 |
Pt. Veranda Jawa Mebel | Jl. Raya Krasak Pecangaan, Jepara Central Java, IS 59462 | Manufacturer of Bedding & Upholstered Furniture | 2017-10-11 ~ 2018-04-30 |
Aarti Jawa | 88 Maple Tree Avenue, Unit E, Stamford, CT 06906 | Controlled Substance Registration for Practitioner | 2019-11-25 ~ 2021-02-28 |
Pt Inizio | Rw 2 Jl Soekamo Hatta Km 19 Ds, Kendal Jawa Tengah, IS 51372 | Manufacturer of Bedding & Upholstered Furniture | 2019-05-01 ~ 2020-04-30 |
Zinus Inc | Jl Raya Parung-gunung Sindur No 68, Bogor Jawa Barat, IS 16330 | Manufacturer of Bedding & Upholstered Furniture | 2020-05-01 ~ 2021-04-30 |
Ax Furniture Sdn. Bhd | Lot 9633 Jalan Air Manis Mukim Parit Jawa, Muar, 84150-0001 | Manufacturer of Bedding & Upholstered Furniture | 2020-05-01 ~ 2021-04-30 |
Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
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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).