MOHANAKRISHNAN MENON MD (Credential# 557177) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
MOHANAKRISHNAN MENON MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.039593. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 9 Cranbrook Blvd, Enfield, CT 06082-3889. The current status is active.
| Licensee Name | MOHANAKRISHNAN MENON MD |
| Credential ID | 557177 |
| Credential Number | 1.039593 |
| Credential Type | Physician/Surgeon |
| Business Address |
9 Cranbrook Blvd Enfield CT 06082-3889 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2001-06-08 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-02-25 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 286301 | CSP.0031228 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-03-01 - 2017-02-28 | INACTIVE |
| Street Address | 9 CRANBROOK BLVD |
| City | ENFIELD |
| State | CT |
| Zip Code | 06082-3889 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jigisha Morosky Md | 160 Hazard Ave, Enfield, CT 06082-3889 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Noah Starkey | 9 Cranbrook Blvd Fl 2, Enfield, CT 06082-3889 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michael F Morosky | 160 Hazard Avenue, Enfield, CT 06082-3889 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kaitlyn A Pelligrinelli | 38 Haynes St, Enfield, CT 06082 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Sharon M Smith | 11 Eleanor Rd, Enfield, CT 06082 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Kerry A Tanguay · Lang | 11 Somers Road, Enfield, CT 06082 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Colleen E Galbraith | 12 Southview St, Enfield, CT 06082 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Paul F Misbach | 502 Taylor Road, Enfield, CT 06082 | Real Estate Salesperson | ~ |
| Catherine R Mcculloch | 84 Wynwood Drive, Enfield, CT 06082 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Phillip G Seidel | 318 North Maple St, Enfield, CT 06082 | Optician | 2020-05-01 ~ 2021-04-30 |
| Matthew Crossen | 19 Elan Street, Enfield, CT 06082 | Real Estate Salesperson | 2020-06-19 ~ 2021-05-31 |
| Baco's Pizza Inc | 410 Enfield St, Enfield, CT 06082 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Jessica G Martin | 72 Belmont Ave, Enfield, CT 06082 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Find all Licenses in zip 06082 | |||
| City | ENFIELD |
| Zip Code | 06082 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + ENFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Muraleedhara P Menon | 2 Cleveland Place, Yonkers, NY 10710-1449 | Physician/surgeon | 1999-07-02 ~ 2000-06-30 |
| Sanand R Menon Md | 65 Putter Drive, Wallingford, CT 06492 | Physician/surgeon | 2000-01-27 ~ 2001-02-28 |
| Nalini Menon Pathiyal Md | 1418 Olmsted Drive, Bear, DE 19701 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Uma Menon | 20 York St., New Haven, CT 06510-3220 | Resident Physician | 2015-06-25 ~ 2020-06-30 |
| Leena B Menon | 101 Stonewall Rd, Salem, CT 06420-4135 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Shailaja N Menon | 1872 W Lagoon Rd, Pleasanton, CA 94566-3404 | Dentist | ~ |
| Sabrish Menon | 68 Winchester St Apt 2f, Medford, MA 02155-6453 | Engineer-in-training | 2019-04-02 ~ 2029-04-02 |
| K Prasad Menon | 12 Sharlin Dr, W Simsbury, CT 06092 | Professional Engineer | 2006-02-01 ~ 2007-01-31 |
| Meera V Menon | 80 Phoenix Avenue, Waterbury, CT 06702 | Dentist | 2020-05-01 ~ 2021-04-30 |
| Kavita Menon | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
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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).