JAYARAM C RADHAKRISHNAN MD (Credential# 557396) 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.
JAYARAM C RADHAKRISHNAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.039812. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 58 Brechlin Drive, Middletown, CT 06457. The current status is active.
| Licensee Name | JAYARAM C RADHAKRISHNAN MD |
| Credential ID | 557396 |
| Credential Number | 1.039812 |
| Credential Type | Physician/Surgeon |
| Business Address |
58 Brechlin Drive Middletown CT 06457 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2001-08-16 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-01-21 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 288828 | CSP.0031403 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2001-09-17 | 2017-03-01 - 2019-02-28 | INACTIVE |
| Street Address | 58 BRECHLIN DRIVE |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth M Mailhot | 177 Timber Ridge Rd, Middletown, CT 06457 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Rebecca S Fennessy | 22 Keefe Ln, Middletown, CT 06457 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Eloise M Gagnon | 538 Bow Lane, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Salvatore Dimauro | 245 Dekoven Dr, Middletown, CT 06457 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Frank L Wright | 261 Spencer Dr, Middletown, CT 06457 | Barber | 2020-08-01 ~ 2022-07-31 |
| Gino A Cardella | 50 Sonoma Lane, Middletown, CT 06457 | Real Estate Salesperson | ~ |
| Shannon Lee Mcquillan | 5 Forest Glen Circle, Middletown, CT 06457 | Registered Nurse | 2020-06-26 ~ 2020-09-30 |
| Lori Dimauro · Carta | 244 Chamberlain Hill Road, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Gail A Corrow | 85 Dora Dr, Middletown, CT 06457 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Mariter V Perez | 8 Moss Glen, Middletown, CT 06457 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06457 | |||
| City | MIDDLETOWN |
| Zip Code | 06457 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + MIDDLETOWN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jay Radhakrishnan | Po Box 133005, Spring, TX 77393 | Physician/surgeon | 2016-09-01 ~ 2017-08-31 |
| Rajiv Radhakrishnan | 300 George St Ste 901, New Haven, CT 06511-6662 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Radhakrishnan P Nair | 66 Saddle Hill Rd, Manchester, CT 06040-6958 | Real Estate Salesperson | 2014-06-01 ~ 2015-05-31 |
| Navnith Jayaram · Avon Indian Grill | 320 W Main St, Avon, CT 06001-3687 | Restaurant Liquor | 2019-06-20 ~ 2020-10-19 |
| Radhakrishnan Ramaraj | 321 S San Vicente Blvd Apt 102, Los Angeles, CA 90048-3332 | Controlled Substance Registration for Practitioner | 2013-07-08 ~ 2015-02-28 |
| Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
| 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 |
| Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
| John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Please comment or provide details below to improve the information on JAYARAM C RADHAKRISHNAN MD.
| 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).