ANN R DATUNASHVILI
Physician/surgeon


Address: 291 Bear Hill Rd, Bethany, CT 06524-3228

ANN R DATUNASHVILI (Credential# 557521) 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.

Business Overview

ANN R DATUNASHVILI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.039938. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 291 Bear Hill Rd, Bethany, CT 06524-3228. The current status is active.

Basic Information

Licensee Name ANN R DATUNASHVILI
Credential ID 557521
Credential Number 1.039938
Credential Type Physician/Surgeon
Business Address 291 Bear Hill Rd
Bethany
CT 06524-3228
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2001-10-16
Effective Date 2020-04-01
Expiration Date 2021-03-31
Refresh Date 2020-02-14

Other licenses

ID Credential Code Credential Type Issue Term Status
1172340 CSP.0055295 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2013-07-01 2019-03-01 - 2021-02-28 ACTIVE
292893 CSP.0031615 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2001-11-23 2017-03-01 - 2021-02-28 ACTIVE
1164898 CSP.0054726 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2013-05-23 2015-03-01 - 2017-02-28 INACTIVE

Office Location

Street Address 291 BEAR HILL RD
City BETHANY
State CT
Zip Code 06524-3228

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
David Tkeshelashvili 291 Bear Hill Rd, Bethany, CT 06524-3228 Physician/surgeon 2020-04-01 ~ 2021-03-31

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Jordan Sarah Young 285 Bear Hill Rd, Bethany, CT 06524-3228 Registered Nurse 2020-05-01 ~ 2021-04-30
Jars of Clay, Contracting & Design LLC 281 Bear Hill Rd, Bethany, CT 06524-3228 Home Improvement Contractor 2016-12-01 ~ 2017-11-30
Alex B Macnamara 287 Bear Hill Rd, Bethany, CT 06524-3228 Emergency Medical Responder 2018-08-03 ~ 2021-04-01

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Catherine M Ford · Porto 78 Tuttle Court, Bethany, CT 06524 Dental Hygienist 2020-08-01 ~ 2021-07-31
Erin Mcknight 24 Timber Ln, Bethany, CT 06524 Physician/surgeon 2020-07-01 ~ 2021-06-30
Cheryl A Bevvino 106 Sperry Rd, Bethany, CT 06524 Registered Nurse 2020-09-01 ~ 2021-08-31
Catherine Geloso 19 Amadeo Drive, Bethany, CT 06524 Notary Public Appointment 2020-07-01 ~ 2025-06-30
Patricia Burke 12 Miller Rd, Bethany, CT 06524 Veterinarian 2020-09-01 ~ 2021-08-31
Complete Excavating Services LLC 674 Amity Rd, Bethany, CT 06524 Demolition Contractor 2020-07-01 ~ 2021-06-30
Brian K Coutermarsh 32 Emerald Lane, Bethany, CT 06524 Radiographer 2020-09-01 ~ 2021-08-31
Michelle L Amato 172 Russell Rd, Bethany, CT 06524 Dental Hygienist 2020-08-01 ~ 2021-07-31
Joseph L Colaci 57 Edwards Road, Bethany, CT 06524 Nursing Home Administrator 2020-05-01 ~ 2022-04-30
Karen C Praskievicz 85 Sperry Rd, Bethany, CT 06524 Registered Nurse 2020-09-01 ~ 2021-08-31
Find all Licenses in zip 06524

Competitor

Search similar business entities

City BETHANY
Zip Code 06524
License Type Physician/Surgeon
License Type + County Physician/Surgeon + BETHANY

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Improve Information

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Dataset Information

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).

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