SHIVAKUMAR VIGNESH
Physician/surgeon


Address: 211 Thrush Drive, Hummels Town, PA 17036

SHIVAKUMAR VIGNESH (Credential# 558134) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 20, 2008. The license expiration date date is May 31, 2009. The license status is INACTIVE.

Business Overview

SHIVAKUMAR VIGNESH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.040551. The credential type is physician/surgeon. The effective date is May 20, 2008. The expiration date is May 31, 2009. The business address is 211 Thrush Drive, Hummels Town, PA 17036. The current status is inactive.

Basic Information

Licensee Name SHIVAKUMAR VIGNESH
Credential ID 558134
Credential Number 1.040551
Credential Type Physician/Surgeon
Business Address 211 Thrush Drive
Hummels Town
PA 17036
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2002-06-20
Effective Date 2008-05-20
Expiration Date 2009-05-31
Refresh Date 2009-09-29

Other licenses

ID Credential Code Credential Type Issue Term Status
345169 CSP.0033802 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2005-03-01 - 2006-02-28 INACTIVE

Office Location

Street Address 211 Thrush Drive
City Hummels Town
State PA
Zip Code 17036

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Linda S Baird Jansen 7297 Union Deposit Road, Hummelstown, PA 17036 Physical Therapist 2020-06-01 ~ 2021-05-31
Jonathan Bernstein 558 Dickens Dr, Hummelstown, PA 17036 Physician/surgeon 2020-04-01 ~ 2021-03-31
Franklyn Luke 2160 Flintlock Drive, Hummelstown, PA 17036 Physician/surgeon 2019-11-01 ~ 2020-10-31
Frederico G Bueno 125 Merlin Dr, Hummelstown, PA 17036 Professional Engineer 2012-02-01 ~ 2013-01-31
Thomas J Zaleski · Butler Mfg Co 1624 Spring Hl Dr, Hummelstown, PA 17036 Professional Engineer 1993-01-19 ~ 1994-01-31
David L Smith 1625 Woodheaven Dr, Hummelstown, PA 17036 Professional Engineer 1989-02-21 ~ 1990-01-31
Steven J Seidl 1920 Gramercy Pl, Hummelstown, PA 17036 Professional Engineer 2001-02-01 ~ 2002-01-31
Choose Responsibility Inc. 7105 Silver Fox Court, Hummelstown, PA 17036 Public Charity 2009-03-18 ~ 2009-11-30
Karen Eileen Smith 1625 Woodhaven Drive, Hummelstown, PA 17036 Certified Public Accountant Certificate ~
Howard L Rudnick 1631 Melrose Drive, Hummelstown, PA 17036 Physician/surgeon 2013-01-01 ~ 2013-12-31
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Competitor

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City Hummels Town
Zip Code 17036
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Hummels Town

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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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