DANIEL A CHIDPUNGTAM (Credential# 559305) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 15, 2003. The license expiration date date is October 31, 2004. The license status is INACTIVE.
DANIEL A CHIDPUNGTAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.041722. The credential type is physician/surgeon. The effective date is October 15, 2003. The expiration date is October 31, 2004. The business address is 78 Olive Street, New Haven, CT 06511. The current status is inactive.
| Licensee Name | DANIEL A CHIDPUNGTAM |
| Credential ID | 559305 |
| Credential Number | 1.041722 |
| Credential Type | Physician/Surgeon |
| Business Address |
78 Olive Street New Haven CT 06511 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2003-07-31 |
| Effective Date | 2003-10-15 |
| Expiration Date | 2004-10-31 |
| Refresh Date | 2009-07-08 |
| Street Address | 78 Olive Street |
| City | New Haven |
| State | CT |
| Zip Code | 06511 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Daniel T Carnein | 78 Olive Street, New Haven, CT 06511 | Engineer-in-training | 2019-05-09 ~ 2029-05-09 |
| Samantha Douglas Baer | 78 Olive Street, New Haven, CT 06511 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Colman Timothy Dobb | 78 Olive Street, New Haven, CT 06511 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Jadry Gruen | 78 Olive Street, New Haven, CT 06511 | Physician/surgeon | 2020-02-26 ~ 2021-02-28 |
| Kapiolani A Laronal | 78 Olive Street, New Haven, CT 06511 | Real Estate Salesperson | 2018-06-01 ~ 2019-05-31 |
| Syed S Akhtar | 78 Olive Street, New Haven, CT 06511 | Physician/surgeon | 2017-12-01 ~ 2018-11-30 |
| Andrea Blake | 78 Olive Street, New Haven, CT 06511 | Registered Nurse | 2004-10-14 ~ 2005-10-31 |
| Anthony R Chella | 78 Olive Street, New Haven, CT 06510 | Real Estate Salesperson | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Montessori School On Edgewood Inc. | 230 Edgewood Avenue, New Haven, CT 06511 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Therese Parks · Visel Drug Store | 264 Munson St, New Haven, CT 06511 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dazjia Monet Green | 115 Edgewood Ave Apt 64, New Haven, CT 06511 | Registered Nurse | 2020-06-27 ~ 2021-05-31 |
| Carol Yam | 343 Humphrey St, New Haven, CT 06511 | Registered Nurse | ~ |
| Marwan S Haddad | 38 Lincoln Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mary Lou Gaeta Md | 558 Chapel Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Cary M Tucker | 64 Bishop St, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Frank J Pannenborg | 505 Ellsworth Ave, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Crystal E Gooding | 26 Woodland Street, New Haven, CT 06511 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Kieran Jones | 260 Crown St Unit 1f, New Haven, CT 06511 | Registered Nurse | ~ |
| Find all Licenses in zip 06511 | |||
| City | New Haven |
| Zip Code | 06511 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + New Haven |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Daniel A Chidpungtam Md | 78 Olive St #502, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
| Joseph W Pawlik Md | 2544 Daniel Island Dr, Daniel Island, SC 29492-8905 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Daniel R Canchola | CT | Physician/surgeon | ~ |
| Daniel A Moses | 16 Bathurst St., NSW 2025 | Physician/surgeon | 2018-01-01 ~ 2018-12-31 |
| Daniel Q. Levin | 69 5th Ave Apt 14g, New York, NY 10003-3009 | Physician/surgeon | 2014-02-19 ~ 2015-02-28 |
| Daniel R. Wolpaw | Po Box 431, Agawam, MA 01001-0431 | Physician/surgeon | 1981-09-09 ~ 1982-03-31 |
| Daniel Becker | 3 Westview Rd, Brookline, NH 03033-4421 | Physician/surgeon | ~ |
| Daniel Owens | 921 S Adams St, Hinsdale, IL 60521-4315 | Physician/surgeon | ~ |
| Daniel E Stuckey | Po Box 698, Katy, TX 77492 | Physician/surgeon | 2014-05-01 ~ 2015-04-30 |
| Daniel I Silvershein | Pleasantville, NY 10570 | Physician/surgeon | 2011-08-01 ~ 2012-07-31 |
Please comment or provide details below to improve the information on DANIEL A CHIDPUNGTAM.
| 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).