RENU BAZAZ-KAPOOR (Credential# 559507) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
RENU BAZAZ-KAPOOR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.041924-DO. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 2200 Whitney Avenue, Hamden, CT 06518. The current status is active.
| Licensee Name | RENU BAZAZ-KAPOOR |
| Credential ID | 559507 |
| Credential Number | 1.041924-DO |
| Credential Type | Physician/Surgeon |
| Credential SubCategory | DO |
| Business Address |
2200 Whitney Avenue Hamden CT 06518 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2003-10-15 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-05-18 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 356444 | CSP.0034401 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2003-12-17 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 2200 WHITNEY AVENUE |
| City | HAMDEN |
| State | CT |
| Zip Code | 06518 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Francis W Chan Md | 2200 Whitney Avenue, Hamden, CT 06518 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mark B Taylor Md | 2200 Whitney Avenue, Hamden, CT 06518 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Steve Angelo | 2200 Whitney Avenue, Hamden, CT 06518 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Taneisha R Grant | 2200 Whitney Avenue, Hamden, CT 06518 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Paul Feuerstadt Md | 2200 Whitney Avenue, Hamden, CT 06518 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Renuka Umashanker Md | 2200 Whitney Avenue, Hamden, CT 06518 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Rebecca J Grillo Pa | 2200 Whitney Avenue, Hamden, CT 06518-3602 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Tara Nicole Carlesco | 2200 Whitney Avenue, Hamden, CT 06518 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Renu Boatright | 2200 Whitney Avenue, Hamden, CT 06518 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Randy Johnson Pa | 2200 Whitney Avenue, Hamden, CT 06518 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Barbara Esposito Aprn | 209 Todd St, Hamden, CT 06518 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Sorrentos Brick Oven Pizzeria | 244 Skiff St, Hamden, CT 06518 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Jenna Bump | 61 Cannon St, Hamden, CT 06518 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jennifer E Pohl | 70 Norwood Avenue, Hamden, CT 06518 | Speech and Language Pathologist | 2020-07-01 ~ 2021-06-30 |
| Nicole O Miller-tyson | 648 Evergreen Ave, Hamden, CT 06518 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Nancy D Anderson | 399 Hillfield Road, Hamden, CT 06518 | Speech and Language Pathologist | 2020-08-01 ~ 2021-07-31 |
| Flowers From The Farm | 1035 Shepard Avenue, Hamden, CT 06518 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Lynda Burke | 68 Linden Avenue, Hamden, CT 06518 | Notary Public Appointment | 2011-12-08 ~ 2016-12-31 |
| Kelly Lynn Huppert | 1334 Town Walk Dr, Hamden, CT 06518 | Master's Level Social Worker | ~ |
| Robert L Engengro | 365 Forest Street, Hamden, CT 06518 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Find all Licenses in zip 06518 | |||
| City | HAMDEN |
| Zip Code | 06518 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + HAMDEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Renu Mital | 525 E 68th St, New York, NY 10065-4870 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Renu Bhateja | Po Box 5533, Oak Ridge, TN 37831-5533 | Physician/surgeon | 1994-09-08 ~ 1995-07-31 |
| Renu K Virk | 145 Foxboro Dr, Newington, CT 06111-4576 | Physician/surgeon | 2014-03-01 ~ 2015-02-28 |
| Reena Kapoor Md | 34 Park Street, New Haven, CT 06519 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Shreya Kapoor | 18733 Frankfort St, Northridge, CA 91324-4523 | Physician/surgeon | 2011-09-27 ~ 2012-04-30 |
| Shweta Kapoor | 11127 Fermill Ct, Richmond, TX 77407-1650 | Physician/surgeon | 2020-06-18 ~ 2021-03-31 |
| Rachna Kapoor | 114 Woodland Street, Hartford, CT 06105 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Bonu Kapoor-mohimen | 701 5th Ave Ste 2300, Seattle, WA 98104 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Aarti Kapoor | 40 Newport Parkway, Jersey City, NJ 07310 | Physician/surgeon | 2010-10-01 ~ 2011-09-30 |
| Sudhir Kapoor Md | 33901 Nauticus Isle, Danapoint, CA 92629 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
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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).