KOMAL D NAIK DO
Physician/surgeon


Address: 403 Cypress Rd, Newington, CT 06111

KOMAL D NAIK DO (Credential# 560180) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 6, 2006. The license expiration date date is November 30, 2007. The license status is INACTIVE.

Business Overview

KOMAL D NAIK DO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.042598-DO. The credential type is physician/surgeon. The effective date is October 6, 2006. The expiration date is November 30, 2007. The business address is 403 Cypress Rd, Newington, CT 06111. The current status is inactive.

Basic Information

Licensee Name KOMAL D NAIK DO
Credential ID 560180
Credential Number 1.042598-DO
Credential Type Physician/Surgeon
Credential SubCategory DO
Business Address 403 Cypress Rd
Newington
CT 06111
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2004-06-30
Effective Date 2006-10-06
Expiration Date 2007-11-30
Refresh Date 2010-03-11

Other licenses

ID Credential Code Credential Type Issue Term Status
379930 CSP.0035765 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2004-08-30 2006-03-01 - 2007-02-28 INACTIVE

Office Location

Street Address 403 CYPRESS RD
City NEWINGTON
State CT
Zip Code 06111

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City NEWINGTON
Zip Code 06111
License Type Physician/Surgeon
License Type + County Physician/Surgeon + NEWINGTON

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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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