SHANKAR SRINIVASAN MD (Credential# 561320) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 16, 2007. The license expiration date date is June 30, 2008. The license status is INACTIVE.
SHANKAR SRINIVASAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.043738. The credential type is physician/surgeon. The effective date is August 16, 2007. The expiration date is June 30, 2008. The business address is 4121 Town Walk Dr, Hamden, CT 06518. The current status is inactive.
| Licensee Name | SHANKAR SRINIVASAN MD |
| Credential ID | 561320 |
| Credential Number | 1.043738 |
| Credential Type | Physician/Surgeon |
| Business Address |
4121 Town Walk Dr Hamden CT 06518 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2005-08-16 |
| Effective Date | 2007-08-16 |
| Expiration Date | 2008-06-30 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 419086 | CSP.0038446 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-10-17 | 2007-03-01 - 2008-02-29 | INACTIVE |
| Street Address | 4121 TOWN WALK DR |
| City | HAMDEN |
| State | CT |
| Zip Code | 06518 |
| 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 |
|---|---|---|---|
| Shankar P Bhat | Bo Box 15538, Durham, NC 27704 | Physician/surgeon | 1980-01-02 ~ 1981-04-30 |
| Samantha G Shankar | 123 Forest Ave, New Rochelle, NY 10804-4228 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Venkata Ravi Shankar Chivukula | 300 George St Ste 901, New Haven, CT 06511-6662 | Physician/surgeon | ~ |
| Srinivasan Paramasivam | 515 W 59th St Apt 4a, New York, NY 10019-1034 | Physician/surgeon | ~ |
| Krithika Srinivasan | 38 Crown St, New Haven, CT 06510 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Chandrika N Shankar | 5116 E Berneil Drive, Paradise Valley, AZ 85253 | Physician/surgeon | 2019-05-01 ~ 2020-04-30 |
| Sriraman Ram Srinivasan | 1 Cityplace Dr Ste 570, Saint Louis, MO 63141-7067 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Shantanu Srinivasan Kidambi | 82 Lakeside Ave, Webster, MA 01570-1568 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Ashmitha Srinivasan | 27 James P Kelly Way, Middletown, NY 10940 | Physician/surgeon | 2012-10-01 ~ 2013-09-30 |
| Anand Srinivasan | 43 Cedar Lane, Closter, NJ 07624 | Physician/surgeon | 2001-03-12 ~ 2001-10-31 |
Please comment or provide details below to improve the information on SHANKAR SRINIVASAN MD.
| 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).