ANITA M ZACHARIAH MD (Credential# 562399) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 9, 2007. The license expiration date date is September 30, 2008. The license status is INACTIVE.
ANITA M ZACHARIAH MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.044817. The credential type is physician/surgeon. The effective date is August 9, 2007. The expiration date is September 30, 2008. The business address is 1389 W Main St Suite 120, Waterbury, CT 06708. The current status is inactive.
Licensee Name | ANITA M ZACHARIAH MD |
Credential ID | 562399 |
Credential Number | 1.044817 |
Credential Type | Physician/Surgeon |
Business Address |
1389 W Main St Suite 120 Waterbury CT 06708 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2006-10-03 |
Effective Date | 2007-08-09 |
Expiration Date | 2008-09-30 |
Refresh Date | 2009-07-11 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
453450 | CSP.0040785 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-10-19 | 2007-03-01 - 2008-02-29 | INACTIVE |
Street Address | 1389 W MAIN ST SUITE 120 |
City | WATERBURY |
State | CT |
Zip Code | 06708 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Lee Ann M Soden · Schmacher | 925 Oronoke Rd, Waterbury, CT 06708 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Sega Ready Mix | 310 Chase River Rd, Waterbury, CT 06708 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Mary F Chinn | 24 Taft Pointe Unit 47, Waterbury, CT 06708 | Notary Public Appointment | 2005-09-01 ~ 2010-08-31 |
Joseph Silva | 65 Dixie Ave., Waterbury, CT 06708 | Medication Administration Certification | 2020-06-03 ~ 2022-06-02 |
Mandy M Desjarlais | 171 Herschel Ave, Waterbury, CT 06708 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
Francisco J Colon Rodriguez LLC | 55 Eastern Ave Apt42, Waterbury, CT 06708 | Home Improvement Contractor | 2020-06-24 ~ 2020-11-30 |
Morgan Sunyoung Heo | 1249 West Main Street, Waterbury, CT 06708 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Peter Mmangisa Chonga | 119 Taft Pt, Waterbury, CT 06708 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Xuemei Li | 28 Cronin Dr, Waterbury, CT 06708 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Tasheaka R Jones | 151 Park Terr, Waterbury, CT 06708 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 06708 |
City | WATERBURY |
Zip Code | 06708 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + WATERBURY |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Anita Grover | Po Box 115, Bridgewater, CT 06752-0115 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Anita Karne Md | 115 Linden St, New Haven, CT 06511-2424 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Anita Nair | 12 Green St, Congers, NY 10920-2307 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Anita Chu | Rensselaer Polytechnic Institute, Troy, NY 12180 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Anita L Licata | 1460 Elm Street, Stratford, CT 06497 | Physician/surgeon | 1981-01-01 ~ 1994-01-31 |
Anita Bhagavath | 15 Collingwood Dr, Huntington Station, NY 11746 | Physician/surgeon | 2018-09-19 ~ 2019-05-31 |
Anita D Bhole | 1 Mancuso Drive, Ossining, NY 10562 | Physician/surgeon | 1985-01-03 ~ 1986-11-30 |
Anita M Lopker Md | 18 Burr Road, Westport, CT 06880 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Anita S Arora | 62 Norton Avenue, Guilford, CT 06437 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Anita G Beneke Md | 134 Stillson Road, Fairfield, CT 06432-3212 | Physician/surgeon | 2001-11-20 ~ 2003-01-31 |
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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).