PURVI P. SHAH (Credential# 562828) 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.
PURVI P. SHAH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.045246. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 107 Newtown Road, Danbury, CT 06810. The current status is active.
| Licensee Name | PURVI P. SHAH |
| Credential ID | 562828 |
| Credential Number | 1.045246 |
| Credential Type | Physician/Surgeon |
| Business Address |
107 Newtown Road Danbury CT 06810 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2007-04-02 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-04-30 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 470039 | CSP.0041457 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2007-05-09 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 107 NEWTOWN ROAD |
| City | DANBURY |
| State | CT |
| Zip Code | 06810 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| David M Goldenberg | 107 Newtown Road, Danbury, CT 06810 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Michael Taylor Drobbin | 107 Newtown Road, Danbury, CT 06810 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Prashant Soni Md | 107 Newtown Road, Danbury, CT 06810 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sohel M Islam | 107 Newtown Road, Danbury, CT 06810 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jocelyn Fillian Dore | 107 Newtown Road, Danbury, CT 06810 | Audiologist | 2020-01-01 ~ 2020-12-31 |
| Joseph R Gordon | 107 Newtown Road, Danbury, CT 06810 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eastern College Athletic Conference Inc | Matrix Corp Ctr 39 Old Ridgebury Rd, Danbury, CT 06810 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Subway #36533 | 67 Newtown Rd, Danbury, CT 06810 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Natali Salome Teran | 27 Balmforth Ave 2, Danbury, CT 06810 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-06-30 |
| Kristin Danielle Mehta | 33 Country View Road, Danbury, CT 06810 | Advanced Practice Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Zhane Gabrielle Cardenas | 40 Westville Avenue Apt 1, Danbury, CT 06810 | Nail Technician | 2020-06-27 ~ 2021-09-30 |
| Zhane E Willikinson | 30 Germantown Road Suite 117, Danbury, CT 06810 | Nail Technician | 2020-06-27 ~ 2022-03-31 |
| Michelle Dahlgren | 8 Stable Drive, Danbury, CT 06810 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Asheree P Griffin | 14 New Town Road, Danbury, CT 06810 | Real Estate Salesperson | ~ |
| Tania Isabel Salazar | 20 Highland Avenue, Danbury, CT 06810 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-05-31 |
| Gregory C Banks | Gregory Banks Counseling, LLC, Danbury, CT 06810 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06810 | |||
| City | DANBURY |
| Zip Code | 06810 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + DANBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nickul Shah | 49 Glendale Rd, Agawam, MA 01001-3348 | Physician/surgeon | ~ |
| Mayuri N Shah | Po Box 176, Paterson, NJ 07533 | Physician/surgeon | 2002-12-23 ~ 2003-12-31 |
| Khushali Shah | 40 Prospect Ave Apt 2-2f, Norwalk, CT 06850-3719 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Rahman Shah Md | 13 Clark St#1, New Haven, CT 06511 | Physician/surgeon | 2006-03-28 ~ 2007-03-31 |
| Faisal M. Shah | 16 Templer Way, Hazlet, NJ 07730-1605 | Physician/surgeon | 2012-06-07 ~ 2013-06-30 |
| Nilay Ramesh Shah | 250 Ashland Pl Apt 49j, Brooklyn, NY 11217-4342 | Physician/surgeon | ~ |
| Sushrut S Shah | 130 Cherry Ln, Wynnewood, PA 19096-1220 | Physician/surgeon | 2009-11-01 ~ 2010-10-31 |
| Bharti J Shah | 30 Beachfront La, New Rochelle, NY 10805 | Physician/surgeon | 2009-06-11 ~ 2010-07-31 |
| Sachin J Shah | 27 Bowman Dr, Greenwich, CT 06831-3236 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Neel P Shah | 39 Hospital Ave, Danbury, CT 06810-6027 | Physician/surgeon | 2018-04-01 ~ 2019-03-31 |
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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).