SHAJI P DANIEL (Credential# 564561) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
SHAJI P DANIEL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.046979. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 100 Wason Ave Ste 200, Springfield, MA 01107-1179. The current status is active.
Licensee Name | SHAJI P DANIEL |
Credential ID | 564561 |
Credential Number | 1.046979 |
Credential Type | Physician/Surgeon |
Business Address |
100 Wason Ave Ste 200 Springfield MA 01107-1179 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2008-09-10 |
Effective Date | 2020-06-01 |
Expiration Date | 2021-05-31 |
Refresh Date | 2020-03-03 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
516659 | CSP.0044735 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2008-10-21 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 100 WASON AVE STE 200 |
City | SPRINGFIELD |
State | MA |
Zip Code | 01107-1179 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Dennis J Dicampli Md | 100 Wason Ave Ste 200, Springfield, MA 01107-1179 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Barbara A Greco Md | 100 Wason Ave Ste 200, Springfield, MA 01107-1119 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Neeraj Jain | 100 Wason Ave Ste 200, Springfield, MA 01107-1179 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Jonathan Slater | 100 Wason Ave Ste 200, Springfield, MA 01107-1179 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Hemant Magoo | 100 Wason Ave Ste 200, Springfield, MA 01107 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
George Fares Md | 100 Wason Ave Ste 200, Springfield, MA 01107-1118 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Krishnan Babu | 100 Wason Ave Ste 200, Springfield, MA 01107-1179 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Ashish Verma | 100 Wason Ave Ste 200, Springfield, MA 01107 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Stephen Sweet Md | 100 Wason Ave Ste 200, Springfield, MA 01107-1179 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Benjamin J Freda Do | 100 Wason Ave Ste 200, Springfield, MA 01107-1119 | Physician/surgeon | 2014-09-01 ~ 2015-08-31 |
Find all Licenses in the same address |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Andrew S Wetstone | 100 Wason Ave Ste 230, Springfield, MA 01107-1179 | Physician/surgeon | 2016-11-01 ~ 2017-10-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Lauren Elizabeth Marshall | 945 Armory St, Springfield, MA 01107 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
Jennifer L Fish | 367 Union Street, Springfield, MA 01107 | Hairdresser/cosmetician | ~ |
Joseph Pagan | 59 Rowland Street, Springfield, MA 01107 | Medication Administration Certification | 2020-04-20 ~ 2022-04-19 |
Daniel Laguerre | 382 Springfield St, Springfield, MA 01107 | Crane Operator | ~ |
Kamal Kant Kalia | 2 Medical Center Drive, Springfield, MA 01107 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Bushee Enterprises LLC | Po Box 1196, Southwick, MA 01107 | Home Improvement Contractor | 2015-12-01 ~ 2016-11-30 |
B Lopez | 165 Prospect Street, Springfield, MA 01107 | Notary Public Appointment | 2011-10-01 ~ 2016-09-30 |
Beth C Mcinerny | 260 Ware Road, Belchertown, MA 01107 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
Jorge Enrique Rivera | 20 Narragansett Street, Springfield, MA 01107 | Professional Counselor | 2019-10-01 ~ 2020-09-30 |
Rachael Hynds-decoteau | 22 Candice Cir, Springfield, MA 01107 | Controlled Substance Registration for Practitioner | 2019-09-19 ~ 2021-02-28 |
Find all Licenses in zip 01107 |
City | SPRINGFIELD |
Zip Code | 01107 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + SPRINGFIELD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Shaji P. Poovathoor | 22 Province Dr, South Setauket, NY 11720-4615 | Physician/surgeon | 2016-11-01 ~ 2017-10-31 |
Annie Shaji Daniel | 25 Old Pasture Dr, East Longmeadow, MA 01028-3177 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Joseph W Pawlik Md | 2544 Daniel Island Dr, Daniel Island, SC 29492-8905 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Daniel R Canchola | CT | Physician/surgeon | ~ |
Daniel Becker | 3 Westview Rd, Brookline, NH 03033-4421 | Physician/surgeon | ~ |
Daniel E Stuckey | Po Box 698, Katy, TX 77492 | Physician/surgeon | 2014-05-01 ~ 2015-04-30 |
Daniel A Moses | 16 Bathurst St., NSW 2025 | Physician/surgeon | 2018-01-01 ~ 2018-12-31 |
Daniel Q. Levin | 69 5th Ave Apt 14g, New York, NY 10003-3009 | Physician/surgeon | 2014-02-19 ~ 2015-02-28 |
Daniel I Silvershein | Pleasantville, NY 10570 | Physician/surgeon | 2011-08-01 ~ 2012-07-31 |
Daniel R. Wolpaw | Po Box 431, Agawam, MA 01001-0431 | Physician/surgeon | 1981-09-09 ~ 1982-03-31 |
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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).