SHAJI P DANIEL
Physician/surgeon


Address: 100 Wason Ave Ste 200, Springfield, MA 01107-1179

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.

Business Overview

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.

Basic Information

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

Other licenses

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

Office Location

Street Address 100 WASON AVE STE 200
City SPRINGFIELD
State MA
Zip Code 01107-1179

Licenses in the same location

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

Licenses in the same zip code

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

Licenses in the same zip code

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

Competitor

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City SPRINGFIELD
Zip Code 01107
License Type Physician/Surgeon
License Type + County Physician/Surgeon + SPRINGFIELD

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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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