ARVIND R DATLA MD (Credential# 564657) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 9, 2008. The license expiration date date is August 31, 2009. The license status is INACTIVE.
ARVIND R DATLA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.047075. The credential type is physician/surgeon. The effective date is October 9, 2008. The expiration date is August 31, 2009. The business address is 521 Griswold Hills Drive, Newington, CT 06111. The current status is inactive.
| Licensee Name | ARVIND R DATLA MD |
| Credential ID | 564657 |
| Credential Number | 1.047075 |
| Credential Type | Physician/Surgeon |
| Business Address |
521 Griswold Hills Drive Newington CT 06111 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2008-10-09 |
| Effective Date | 2008-10-09 |
| Expiration Date | 2009-08-31 |
| Refresh Date | 2009-12-10 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 446495 | CSP.0039995 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-09-18 | 2008-05-15 - 2009-02-28 | INACTIVE |
| Street Address | 521 GRISWOLD HILLS DRIVE |
| City | NEWINGTON |
| State | CT |
| Zip Code | 06111 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Anastasya Anisimova | 114 Fox Run Court, Newington, CT 06111 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Karen S Cleaveland | 52 Amidon Ave, Newington, CT 06111 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Leeann R Johnson | 17 Cinnamon Rd, Newington, CT 06111 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Isma Mian | 65 Cortland Way, Newington, CT 06111 | Physician/surgeon | ~ |
| Danielle Rocha | 1582 Willard Ave, Newington, CT 06111 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
| Munson's Chocolates | 3157 Berlin Tpke, Newington, CT 06111 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Shandea Edwards | 21 Hartford Ave #14, Newington, CT 06111 | Medication Administration Certification | ~ |
| Hengchao Xiong | 47 Adam Dr, Newington, CT 06111 | Nail Technician | ~ |
| Tuyen Le Phan | 71 Lantern Hill, Newington, CT 06111 | Nail Technician | ~ |
| Smita Parth Dave | 192 Brookside Rd, Newington, CT 06111 | Esthetician | ~ |
| Find all Licenses in zip 06111 | |||
| City | NEWINGTON |
| Zip Code | 06111 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEWINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Arvind Kumar | CT | Physician/surgeon | 1988-05-27 ~ 1988-12-31 |
| Arvind Kamthan | 8 Wynthrop Manor Dr, Goshen, NY 10924-6620 | Physician/surgeon | ~ |
| Arvind K Gupta Md | 36 Grouse Ln, Woodbridge, CT 06525-1451 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
| Tanya Arvind Rege | 15 Crawford St Ste 100, Needham, MA 02494-2618 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Arvind A D'cruz | 554 Liberty Hgwy #6, Putnam, CT 06260 | Physician/surgeon | 1995-05-01 ~ 1996-05-31 |
| Arvind Exim | H-1/84 Riico Industries Area Mansarowar, Jaipur Rajasthan, 302020 | Manufacturer of Bedding & Upholstered Furniture | 2019-05-01 ~ 2020-04-30 |
| Arvind Impex (india) Pvt. Ltd | E-7 Epip, Site-v Kasana Gautam Budh Nagar, Greater Noida Up, I2 201308 | Manufacturer of Bedding & Upholstered Furniture | 2020-05-01 ~ 2021-04-30 |
| Arvind Gowda | 850 Grand Ave Unit 102, New Haven, CT 06511-4974 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Arvind Tikku | 867 Nancy Way, Westfield, NJ 07090-3422 | Architect | ~ |
| Arvind K Sahota | 50 North St Apt 209, Stamford, CT 06902-2349 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Please comment or provide details below to improve the information on ARVIND R DATLA 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).