SUDEEP BANSAL MD (Credential# 564866) 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.
SUDEEP BANSAL MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.047284. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 131 New London Tpke, Glastonbury, CT 06033. The current status is active.
| Licensee Name | SUDEEP BANSAL MD |
| Credential ID | 564866 |
| Credential Number | 1.047284 |
| Credential Type | Physician/Surgeon |
| Business Address |
131 New London Tpke Glastonbury CT 06033 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2009-01-05 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-03-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 525521 | CSP.0045138 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2009-03-03 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 131 New London Tpke |
| City | Glastonbury |
| State | CT |
| Zip Code | 06033 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gubbanna V Kumar Md | 131 New London Tpke, Glastonbury, CT 06033 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| John J Serafin | 131 New London Tpke, Glastonbury, CT 06033 | Chiropractor | 2020-03-01 ~ 2021-02-28 |
| Eyeworks of Glastonbury | 131 New London Tpke, Glastonbury, CT 06033-2246 | Optical Selling Permit | 2019-09-01 ~ 2020-08-31 |
| Glenn Mitchell Hauer | 131 New London Tpke, Glastonbury, CT 06033 | Emergency Medical Technician | 2011-11-29 ~ 2014-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vanessa Segal | 46 Salem Court, Glastonbury, CT 06033 | Hairdresser/cosmetician | ~ |
| Laura Nadeau | 3641 Hebron Ave, Glastonbury, CT 06033 | Respiratory Care Practitioner | 2020-08-01 ~ 2021-07-31 |
| Abigail Lynn Hubbard | 55 Brookview Drive, Glastonbury, CT 06033 | Emergency Medical Technician | ~ |
| Maureen E Booth | 36 Hubbard Run Drive, Glastonbury, CT 06033 | Speech and Language Pathologist | 2020-07-01 ~ 2021-06-30 |
| Wendy B Johnson | 1789 Main St, Glastonbury, CT 06033 | Architect | 2020-08-01 ~ 2021-07-31 |
| Michael D Devanney Pa | 28 Evergreen Ln, Glastonbury, CT 06033 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
| Sophie C Gomez · Pirog | 81 Three Mile Rd, Glastonbury, CT 06033 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Jennifer R Briones | 90 Deerfield Drive, Glastonbury, CT 06033 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Munson's Chocolates | 135 Glastonbury Blvd, Glastonbury, CT 06033 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Yulhun Sung | 245 Griswold St Unit A, Glastonbury, CT 06033 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Find all Licenses in zip 06033 | |||
| City | Glastonbury |
| Zip Code | 06033 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Glastonbury |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sudeep K Thumma Md | 114 Woodland Street, Hartford, CT 06105 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Anu Bansal Md | 33 Lucy Way, Simsbury, CT 06070 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Raj Kumari Bansal | 305 Beecher Rd, Southbury, CT 06482 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Kanti L Bansal | 415 85th St., Brooklyn, NY 11209 | Physician/surgeon | 2007-08-07 ~ 2007-12-31 |
| Sudeep Taksali | 234 Austin Ryer Lane, Branford, CT 06405 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Taniya Bansal | 600 Asylum Ave Apt 309, Hartford, CT 06105-3802 | Physical Therapist | ~ |
| Nidhi Bansal | 306-104 Aashirwad Enclave, 110092 | Physical Therapist | ~ |
| Robin J Bansal | 281 Jones St, Amston, CT 06231-1513 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Ved P Bansal | 8476 Thames St, Springfield, VA 22151 | Professional Engineer | 1992-01-06 ~ 1993-01-31 |
| Sangeeta Bansal | 11 Herkimer Rd, Scarsdale, NY 10583 | Real Estate Salesperson | 2004-07-06 ~ 2005-05-31 |
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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).