SANJIV KASHYAP PA (Credential# 742693) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is September 29, 2005. The license expiration date date is November 30, 2006. The license status is INACTIVE.
SANJIV KASHYAP PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000944. The credential type is physician assistant. The effective date is September 29, 2005. The expiration date is November 30, 2006. The business address is 29 Fairy Dell Road, Clinton, CT 06413. The current status is inactive.
| Licensee Name | SANJIV KASHYAP PA |
| Credential ID | 742693 |
| Credential Number | 23.000944 |
| Credential Type | Physician Assistant |
| Business Address |
29 Fairy Dell Road Clinton CT 06413 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2000-03-02 |
| Effective Date | 2005-09-29 |
| Expiration Date | 2006-11-30 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 233062 | CSP.0029362 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-03-01 - 2006-02-28 | INACTIVE |
| Street Address | 29 FAIRY DELL ROAD |
| City | CLINTON |
| State | CT |
| Zip Code | 06413 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jessica Hackley | 29 Fairy Dell Road, Clinton, CT 06413 | Notary Public Appointment | 2017-04-01 ~ 2022-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael Anthony Macdonald | 147 Shore Road, Clinton, CT 06413 | Architect | 2020-08-01 ~ 2021-07-31 |
| Scott W Santiago | 5 Hurd Bridge Road, Clinton, CT 06413 | Real Estate Salesperson | ~ |
| Kristopher W Brooks | 93 West Main Street, Clinton, CT 06413 | Distribution System Operator - Class II | 2020-04-01 ~ 2023-03-31 |
| James F Schetzel | 25 B River Rd, Clinton, CT 06413 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Amanda Michelle Saren | 7 Grant Place, Clinton, CT 06413 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-20 ~ 2021-12-31 |
| Rebecca C Kadel | 118 Long Hill Road, Clinton, CT 06413 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Tamara A Potselueva | 10 Hemlock Hill Road, Clinton, CT 06413 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Lindt Chocolate Shop #397 · Lindt & Sprungli (usa) Inc | 20-a Killingworth Tpke Space 230, Clinton, CT 06413 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Dana D Striby | 26 Park Drive, Clinton, CT 06413 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Dunkin Donuts | 172 Clinton Rd, Killingworth, CT 06413 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06413 | |||
| City | CLINTON |
| Zip Code | 06413 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + CLINTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nitu M Kashyap Md | 199 Old Maids Lane, South Glastonbury, CT 06073 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Sanjiv Prabhu | 2260 Wrightsboro Rd, Augusta, GA 30904-4764 | Physician/surgeon | 2018-08-01 ~ 2019-07-31 |
| Krishma Kashyap Shah | 5 Green St Apt 301, Dover, NH 03820-3353 | Physical Therapist | 2019-02-05 ~ 2020-01-31 |
| Aditya A Kashyap | 15 Liberty Drive, Southborough, MA 01772 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Physician Assistant Foundation of The American Academy of Physician Assistants | 2318 Mill Rd Ste 1300, Alexandria, VA 22314-6868 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| Sanjiv Chadha | 130 S Canal St, Chicago, IL 60606-3901 | Architect | 2019-09-18 ~ 2020-07-31 |
| Kashyap D. Patel | 257 Marcus Ave, New Hyde Park, NY 11040-3435 | Certified Public Accountant License | 2014-01-01 ~ 2014-12-31 |
| Sanjiv Kumar · Burgerfi | 530 Bushy Hill Rd Ste 3b, Simsbury, CT 06070-2922 | Restaurant Wine & Beer | 2019-09-02 ~ 2021-01-01 |
| Sanjiv Kumar · Burgerfi | 1062 Tolland Tpke, Manchester, CT 06042-1655 | Restaurant Wine & Beer | 2019-09-02 ~ 2021-01-01 |
| Sanjiv Lakhanpal | 1290 Summer Street, Stamford, CT 06824 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).