SEJAL D SHAH PA (Credential# 743304) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is September 28, 2007. The license expiration date date is September 30, 2008. The license status is INACTIVE.
SEJAL D SHAH PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001555. The credential type is physician assistant. The effective date is September 28, 2007. The expiration date is September 30, 2008. The business address is 438 Whitney Ave Apt 2, New Haven, CT 06511. The current status is inactive.
| Licensee Name | SEJAL D SHAH PA |
| Credential ID | 743304 |
| Credential Number | 23.001555 |
| Credential Type | Physician Assistant |
| Business Address |
438 Whitney Ave Apt 2 New Haven CT 06511 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2004-10-25 |
| Effective Date | 2007-09-28 |
| Expiration Date | 2008-09-30 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 388247 | CSP.0036688 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-11-01 | 2006-03-01 - 2007-02-28 | INACTIVE |
| 388246 | CSP | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | - | EXPIRED APPLICATION |
| Street Address | 438 WHITNEY AVE APT 2 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Montessori School On Edgewood Inc. | 230 Edgewood Avenue, New Haven, CT 06511 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Therese Parks · Visel Drug Store | 264 Munson St, New Haven, CT 06511 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dazjia Monet Green | 115 Edgewood Ave Apt 64, New Haven, CT 06511 | Registered Nurse | 2020-06-27 ~ 2021-05-31 |
| Carol Yam | 343 Humphrey St, New Haven, CT 06511 | Registered Nurse | ~ |
| Marwan S Haddad | 38 Lincoln Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mary Lou Gaeta Md | 558 Chapel Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Cary M Tucker | 64 Bishop St, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Frank J Pannenborg | 505 Ellsworth Ave, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Crystal E Gooding | 26 Woodland Street, New Haven, CT 06511 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Kieran Jones | 260 Crown St Unit 1f, New Haven, CT 06511 | Registered Nurse | ~ |
| Find all Licenses in zip 06511 | |||
| City | NEW HAVEN |
| Zip Code | 06511 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sejal D Shah | 4 Branch Way, Lancaster, NY 14086 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Sejal Shah | 5678 Vintage View Ave, Lakeland, FL 33812-4074 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
| Sejal Shah · Hollywood Package Store | 888 Grand Avenue, New Haven, CT 06511 | Package Store Liquor | 2011-03-01 ~ 2012-02-28 |
| Bhavini R Shah | 28 Butternut Ln, Newington, CT 06111-4289 | Physical Therapist Assistant | 2019-12-01 ~ 2020-11-30 |
| Pooja T Shah | 34 Longview Dr, Manchester, CT 06040-6957 | Physical Therapist Assistant | 2020-06-01 ~ 2021-05-31 |
| Kalgi Shah | 1111 Lexington Ave Apt 1323, Flower Mound, TX 75028-8377 | Physical Therapist Assistant | 2020-06-01 ~ 2021-05-31 |
| Twisha A Shah | 16 Windermere Village Rd, Ellington, CT 06029-3839 | Family Child Care Assistant | 2018-06-01 ~ 2020-05-31 |
| 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 |
| P R Shah LLC · Krauszer's Food Store | 170 Cedar St, Branford, CT 06405-6011 | Dealer of Electronic Nicotine Delivery System Or Vapor Product | 2020-02-29 ~ 2021-02-28 |
| Mayuri N Shah | Po Box 176, Paterson, NJ 07533 | Physician/surgeon | 2002-12-23 ~ 2003-12-31 |
Please comment or provide details below to improve the information on SEJAL D SHAH PA.
| 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).