JISHA PHILIP (Credential# 900496) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2016. The license expiration date date is March 31, 2017. The license status is INACTIVE.
JISHA PHILIP is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.048331. The credential type is physician/surgeon. The effective date is April 1, 2016. The expiration date is March 31, 2017. The business address is 1 Horizon Dr Apt 15, Norwalk, CT 06854-2647. The current status is inactive.
| Licensee Name | JISHA PHILIP |
| Credential ID | 900496 |
| Credential Number | 1.048331 |
| Credential Type | Physician/Surgeon |
| Business Address |
1 Horizon Dr Apt 15 Norwalk CT 06854-2647 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2009-12-23 |
| Effective Date | 2016-04-01 |
| Expiration Date | 2017-03-31 |
| Refresh Date | 2017-07-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 918732 | CSP.0047337 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2010-03-15 | 2015-03-01 - 2017-02-28 | INACTIVE |
| Street Address | 1 HORIZON DR APT 15 |
| City | NORWALK |
| State | CT |
| Zip Code | 06854-2647 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Raluca A Duma | 1 Horizon Dr Apt 13, Norwalk, CT 06854-2647 | Chiropractor | 2020-05-01 ~ 2021-04-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vanessa Benitez | 190 Ely Ave., Norwalk, CT 06854 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jessica Christina Andraszek | 7a Edgewood St, Norwalk, CT 06854 | Registered Nurse | ~ |
| Farrah Marin | 63 Bayview Avenue, Norwalk, CT 06854 | Master's Level Social Worker | ~ |
| Irma M Ross | 30 Lenox Ave, Norwalk, CT 06854 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
| Community Plates Inc. | 165 Water Street, Norwalk, CT 06854 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Roberto Arzuaga · West Cedar Grocery | 155 West Cedar St, Norwalk, CT 06854 | Grocery Beer | 2020-07-17 ~ 2021-07-16 |
| Faith Kiriakidis | 130 Flax Hill Road, Norwalk, CT 06854 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Andrew Gotlin | 1 North Water Street, Norwalk, CT 06854 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Shunxia Guan | 360 Connecticut Ste 2, Norwalk, CT 06854 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Zhenyu Quan | 360 Connecticut Ave Suit 2, Norwalk, CT 06854 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Find all Licenses in zip 06854 | |||
| City | NORWALK |
| Zip Code | 06854 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NORWALK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jisha M. Edichandy | 7632 264th St, Floral Park, NY 11004-1145 | Physician/surgeon | 2011-02-01 ~ 2012-01-31 |
| Philip B Jensen | Po Box 606, Lincoln, MA 01773-0606 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Philip H Glogover | Aventura, FL 33180 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Philip D Allmendinger Md | 134 Waterville Rd, Farmington, CT 06032-1624 | Physician/surgeon | 2018-04-01 ~ 2019-03-31 |
| Philip T Ho Md | 685 Kellogg Ave, Palo Alto, CA 94301 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Philip S Brezina | 28 Broadview St, Bristol, CT 06010 | Physician/surgeon | 1993-10-25 ~ 1994-10-31 |
| Philip T Glynn | 18 Burbank Rd, Longmeadow, MA 01006 | Physician/surgeon | 1991-01-25 ~ 1992-12-31 |
| Philip I Weisinger | 100 York St, New Haven, CT 06511 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Philip A Brown | Rr1 Box 173a, Tunbridge, VT 05077 | Physician/surgeon | 1994-04-12 ~ 1995-04-30 |
| Philip A Waldor | 37 Ivy Road, Wilmington, DE 19806 | Physician/surgeon | 2003-04-07 ~ 2004-05-31 |
Please comment or provide details below to improve the information on JISHA PHILIP.
| 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).