NEETU NEBHWANI MD (Credential# 919730) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
NEETU NEBHWANI MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.048724. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 67 Maple Ave, Derby, CT 06418-1328. The current status is active.
| Licensee Name | NEETU NEBHWANI MD |
| Credential ID | 919730 |
| Credential Number | 1.048724 |
| Credential Type | Physician/Surgeon |
| Business Address |
67 Maple Ave Derby CT 06418-1328 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2010-05-18 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-03-10 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 934039 | CSP.0047721 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2010-06-09 | 2015-03-01 - 2017-02-28 | INACTIVE |
| 1227407 | CSP.0057298 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-06-20 | 2015-03-01 - 2017-02-28 | INACTIVE |
| Street Address | 67 MAPLE AVE |
| City | DERBY |
| State | CT |
| Zip Code | 06418-1328 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Leon Garcia | 67 Maple Ave, Derby, CT 06418-1328 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Marion Guyer | 67 Maple Ave, Derby, CT 06418-1328 | Physician/surgeon | 2014-09-01 ~ 2015-08-31 |
| Joseph M Gagliardi Jr | 67 Maple Ave, Derby, CT 06418 | Controlled Substance Registration for Practitioner | 1996-09-01 ~ 1998-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kenneth V Schwartz | 130 Division St., Derby, CT 06418-1328 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Michael G Deotte | 41 Maple Ave, Derby, CT 06418-1328 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Mehak Idrees | 17 Maple Ave, Derby, CT 06418-1328 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Samuel Ambroise | 57 Maple Ave, Derby, CT 06418-1328 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Leceta A Allwood | 51 Maple Ave, Derby, CT 06418-1328 | Licensed Practical Nurse | 2019-09-01 ~ 2020-08-31 |
| Carmelo Nieves · Nutmeg Seamless Gutters | 61 Maple Ave, Derby, CT 06418-1328 | Home Improvement Contractor | 2006-12-01 ~ 2007-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Debra A Montini | 8 Academy Hill Ext, Derby, CT 06418 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Laura M Boanno | 131 Marshall La, Derby, CT 06418 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Danyun Chen | 49 Pershing Dr., Derby, CT 06418 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Fan Geng | Shoprite Shopping Center, Derby, CT 06418 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Danni Xu | Shoprite Shopping Center49 Pershing Dr, Derby, CT 06418 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Yao Zhang | Shoprite Shopping Center 49 Pershing Dr, Derby, CT 06418 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Phillip N Burke | 3 Camptown St, Derby, CT 06418 | Emergency Medical Technician | 2017-06-07 ~ 2020-06-30 |
| Diane A Rosner | 229 Shagbark Drive, Derby, CT 06418 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
| Pamela C Lavelle | 194 Minerva St, Derby, CT 06418 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Grade A Market - Derby LLC | 49 Pershing Dr, Derby, CT 06418 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06418 | |||
| City | DERBY |
| Zip Code | 06418 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + DERBY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Neetu Godhwani | 864 Silver Lake Scotchtown Rd, Middletown, NY 10941-1119 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Neetu Krishnan | 139 Hunnewell Ave, Elmont, NY 11003-2709 | Resident Physician | 2016-06-28 ~ 2022-06-30 |
| Neetu Chopra | 5 Eversley Ave, Norwalk, CT 06851-5821 | Dentist | 2020-04-01 ~ 2021-03-31 |
| Neetu Kainth | 48 Holy Family Road #114, Holyoke, MA 01040 | Dentist | 2012-12-11 ~ 2013-05-31 |
| Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
| Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
| John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
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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).