PRATIBHA D VAGAL MD (Credential# 943330) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2014. The license expiration date date is May 31, 2015. The license status is INACTIVE.
PRATIBHA D VAGAL MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.049210. The credential type is physician/surgeon. The effective date is June 1, 2014. The expiration date is May 31, 2015. The business address is 201 Westerly Cir, Ludlow, MA 01056-1623. The current status is inactive.
| Licensee Name | PRATIBHA D VAGAL MD |
| Credential ID | 943330 |
| Credential Number | 1.049210 |
| Credential Type | Physician/Surgeon |
| Business Address |
201 Westerly Cir Ludlow MA 01056-1623 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2010-09-15 |
| Effective Date | 2014-06-01 |
| Expiration Date | 2015-05-31 |
| Refresh Date | 2015-09-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 973211 | CSP.0049247 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2010-11-08 | 2013-03-01 - 2015-02-28 | INACTIVE |
| Street Address | 201 WESTERLY CIR |
| City | LUDLOW |
| State | MA |
| Zip Code | 01056-1623 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rita L Hurley | 281 Westerly Cir, Ludlow, MA 01056-1623 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ludlow Central Bakery · Ludlow Central Bakery Inc | 270 East St, Ludlow, MA 01056 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Alan J Vautrain | 45 Booth St., Ludlow, MA 01056 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Elizabete R Branco | 432 Munsing St, Ludlow, MA 01056 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Amanda Lee Banks | 125 Coolidle Ave, Ludlow, MA 01056 | Registered Nurse | ~ |
| Nicole Ashley Skelly | 35 Knollwood Road, Ludlow, MA 01056 | Notary Public Appointment | 2015-02-19 ~ 2020-02-28 |
| Vitor Machado | 32 Emma Way, Ludlow, MA 01056 | Hoisting Equipment Operator | 2020-05-17 ~ 2022-05-16 |
| Richard Wheway | 308 Miller St, Ludlow, MA 01056 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Vanessa P Ferreira | 146 Center Street, Ludlow, MA 01056 | Pharmacy Technician | 2019-04-01 ~ 2020-03-31 |
| Kali Olsen | 58 Lakeview Ave, Ludlow, MA 01056 | Naturopathic Physician | 2020-04-01 ~ 2021-03-31 |
| Katherine M Dacruz · Gazda | 292 Woodland Circle, Ludlow, MA 01056 | Hairdresser/cosmetician | 2020-05-01 ~ 2022-04-30 |
| Find all Licenses in zip 01056 | |||
| City | LUDLOW |
| Zip Code | 01056 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + LUDLOW |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Pratibha A Ankola | 1000 Haddonfield Berlin Rd, Voorhees, NJ 08043-3520 | Physician/surgeon | ~ |
| Pratibha S Shukla | 9 Elizabeth Street, West Haven, CT 06516 | Physician/surgeon | 2002-05-30 ~ 2003-04-30 |
| Tinto Vagal Vino Joven | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2000-10-25 ~ 2003-10-25 |
| Tinto Vagal Valtiendas Cuvee De Glera | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2000-09-25 ~ 2003-09-25 |
| Pratibha Dhakshinamurthy | 571 Cascade Dr, Fairfield, CT 06825-2300 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Pratibha G Mayekar | 111 Pulaski Street, Torrington, CT 06790-2823 | Registered Nurse | 2015-02-01 ~ 2016-01-31 |
| Pratibha Thippa | 2351 Magnolia Bridge Drive, San Ramon, CA 94582 | Emergency Medical Technician | ~ |
| Pratibha Phuyal | St Vincents Medical Center, Bridgeport, CT 06606-4201 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| 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 |
Please comment or provide details below to improve the information on PRATIBHA D VAGAL MD.
| 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).