ASHUTOSH PATHAK (Credential# 968561) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 20, 2011. The license expiration date date is October 31, 2011. The license status is INACTIVE.
ASHUTOSH PATHAK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.049995. The credential type is physician/surgeon. The effective date is June 20, 2011. The expiration date is October 31, 2011. The business address is 115 Summer Ln, North Haven, CT 06473-3569. The current status is inactive.
| Licensee Name | ASHUTOSH PATHAK |
| Credential ID | 968561 |
| Credential Number | 1.049995 |
| Credential Type | Physician/Surgeon |
| Business Address |
115 Summer Ln North Haven CT 06473-3569 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2011-06-20 |
| Effective Date | 2011-06-20 |
| Expiration Date | 2011-10-31 |
| Refresh Date | 2012-02-08 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 954566 | CSP.0049033 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-09-25 - | INACTIVE |
| Street Address | 115 SUMMER LN |
| City | NORTH HAVEN |
| State | CT |
| Zip Code | 06473-3569 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Bindu Lal Md | 115 Summer Ln, North Haven, CT 06473-3569 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Thomas J Balga Pa | 107 Summer Lane, North Haven, CT 06473-3569 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| John A Brennan | 127 Summer Ln, North Haven, CT 06473-3569 | Emergency Medical Technician | ~ |
| Zurlo's Landscaping & Design LLC | 111 Summer Ln, North Haven, CT 06473-3569 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Renee A Rollier | 90 Fallon Drive, North Haven, CT 06473 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Carly J Brueggestrat Aprn | 191 Cloudland Rd, North Haven, CT 06473 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Heesuk Hyun | 769 Middletown Ave, North Haven, CT 06473 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Jacqueline N Sancho | 9 Corey Rd, North Haven, CT 06473 | Physical Therapist Assistant | 2020-08-01 ~ 2021-07-31 |
| Irene L Smith | 35 Debra Lane, North Haven, CT 06473 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Jane S Jane | 380 Skiff Street, North Haven, CT 06473 | Psychologist | 2020-09-01 ~ 2021-08-31 |
| Shana Kathleen Lipp | [email protected], North Haven, CT 06473 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Haifeng Piao | 201 Universal Drive, North Haven, CT 06473 | Nail Technician | ~ |
| Xuefan Piao | 32 Lexington Gardens, North Haven, CT 06473 | Nail Technician | ~ |
| Zachary A Cuzzocreo | 45 Thorpe Street, North Haven, CT 06473 | Real Estate Salesperson | 2020-06-20 ~ 2021-05-31 |
| Find all Licenses in zip 06473 | |||
| City | NORTH HAVEN |
| Zip Code | 06473 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NORTH HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ashutosh Kacker | 200 E 84 Th Street, New York, NY 10028 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Soma Pathak | 333 E 38th St., New York, NY 10016 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Kunja J Pathak | 17 Darkwood Court, Warren, NJ 07059 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
| Jitendra Pathak | 17 Darkwood Court, Warren, NJ 07059 | Physician/surgeon | 2010-04-01 ~ 2011-03-31 |
| Richa Pathak | 99-37 63rd Rd Apt 2f, Rego Park, NY 11374-1939 | Physician/surgeon | 2011-01-06 ~ 2012-01-31 |
| Hemang J Pathak | 617 Edisto Court, Chapel Hill, NC 27514 | Physician/surgeon | 2003-03-21 ~ 2003-12-31 |
| Neil Pathak | 20 York St, New Haven, CT 06510 | Resident Physician | 2020-06-09 ~ 2021-06-30 |
| Ranjan Pathak | 855 N Park Rd, Wyomissing, PA 19610 | Resident Physician | 2017-07-10 ~ 2021-06-30 |
| Ashutosh Patel | 79 Mill Pond Rd, Jackson, NJ 08527-4891 | Professional Engineer | 2020-04-18 ~ 2021-01-31 |
| Ashutosh Nayak · Aces Sports Bar | 275 Otrobando Ave, Norwich, CT 06360-2136 | Cafe Liquor | 2019-11-13 ~ 2021-03-12 |
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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).