KIRTI S TALOLE
Physician/surgeon


Address: 30 Schoolhouse Drive, Unit #207, West Hartford, CT 06110

KIRTI S TALOLE (Credential# 990351) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2014. The license expiration date date is April 30, 2015. The license status is INACTIVE.

Business Overview

KIRTI S TALOLE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.049658. The credential type is physician/surgeon. The effective date is May 1, 2014. The expiration date is April 30, 2015. The business address is 30 Schoolhouse Drive, Unit #207, West Hartford, CT 06110. The current status is inactive.

Basic Information

Licensee Name KIRTI S TALOLE
Credential ID 990351
Credential Number 1.049658
Credential Type Physician/Surgeon
Business Address 30 Schoolhouse Drive, Unit #207
West Hartford
CT 06110
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2011-04-01
Effective Date 2014-05-01
Expiration Date 2015-04-30
Refresh Date 2015-08-03

Other licenses

ID Credential Code Credential Type Issue Term Status
990903 CSP.0049863 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2011-04-04 2013-03-01 - 2015-02-28 INACTIVE

Office Location

Street Address 30 Schoolhouse drive, unit #207
City WEST HARTFORD
State CT
Zip Code 06110

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Competitor

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City WEST HARTFORD
Zip Code 06110
License Type Physician/Surgeon
License Type + County Physician/Surgeon + WEST HARTFORD

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Dataset Information

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).

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