SHAHNAZ PUNJANI
Physician/surgeon


Address: 8074 Gate Pkwy W Apt 1311, Jacksonville, FL 32216-1618

SHAHNAZ PUNJANI (Credential# 993909) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2017. The license expiration date date is August 31, 2018. The license status is INACTIVE.

Business Overview

SHAHNAZ PUNJANI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.050290. The credential type is physician/surgeon. The effective date is September 1, 2017. The expiration date is August 31, 2018. The business address is 8074 Gate Pkwy W Apt 1311, Jacksonville, FL 32216-1618. The current status is inactive.

Basic Information

Licensee Name SHAHNAZ PUNJANI
Credential ID 993909
Credential Number 1.050290
Credential Type Physician/Surgeon
Business Address 8074 Gate Pkwy W Apt 1311
Jacksonville
FL 32216-1618
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2011-09-06
Effective Date 2017-09-01
Expiration Date 2018-08-31
Refresh Date 2018-12-04

Other licenses

ID Credential Code Credential Type Issue Term Status
932060 CSP.0047647 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2010-10-12 2015-03-01 - 2017-02-28 INACTIVE

Office Location

Street Address 8074 GATE PKWY W APT 1311
City JACKSONVILLE
State FL
Zip Code 32216-1618

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City JACKSONVILLE
Zip Code 32216
License Type Physician/Surgeon
License Type + County Physician/Surgeon + JACKSONVILLE

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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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