SUSHMA R. HEBBAR (Credential# 995983) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2014. The license expiration date date is June 30, 2015. The license status is INACTIVE.
SUSHMA R. HEBBAR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.049925. The credential type is physician/surgeon. The effective date is July 1, 2014. The expiration date is June 30, 2015. The business address is 370 S 41st St, Boulder, CO 80305-5460. The current status is inactive.
| Licensee Name | SUSHMA R. HEBBAR |
| Credential ID | 995983 |
| Credential Number | 1.049925 |
| Credential Type | Physician/Surgeon |
| Business Address |
370 S 41st St Boulder CO 80305-5460 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2011-06-03 |
| Effective Date | 2014-07-01 |
| Expiration Date | 2015-06-30 |
| Refresh Date | 2015-10-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1025412 | CSP.0051040 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2011-07-27 | 2013-03-01 - 2015-02-28 | INACTIVE |
| Street Address | 370 S 41ST ST |
| City | BOULDER |
| State | CO |
| Zip Code | 80305-5460 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lindsay R Lawrence | 1336 Scrub Oak Cir, Boulder, CO 80305 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kerry L Hardy | 433 Harvard Lane, Boulder, CO 80305 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Alexander A Willen | 3974 Fuller Ct, Boulder, CO 80305 | Massage Therapist | 2020-02-01 ~ 2022-01-31 |
| Audrey Elizabeth Carlson | 1106 Woodland Ct, Boulder, CO 80305 | Veterinarian | 2019-11-01 ~ 2020-10-31 |
| Wendy Fife | 2825 Darley Ave, Boulder, CO 80305 | Veterinarian | 2016-05-01 ~ 2017-04-30 |
| Lara A Sabourin | 3595 Moorhead Avenue, Boulder, CO 80305 | Registered Nurse | 2013-09-01 ~ 2014-08-31 |
| Matthew P. Wattoff | 1354 Scrub Oak Circle, Boulder, CO 80305 | Certified Public Accountant Firm Permit | 2003-01-01 ~ 2003-12-31 |
| Lorinda J Unruh | 695 S Broadway, Boulder, CO 80305 | Physical Therapist | 2007-10-05 ~ 2008-09-30 |
| Jean M O'doherty | 933 E Moorhead Cir, Boulder, CO 80305 | Registered Nurse | 2001-11-29 ~ 2002-08-31 |
| Marijane Paulin | 100 Benthaven Place, Boulder, CO 80305 | Dental Hygienist | 2004-01-06 ~ 2004-12-31 |
| Find all Licenses in zip 80305 | |||
| City | BOULDER |
| Zip Code | 80305 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + BOULDER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ramnath Hebbar Md | 2200 Whitney Avenue, Hamden, CT 06518 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sushma Vasudeva | 200 White Plains Rd, Trumbull, CT 06611 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Sushma D Patel | 91 Mathewson St, Griswold, CT 06351 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Sushma Gaddam | 34 Maple St, Norwalk, CT 06850-3815 | Controlled Substance Registration for Practitioner | 2015-09-16 ~ 2017-02-28 |
| Sushma Ramprasad Rao | 761 Main Ave, Norwalk, CT 06851 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sushma Sharma | 768 Queen Street, Southington, CT 06489 | Tax Preparer/facilitator Permit | 2018-11-08 ~ 2020-11-30 |
| Sushma Reddy Donthi Reddy | Bright Dental Care, PC. Suite 203, Springfield, MA 01103 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| 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 |
Please comment or provide details below to improve the information on SUSHMA R. HEBBAR.
| 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).