SUPRIYA MARUTI TIGADI (Credential# 1052272) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
SUPRIYA MARUTI TIGADI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.051029. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 27 Roberts Ln, West Hartford, CT 06107-1627. The current status is active.
| Licensee Name | SUPRIYA MARUTI TIGADI |
| Credential ID | 1052272 |
| Credential Number | 1.051029 |
| Credential Type | Physician/Surgeon |
| Business Address |
27 Roberts Ln West Hartford CT 06107-1627 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2012-06-13 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-01-30 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1052620 | CSP.0051995 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2012-02-24 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 1488884 | 1.058279-RES | Resident Physician | 2016-07-01 | 2016-07-01 - 2019-07-12 | INACTIVE |
| 892171 | CSP.0046403 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2009-08-31 | 2011-03-01 - 2013-02-28 | INACTIVE |
| Street Address | 27 ROBERTS LN |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06107-1627 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jessica E Navallil | 31 Roberts Ln, West Hartford, CT 06107-1627 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rebecca L Stansfield | 73 Tunxis Road, West Hartford, CT 06107 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Kumari Joshi | 44 Bentwood Rd, West Hartford, CT 06107 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Laurie C Caines Md | 205 Stoner Drive, West Hartford, CT 06107 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Nicole K. Edlund | 11 Greenacres Avenue, West Hartford, CT 06107 | Master's Level Social Worker - Temporary Permit | ~ |
| Andrea M Yuliano | 39 Mountain Terrace Road, West Hartford, CT 06107 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Elizabeth M Ineson | 4 Linwold Dr, West Htfd, CT 06107 | Architect | 2020-08-01 ~ 2021-07-31 |
| Sarah G Potter | 19 Westland Ave, West Hartford, CT 06107 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Jessica C Abreu | 14 Deepwood Lane, West Hartford, CT 06107 | Real Estate Salesperson | 2020-06-18 ~ 2021-05-31 |
| William C Richter | 67 Hillsboro Drive, West Hartford, CT 06107 | Architect | 2020-08-01 ~ 2021-07-31 |
| Teresa M Stanton | 25 Common Dr., West Hartford, CT 06107 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06107 | |||
| City | WEST HARTFORD |
| Zip Code | 06107 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WEST HARTFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Supriya Jambhekar | 2116 Menahan Street, Ridgewood, NY 11385 | Physician/surgeon | 2004-08-02 ~ 2005-08-31 |
| Supriya Kulkarni | 45 Windy Hill Ln, Rocky Hill, CT 06067-2866 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Maruti Sharma | 1450 Washington Blvd Apt 407s, Stamford, CT 06902-2465 | Controlled Substance Registration for Practitioner | 2013-02-22 ~ 2015-02-28 |
| Supriya Sathish Kumar | CT | Physical Therapist | ~ |
| Supriya Sathishkumar | 29 Van Buren Ave Apt K7, Norwalk, CT 06850-3326 | Physical Therapist | 2014-04-01 ~ 2015-03-31 |
| Supriya Sen · Storch Engineers | 31 Forest Rd, Holbrook, MA 02343 | Professional Engineer | 1990-04-26 ~ 1991-01-31 |
| Supriya Kohli | 3231 Puget Sound Dr, Edmond, OK 73034-6893 | Emergency Medical Technician | 2019-01-23 ~ 2021-12-31 |
| Supriya K. Atianand | 16 Cadorna Road, Worcester, MA 01605 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Supriya Kohli | 3231 Puget Sound Drive, Edmond, OK 73034 | Emergency Medical Technician | ~ |
| Supriya Gupta | 263 Farmington Ave, Farmington, CT 06030-0002 | Controlled Substance Registration for Practitioner | 2011-04-07 ~ 2013-02-28 |
Please comment or provide details below to improve the information on SUPRIYA MARUTI TIGADI.
| 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).