SHIVASHANKER BALASINGHAM
Physician/surgeon


Address: 806 East Broadway, Milford, CT 06460

SHIVASHANKER BALASINGHAM (Credential# 1192967) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2018. The license expiration date date is March 31, 2019. The license status is INACTIVE.

Business Overview

SHIVASHANKER BALASINGHAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.052651. The credential type is physician/surgeon. The effective date is April 1, 2018. The expiration date is March 31, 2019. The business address is 806 East Broadway, Milford, CT 06460. The current status is inactive.

Basic Information

Licensee Name SHIVASHANKER BALASINGHAM
Credential ID 1192967
Credential Number 1.052651
Credential Type Physician/Surgeon
Business Address 806 East Broadway
Milford
CT 06460
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2013-12-24
Effective Date 2018-04-01
Expiration Date 2019-03-31
Refresh Date 2019-07-04

Other licenses

ID Credential Code Credential Type Issue Term Status
1231158 CSP.0057612 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2014-06-26 2017-03-01 - 2019-02-28 LAPSED
1216712 CSP.0056994 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2014-04-14 2014-04-14 - 2015-02-28 INACTIVE
943765 CSP.0047997 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2010-07-23 2011-03-01 - 2013-02-28 INACTIVE

Office Location

Street Address 806 East Broadway
City Milford
State CT
Zip Code 06460

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Doreen Palmiero 806 East Broadway, Milford, CT 06460 Notary Public Appointment 1993-05-25 ~ 1998-05-31

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Milford Council On Aging 9 Jepson Drive, Milford, CT 06460 Public Charity 2019-06-01 ~ 2020-05-31
James J Melanson 319 Welch's Point Road, Milford, CT 06460 Optician 2020-08-01 ~ 2021-07-31
Robert J Colum 61 Melba St, Milford, CT 06460 Professional Engineer 2020-06-16 ~ 2021-01-31
James E Phillips 88 Noble Ave, Milford, CT 06460 Physician/surgeon 2020-07-01 ~ 2021-06-30
Douglas H Gruber 33 Lincoln Ave, Milford, CT 06460 Licensed Alcohol and Drug Counselor 2020-06-01 ~ 2021-05-31
Christine D Rettig 1 Schooner Lane, Milford, CT 06460 Physical Therapist 2020-07-01 ~ 2021-06-30
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Kelli-ann Armstrong 50 Cherry Street, Milford, CT 06460 Optometrist 2020-07-01 ~ 2021-06-30
Mary C Cohen 9 Stevens Street, Milford, CT 06460 Notary Public Appointment 2020-07-01 ~ 2025-06-30
Nicole Wilson 26 Daggett Street, Milford, CT 06460 Hairdresser/cosmetician 2020-08-01 ~ 2022-07-31
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City Milford
Zip Code 06460
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Milford

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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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