PANDURANG P. CHILLAL (Credential# 1250004) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 2, 1977. The license expiration date date is September 30, 1981. The license status is INACTIVE.
PANDURANG P. CHILLAL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.018309. The credential type is physician/surgeon. The effective date is March 2, 1977. The expiration date is September 30, 1981. The business address is 3206 Elizabeth St, Marengo, IL 60152-8012. The current status is inactive.
| Licensee Name | PANDURANG P. CHILLAL |
| Credential ID | 1250004 |
| Credential Number | 1.018309 |
| Credential Type | Physician/Surgeon |
| Business Address |
3206 Elizabeth St Marengo IL 60152-8012 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1977-03-02 |
| Effective Date | 1977-03-02 |
| Expiration Date | 1981-09-30 |
| Refresh Date | 2014-10-14 |
| Street Address | 3206 ELIZABETH ST |
| City | MARENGO |
| State | IL |
| Zip Code | 60152-8012 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Susan H Rosner | 20706 Bunker Hill Raod, Marengo, IL 60152 | Registered Nurse | 2010-02-01 ~ 2011-01-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Clara L Klink | 10944 S County Road 750 E, Marengo, IN 47140-7044 | Registered Nurse - Temporary | 2013-09-16 ~ 2014-01-14 |
| Harbans Deol Do | 2121 Highway 6 Trl, Marengo, IA 52301-8541 | Controlled Substance Registration for Practitioner | 1998-03-01 ~ 1999-02-28 |
| Katharine B Simmons | Po Box 202, Marengo, IA 52301-0202 | Registered Nurse | 2013-10-01 ~ 2014-09-30 |
| City | MARENGO |
| Zip Code | 60152 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + MARENGO |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
| 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 |
| John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
| Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Nazanin Barzideh Md | North Shore Retina Physician, Pllc, East Hills, NY 11576 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
| Sajot S Grewal Md | Danbury Office of Physician Services PC, Danbury, CT 06810 | Physician/surgeon | 2004-01-30 ~ 2005-03-31 |
| Barbara A Brandes Md | Danbury Office of Physician Services, Danbury, CT 06810 | Physician/surgeon | 2004-07-08 ~ 2005-07-31 |
Please comment or provide details below to improve the information on PANDURANG P. CHILLAL.
| 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).