SUHAIB M CHAUDRY
Physician/surgeon


Address: 151 N Main Street #4026, Bristol, CT 06010

SUHAIB M CHAUDRY (Credential# 1339574) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.

Business Overview

SUHAIB M CHAUDRY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.055598. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 151 N Main Street #4026, Bristol, CT 06010. The current status is active.

Basic Information

Licensee Name SUHAIB M CHAUDRY
Credential ID 1339574
Credential Number 1.055598
Credential Type Physician/Surgeon
Business Address 151 N Main Street #4026
Bristol
CT 06010
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2016-08-04
Effective Date 2020-07-01
Expiration Date 2021-06-30
Refresh Date 2020-06-24

Other licenses

ID Credential Code Credential Type Issue Term Status
1175249 CSP.0055543 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2013-07-23 2019-03-01 - 2021-02-28 ACTIVE
1120969 CSP.0053600 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2012-09-17 2013-03-01 - 2015-02-28 INACTIVE

Office Location

Street Address 151 N MAIN STREET #4026
City BRISTOL
State CT
Zip Code 06010

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Tara M Chipman 38 Grove St, Bristol, CT 06010 Licensed Practical Nurse 2020-07-01 ~ 2021-06-30
Jaclyn J Brandolini 424 Emmett St, Bristol, CT 06010 Registered Nurse 2020-07-01 ~ 2021-06-30
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Barbara E Trench 25 Peacedale St, Bristol, CT 06010 Hairdresser/cosmetician 2020-07-01 ~ 2022-06-30
Tisha A Balfour 379 West Street, Bristol, CT 06010 Licensed Practical Nurse 2020-08-01 ~ 2021-07-31
Meredith Rose Martineau 15 Bishop Street, Bristol, CT 06010 Master's Level Social Worker - Temporary Permit 2020-06-26 ~ 2020-09-06
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Competitor

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City BRISTOL
Zip Code 06010
License Type Physician/Surgeon
License Type + County Physician/Surgeon + BRISTOL

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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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