LOKESH MAHENDRAKAR (Credential# 1348060) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2018. The license expiration date date is July 31, 2019. The license status is INACTIVE.
LOKESH MAHENDRAKAR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.055447. The credential type is physician/surgeon. The effective date is August 1, 2018. The expiration date is July 31, 2019. The business address is 50 Gaylord Farm Rd, Wallingford, CT 06492-2828. The current status is inactive.
Licensee Name | LOKESH MAHENDRAKAR |
Credential ID | 1348060 |
Credential Number | 1.055447 |
Credential Type | Physician/Surgeon |
Business Address |
50 Gaylord Farm Rd Wallingford CT 06492-2828 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2016-07-11 |
Effective Date | 2018-08-01 |
Expiration Date | 2019-07-31 |
Refresh Date | 2019-11-03 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1365887 | CSP.0063494 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-07-13 | 2017-03-01 - 2019-02-28 | LAPSED |
Street Address | 50 GAYLORD FARM RD |
City | WALLINGFORD |
State | CT |
Zip Code | 06492-2828 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jonathan C Woodhouse | 50 Gaylord Farm Rd, Wallingford, CT 06492-2828 | Psychologist | 2020-07-01 ~ 2021-06-30 |
Ogechukwu Kingsley Egini | 50 Gaylord Farm Rd, Wallingford, CT 06492 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Gaylord Hospital | 50 Gaylord Farm Rd, Wallingford, CT 06492-2828 | Controlled Substance Registration for Hospitals | 2019-03-01 ~ 2021-02-28 |
David J Chen | 50 Gaylord Farm Rd, Wallingford, CT 06492-2828 | Controlled Substance Registration for Practitioner | 2018-12-06 ~ 2021-02-28 |
Gaylord Hospital | 50 Gaylord Farm Rd, Wallingford, CT 06492-2828 | Chronic Disease Hospital | 2018-04-01 ~ 2020-03-31 |
Alexandru C Dinu | 50 Gaylord Farm Rd, Wallingford, CT 06492-2828 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Andrea Zola | 53 Alison Ave., Wallingford, CT 06492 | Esthetician | ~ |
Kyungok Choi | 90 Ward St, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Giang Nguyen | 45 Country Club Lane, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-11-30 |
Lc Artistry | 207 North Colony Road, Wallingford, CT 06492 | Esthetician | ~ |
Katie Lee | 20 Angela Dr, Wallingford, CT 06492 | Paramedic | 2020-09-01 ~ 2021-08-31 |
Vinny's Deli | 567 Center St, Wallingford, CT 06492 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Michele Ruggiero | 26 Leigus Road, Wallingford, CT 06492 | Radiographer | 2020-07-01 ~ 2021-06-30 |
Dianna K Ball | 104 Simpson Ave, Wallingford, CT 06492 | Speech and Language Pathologist | 2020-08-01 ~ 2021-07-31 |
Ann Marie Richardson | 20 Mohawk Drive, Wallingford, CT 06492 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Joann Hummel | 60 Deer Run Road, Wallingford, CT 06492 | Medication Administration Certification | 2018-08-21 ~ 2020-08-20 |
Find all Licenses in zip 06492 |
City | WALLINGFORD |
Zip Code | 06492 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + WALLINGFORD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Lokesh K Tejwani | 1301 Fox Run Drive, Columbia, MO 65202 | Physician/surgeon | 2000-08-15 ~ 2001-07-31 |
Lokesh Guglani | 623 Gettysburg Street, Pittsburgh, PA 15206-4549 | Physician/surgeon | 2008-07-16 ~ 2009-09-30 |
Swapnil S Mahendrakar | 62 Canterbury Rd, Hamden, CT 06514 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Lokesh Katiki | 1505 Autumn Chase, Ellington, CT 06029-3748 | Emergency Medical Technician | 2017-10-23 ~ 2020-07-01 |
Lokesh Agarwal | 695 E Main St, Stamford, CT 06901-2141 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
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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).