DHEERAJ TARANATH (Credential# 1353760) 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.
DHEERAJ TARANATH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.055639-DO. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 68 Division St, Derby, CT 06418-1447. The current status is active.
| Licensee Name | DHEERAJ TARANATH |
| Credential ID | 1353760 |
| Credential Number | 1.055639-DO |
| Credential Type | Physician/Surgeon |
| Credential SubCategory | DO |
| Business Address |
68 Division St Derby CT 06418-1447 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-08-17 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-08 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1487009 | CSP.0067390 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-01-30 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 68 DIVISION ST |
| City | DERBY |
| State | CT |
| Zip Code | 06418-1447 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Medexpress Urgent Care-derby, Division St. | 68 Division St, Derby, CT 06418-1447 | Outpatient Clinic | 2018-11-28 ~ 2021-09-30 |
| Jacqueline R Braunworth | 68 Division St, Derby, CT 06418-1447 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Christine M Hamilton | 68 Division St, Derby, CT 06418-1447 | Controlled Substance Registration for Practitioner | 2019-10-15 ~ 2021-02-28 |
| Radio Shack #1098 | 68 Division St, Derby, CT 06418 | Tv & Radio Dealer | 2003-09-29 ~ 2004-08-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hasan Koc · Captain's Pizza Restaurant | 36 Division St, Derby, CT 06418-1447 | Restaurant Wine & Beer | 2012-01-23 ~ 2013-01-19 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Debra A Montini | 8 Academy Hill Ext, Derby, CT 06418 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Laura M Boanno | 131 Marshall La, Derby, CT 06418 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Danyun Chen | 49 Pershing Dr., Derby, CT 06418 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Fan Geng | Shoprite Shopping Center, Derby, CT 06418 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Danni Xu | Shoprite Shopping Center49 Pershing Dr, Derby, CT 06418 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Yao Zhang | Shoprite Shopping Center 49 Pershing Dr, Derby, CT 06418 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Phillip N Burke | 3 Camptown St, Derby, CT 06418 | Emergency Medical Technician | 2017-06-07 ~ 2020-06-30 |
| Diane A Rosner | 229 Shagbark Drive, Derby, CT 06418 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
| Pamela C Lavelle | 194 Minerva St, Derby, CT 06418 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Grade A Market - Derby LLC | 49 Pershing Dr, Derby, CT 06418 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06418 | |||
| City | DERBY |
| Zip Code | 06418 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + DERBY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Dheeraj Nagpal | 347 Central Park Ave Apt D, Scarsdale, NY 10583-1358 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Dheeraj Pamidimukkala | 117 Cimarron Dr Apt D4, Seabrook, NH 03874-4448 | Dentist | 2016-04-01 ~ 2017-03-31 |
| Dheeraj Khurana | 8250 135th St Apt 4e, Jamaica, NY 11435-1434 | Pharmacy Intern | 2011-02-02 ~ 2012-09-30 |
| Dheeraj Kaplish | 1000 Silver Street, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2019-07-15 ~ 2021-02-28 |
| Dheeraj Dasari · Liquor Zone | 534 E Middle Tpke, Manchester, CT 06040 | Package Store Liquor | ~ |
| Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| 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 |
| 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 |
Please comment or provide details below to improve the information on DHEERAJ TARANATH.
| 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).