SURESH M SHAH MD (Credential# 149457) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.
SURESH M SHAH MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0000784. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2011. The expiration date is February 28, 2013. The business address is 29 Cascade Rd, W Hartford, CT 06117. The current status is inactive.
| Licensee Name | SURESH M SHAH MD |
| Credential ID | 149457 |
| Credential Number | CSP.0000784 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
29 Cascade Rd W Hartford CT 06117 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 2011-03-01 |
| Expiration Date | 2013-02-28 |
| Refresh Date | 2013-02-25 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 541680 | 1.015902 | Physician/Surgeon | 1973-02-09 | 2012-03-01 - 2013-02-28 | INACTIVE |
| Street Address | 29 CASCADE RD |
| City | W HARTFORD |
| State | CT |
| Zip Code | 06117 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cathy Tran | 20 Lindy Lane, West Hartford, CT 06117 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Renaissance Craftsmen LLC | 263 Simsbury Road, West Hartford, CT 06117 | Home Improvement Contractor | 2020-06-27 ~ 2020-11-30 |
| Lev Tsarkov | 116 Lyman Road, West Hartford, CT 06117 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Scott Lee Ratchford | 67 Balfour Dr., West Hartford, CT 06117 | Professional Counselor | ~ |
| Gary Neidle | 8 Stratford Rd, West Hartford, CT 06117 | Real Estate Salesperson | 2020-06-26 ~ 2021-05-31 |
| Beverly Vincent | 37 Harwich Lane, West Hartford, CT 06117 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Marc D Palter | 94 Beacon Hill Dr, West Hartford, CT 06117 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| David L Friar | 35 Porter Dr, W Hartford, CT 06117 | Architect | 2020-08-01 ~ 2021-07-31 |
| Adlin C Daye | 147 Mohawk Drive, West Hartford, CT 06117 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Derek M Mcdermott | 61 Ferncliff Drive, West Hartford, CT 06117 | Emergency Medical Technician | ~ |
| Find all Licenses in zip 06117 | |||
| City | W HARTFORD |
| Zip Code | 06117 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + W HARTFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Suresh Karne Md | 140 Mill Street, E Haven, CT 06512 | Controlled Substance Registration for Practitioner | 2001-03-01 ~ 2002-02-28 |
| Suresh C D'mello | 19 Halls Road, Old Lyme, CT 06371-1457 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Suresh H Dhumale Md | 108 Munson Road, Middlebury, CT 06762 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sumanth Channapatna-suresh | 50 Forest St Apt 1021, Stamford, CT 06901-1871 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Hajra Shah | Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Darshan J Shah | 139 Hazard Ave Ste 1-4, Enfield, CT 06082-4583 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Hitesh Shah | 80 Seymour St, Hartford, CT 06102 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Leena G Shah | 40 Hart St, New Britain, CT 06052 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Tejal P Shah | 10 Norwood Way, Avon, CT 06001 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lina Shah | 282 Washington St, Hartford, CT 06106-3322 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Please comment or provide details below to improve the information on SURESH M SHAH MD.
| 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).