BANU SUNDAR (Credential# 1494642) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
BANU SUNDAR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.060390. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 37 Woodbury Rd, Southborough, MA 01772-2029. The current status is active.
Licensee Name | BANU SUNDAR |
Credential ID | 1494642 |
Credential Number | 1.060390 |
Credential Type | Physician/Surgeon |
Business Address |
37 Woodbury Rd Southborough MA 01772-2029 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2018-04-20 |
Effective Date | 2020-04-01 |
Expiration Date | 2021-03-31 |
Refresh Date | 2020-03-23 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1632860 | CSP.0070286 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-02-19 | 2019-02-19 - 2021-02-28 | ACTIVE |
Street Address | 37 WOODBURY RD |
City | SOUTHBOROUGH |
State | MA |
Zip Code | 01772-2029 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Simon J Butler | 10 Presidential Drive, Southborough, MA 01772 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Gtxcel, Inc. | 144 Turnpike Road, Suite 140, Southborough, MA 01772 | Securities - Exemptions | 2020-03-26 ~ |
Deborah Demuria | 58 Flagg Road, Southborough, MA 01772 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
Shelby Butwell | 841 Madison Place, Southborough, MA 01772 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
Stephanie Piandes | 9 Breakneck Hill Rd, Southborough, MA 01772 | Occupational Therapist | 2019-12-13 ~ 2021-07-31 |
Brian Edward Shea | 17 Pinecone Ln, Southboro, MA 01772 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Julie A Talbot | 25 E Main St, Southborough, MA 01772 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
Richard E. Fournier, Jr. | 33 Darlene Drive, Southboro, MA 01772 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
Haita Makanji | 9 Kidder Lane, Southborough, MA 01772 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
Chad M Farrell Jr | 154 Turnpike Road, Southborough, MA 01772 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Find all Licenses in zip 01772 |
City | SOUTHBOROUGH |
Zip Code | 01772 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + SOUTHBOROUGH |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Sundar Natarajan Md | 1815 Jfk Blvd #2906, Philadelphia, PA 19103 | Physician/surgeon | 1998-07-06 ~ 1999-05-31 |
Delia Maria Banu | 18-23 Cornelia Street #2l, Ridgewood, NY 11385 | Registered Nurse | ~ |
Sundar Viswanathan | 11521 Sagewood Ln, Parker, CO 80138-7179 | Physical Therapist | ~ |
Syam Sundar Mannava | 15313 Kestral Lake Dr, Edmond, OK 73013-9693 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Sriman Srinivasan Sundar Rajan | 4614 Wickford Cir Ne, Roswell, GA 30075-5733 | Lottery Or Otb Service Provider Employee | 2020-01-01 ~ 2020-12-31 |
Sundar B Ramaswami | 77 Wilton Woods Rd., Wilton, CT 06897 | Psychologist | 2020-04-01 ~ 2021-03-31 |
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 |
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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).